Structure-guided engineering of CCL27 enhances natural ligand CAR T-cells against CCR10 for multiple myeloma

Insights

Engineered CCL27 variants targeting the chemokine receptor CCR10 show significant promise for treating relapsed multiple myeloma. These modified CAR T-cells demonstrate efficacy comparable to current BCMA CAR-Ts without impacting the hematopoietic compartment.

Area of Science:

  • Immunotherapy
  • Oncology
  • Molecular Biology

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy targeting BCMA has shown success in multiple myeloma but relapse remains a challenge.
  • CCR10 has been identified as a potential alternative target for multiple myeloma therapy.
  • Developing effective CAR T-cells targeting novel antigens requires optimizing ligand-receptor interactions.

Purpose of the Study:

  • To develop and validate CCR10-targeting CAR T-cells for multiple myeloma treatment.
  • To engineer the natural ligand CCL27 for enhanced binding to CCR10.
  • To assess the efficacy and safety of engineered CCL27-based CAR T-cells.

Main Methods:

  • Validation of CCR10 expression on primary multiple myeloma tumors.
  • Development of CAR T-cells utilizing CCL27 as a binding element.
  • Computational modeling and structure-guided engineering to mutate CCL27.
  • Assessment of CAR T-cell efficacy and binding avidity.
  • Evaluation of toxicity in the hematopoietic compartment.

Main Results:

  • Engineered CCL27 mutants with an N-terminal aromatic amino acid significantly enhanced CAR T-cell efficacy against CCR10.
  • Modified CAR T-cells achieved efficacy near that of anti-BCMA CAR T-cells.
  • Key amino acid contacts at the CCL27-CCR10 interface were identified, contributing to increased binding avidity via Van der Waals interactions.
  • Engineered CCL27 mutants showed no observed toxicity in the hematopoietic compartment.

Conclusions:

  • Engineering natural ligand-based CAR T-cells beyond their wild-type sequences is a viable strategy.
  • Mutant CCL27-based CAR T-cells targeting CCR10 represent a promising therapeutic approach for multiple myeloma.
  • This approach holds translational potential for overcoming challenges in CAR T-cell therapy for hematologic malignancies.