Development of a DNA Aptamer-Based Approach to Noninvasively Image CAR-T Cells In Vivo and Traceless Enrichment In

Minghui Chen1,2, Pengzhao Chang1,2, Zhen Zhang1,2

  • 1School of Medical Imaging, Xuzhou Medical University, Xuzhou, Jiangsu, 221004, China.

Insights

A novel aptamer, A3, enables sensitive tracking and enrichment of chimeric antigen receptor (CAR) T cells in vivo. This breakthrough aids in evaluating CAR T-cell therapy efficacy and potential toxicities for improved cancer treatment outcomes.

Area of Science:

  • Biotechnology
  • Immunotherapy
  • Molecular Biology

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy shows promise for malignancies but requires better methods for monitoring in vivo distribution and tumor homing.
  • Understanding CAR T-cell dynamics is critical for assessing treatment success, predicting failure, and identifying off-target toxicities.

Purpose of the Study:

  • To develop a novel aptamer (A3) for sensitive and specific in vivo imaging and enrichment of CAR T-cells.
  • To evaluate the utility of aptamer A3 in tracking CAR T-cells within a tumor model.

Main Methods:

  • Systematic evolution of ligands by exponential enrichment (Cell-SELEX) was used to generate aptamer A3, which binds CAR T-cells with nanomolar affinity.
  • Fluorescence imaging using Cy5-labeled A3 was performed in a Nalm6 xenograft tumor model after intravenous CAR T-cell injection.
  • A3's ability to enrich CAR T-cells from mixed cell populations was assessed.

Main Results:

  • Aptamer A3 demonstrated high affinity binding to CAR T-cells.
  • Fluorescence signals from Cy5-labeled A3 accumulated in tumor areas, peaking at day 14 post-injection.
  • A3 successfully enriched CAR T-cells from mixed cell populations without leaving a trace.

Conclusions:

  • Aptamer A3 provides a sensitive, specific, and repeatable method for in vivo assessment of CAR T-cells.
  • This aptamer has significant potential for tracking CAR T-cells in clinical settings, informing treatment efficacy, and managing toxicities.

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