Antibody-gamma/delta T cell receptors targeting GPC2 regress neuroblastoma with low antigen density

Alex Quan1, Mingyu Huo1, Dan Li1

  • 1Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-4264, USA.

Cell Reports. Medicine
|September 30, 2025
PubMed

Insights

New antibody-T cell receptors (AbTCRs) targeting Glypican-2 (GPC2) show promise for neuroblastoma. Humanized CT3 AbTCR T cells effectively treat tumors with low GPC2 antigen density, outperforming CAR T cells.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Chimeric antigen receptor (CAR) T cells show efficacy in blood cancers but struggle with solid tumors due to antigen heterogeneity.
  • Glypican-2 (GPC2) is a promising target for neuroblastoma, with increasing clinical evaluation.
  • Novel T cell engineering strategies are needed to overcome challenges in solid tumor immunotherapy.

Purpose of the Study:

  • To engineer and evaluate antibody-T cell receptors (AbTCRs) targeting GPC2 for enhanced neuroblastoma treatment.
  • To compare the efficacy of GPC2-targeting AbTCR T cells against conventional GPC2-targeting CAR T cells.
  • To investigate the mechanisms underlying AbTCR T cell activity in solid tumors.

Main Methods:

  • Generation of autologous AbTCR T cells using CT3 or humanized CT3 (hCT3) antigen-binding fragments (Fab) linked to γ/δ T cell receptors (TCRs) and a CD30 co-stimulatory domain.
  • In vivo efficacy studies in neuroblastoma models with varying GPC2 antigen densities.
  • Analysis of T cell signaling, memory cell expansion, and immune cell infiltration.

Main Results:

  • Both CT3 and hCT3 AbTCR T cells demonstrated superior antitumor efficacy compared to CT3 CAR T cells.
  • hCT3 AbTCR T cells induced significant tumor regression in neuroblastoma models, even with low GPC2 antigen density.
  • Enhanced efficacy correlated with increased TCR signaling, expansion of stem cell-like memory T cells, and improved CD8+ T cell infiltration.

Conclusions:

  • hCT3 AbTCR T cells represent a promising therapeutic strategy for neuroblastoma, particularly in cases with heterogeneous GPC2 expression.
  • AbTCR T cell technology holds potential for broader application in treating various solid tumors.
  • This study underscores the advantage of AbTCRs over CARs in overcoming antigen density challenges in solid tumor immunotherapy.