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Updated: Sep 20, 2025

A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
T cell receptor mimic CAR T cells targeting cathepsin G signal peptide
Jun Yan1, Chunhua Shi1, Guojun Yang1
1Oncology Research for Biologics and Immunotherapy Translation (ORBIT), University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Abstract:
There has been a been a paucity of immunotherapy targets in myeloid malignancies. We identified the HLA-A2 (A2)-restricted, cathepsin G (CG)-derived signal peptide, CG1, as a promising immunotherapeutic target. CG1 is presented by HLA-A2 in acute (AML) and chronic (CML) myeloid leukemia. We previously developed a T cell receptor-mimic antibody (TCR-m) that targets CG1/A2, engineered it into a bispecific T cell engager antibody, and demonstrated its safety and efficacy in AML and CML. In this study, we provide data for the engineering, preclinical efficacy, and safety of CG1/A2-targeting chimeric antigen receptor (CAR) T cells (CG1/A2-CAR T), which utilize the CG1/A2 TCR-m constructs. We show that the CG1/A2 TCR-m has high affinity for CG1/A2 monomers and CG1/A2-expressing leukemia, including HLA-A2+ AML and CML. We demonstrate potent CG1/A2 CAR T killing of HLA-A2+ AML and CML both in vitro and in vivo. Importantly, we found that CG1/A2-CAR T cells did not affect normal bone marrow hematopoiesis. These results validate signal peptides as immunotherapeutic targets and provide a foundation for the continued clinical development of CG1/A2-CAR T cells in AML and CML.
Insights
Researchers identified a novel immunotherapy target, CG1, for myeloid leukemias like acute myeloid leukemia (AML) and chronic myeloid leukemia (CML). CG1-targeting chimeric antigen receptor (CAR) T cells show potent anti-leukemia activity without harming normal blood cells.
Area of Science:
- Immunology
- Oncology
- Hematology
Background:
- Limited immunotherapy targets exist for myeloid malignancies.
- Signal peptides represent a novel class of potential immunotherapeutic targets.
Purpose of the Study:
- To engineer and evaluate chimeric antigen receptor (CAR) T cells targeting the HLA-A2-restricted, cathepsin G-derived signal peptide (CG1) for myeloid leukemias.
- To assess the preclinical efficacy and safety of CG1/A2-CAR T cells in acute myeloid leukemia (AML) and chronic myeloid leukemia (CML).
Main Methods:
- Development of CG1/A2-targeting CAR T cells utilizing T cell receptor-mimic (TCR-m) constructs.
- Assessment of CG1/A2 TCR-m affinity for CG1/A2 monomers and leukemia cells.
- In vitro and in vivo evaluation of CG1/A2-CAR T cell efficacy against HLA-A2+ AML and CML.
- Analysis of CG1/A2-CAR T cell impact on normal bone marrow hematopoiesis.
Main Results:
- CG1/A2 TCR-m demonstrated high affinity for CG1/A2 and CG1/A2-expressing AML and CML cells.
- CG1/A2-CAR T cells exhibited potent killing of HLA-A2+ AML and CML in vitro and in vivo.
- CG1/A2-CAR T cells did not adversely affect normal bone marrow hematopoiesis.
Conclusions:
- Signal peptides, such as CG1, are validated as viable immunotherapeutic targets in myeloid malignancies.
- CG1/A2-CAR T cells demonstrate promising preclinical efficacy and safety, supporting further clinical development for AML and CML treatment.
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