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.

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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