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Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
Published on: June 14, 2024
Targeting Regnase-1 unleashes CAR T cell antitumor activity for osteosarcoma and creates a proinflammatory tumor
Adeleye O Adeshakin1, Hao Shi2, S Scott Perry1
1Department of Bone Marrow Transplantation and Cellular Therapy, St. Jude Children's Research Hospital, Memphis, TN.
Abstract:
Negative regulators of T cell function represent promising targets to enhance the intrinsic antitumor activity of CAR T cells against solid tumors. However, the endogenous immune ecosystem in solid tumors often represents an immunosuppressive therapeutic barrier to CAR T cell therapy, and it is currently unknown whether deletion of negative regulators in CAR T cells reshapes the endogenous immune landscape. To address this knowledge gap, we developed CAR T cells targeting B7-H3 in immune-competent osteosarcoma models and evaluated the intrinsic and extrinsic effects of deleting a potent negative regulator called Regnase-1 (Reg-1). Deletion of Reg-1 not only improved the effector function of B7-H3-CAR T cells but also endowed them with the ability to create a proinflammatory landscape characterized by an influx of IFNγ-producing endogenous T cells and NK cells and a reduction of inhibitory myeloid cells, including M2 macrophages. Thus, deleting negative regulators in CAR T cells enforces a non-cell-autonomous state by creating a proinflammatory tumor microenvironment.
Insights
Deleting Regnase-1 in CAR T cells enhances their antitumor activity and promotes a proinflammatory tumor microenvironment. This approach improves CAR T cell therapy for solid tumors by reshaping the immune landscape.
Area of Science:
- Immunology
- Cancer Biology
- Cell Therapy
Background:
- Negative regulators of T cell function are targets for enhancing CAR T cell therapy against solid tumors.
- The immunosuppressive tumor microenvironment poses a barrier to CAR T cell efficacy.
- The impact of deleting negative regulators on the tumor immune landscape is not well understood.
Purpose of the Study:
- To investigate the effects of deleting Regnase-1 (Reg-1) in B7-H3 CAR T cells.
- To determine if Reg-1 deletion in CAR T cells can overcome the immunosuppressive tumor microenvironment.
- To evaluate the intrinsic and extrinsic effects of Reg-1 deletion on CAR T cell function and the tumor immune landscape.
Main Methods:
- Development of CAR T cells targeting B7-H3.
- Deletion of the negative regulator Regnase-1 (Reg-1) in CAR T cells.
- Evaluation of CAR T cell effector function in immune-competent osteosarcoma models.
- Analysis of the tumor microenvironment composition and cytokine production.
Main Results:
- Reg-1 deletion improved the intrinsic effector function of B7-H3 CAR T cells.
- Reg-1 deletion promoted a proinflammatory tumor microenvironment.
- CAR T cells with Reg-1 deletion induced an influx of IFNγ-producing T cells and NK cells.
- Reg-1 deletion led to a reduction in inhibitory myeloid cells, including M2 macrophages.
Conclusions:
- Deleting negative regulators like Reg-1 in CAR T cells enhances their antitumor activity.
- CAR T cells engineered to lack Reg-1 can reprogram the tumor microenvironment towards a proinflammatory state.
- This strategy enforces a non-cell-autonomous effect, improving CAR T cell therapy for solid tumors.
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