DNA-dependent protein kinase inhibitors PI-103 and samotolisib augment CRISPR/Cas9 knock-in efficiency in human T

Emina Džafo1, Morteza Hafezi1, Greta Maria Paola Giordano Attianese1

  • 1Ludwig Institute for Cancer Research, Lausanne Branch, Department of Oncology, University of Lausanne (UNIL), and Lausanne University Hospital (CHUV), Lausanne, Switzerland.

Cytotherapy
|March 18, 2025
PubMed

Insights

Improving CRISPR/Cas9 gene editing for cancer therapy, this study enhances T-cell receptor (TCR) knock-in efficiency using specific inhibitors. This leads to better T-cell persistence and tumor control for potential clinical applications.

Area of Science:

  • Immunology
  • Gene Therapy
  • Oncology

Background:

  • Adoptive T-cell therapy shows promise for solid cancers.
  • Viral transduction for T-cell receptor (TCR) gene transfer has limitations in targeting and cell persistence.
  • CRISPR/Cas9 mediated site-specific integration into the TCR α chain (TRAC) locus offers improved T-cell persistence and tumor control.

Purpose of the Study:

  • To enhance the efficiency of CRISPR/Cas9 mediated TCR knock-in (KI) into the TRAC locus of primary human T cells.
  • To identify novel compounds that improve KI efficiency in a Good Manufacturing Process (GMP)-compatible manner.
  • To evaluate the impact of enhanced KI on T-cell product potency and functionality.

Main Methods:

  • Utilized CRISPR/Cas9 gene editing for TCR KI into the TRAC locus of human T cells.
  • Investigated the efficacy of DNA-dependent protein kinase (DNA-PK) inhibitors, including M3814, PI-103, and samotolisib, in enhancing KI efficiency.
  • Assessed T-cell viability, phenotype, expansion, effector function, and tumor control following gene modification with samotolisib.

Main Results:

  • PI-103 and samotolisib significantly increased CRISPR/Cas9 mediated TCR KI efficiency.
  • Samotolisib demonstrated GMP-compatibility and enhanced KI efficiency without compromising T-cell viability, phenotype, expansion, or effector function.
  • The developed protocol, using samotolisib, resulted in potent T-cell products with effective tumor control in preclinical models.

Conclusions:

  • A GMP-compatible CRISPR/Cas9 protocol was established to improve TCR KI efficiency in human T cells.
  • Samotolisib is identified as a potent enhancer of TCR KI, suitable for clinical T-cell manufacturing.
  • This optimized approach facilitates the generation of genetically modified T cells for enhanced cancer immunotherapy.