Generation of T cells with reduced off-target cross-reactivities by engineering co-signalling receptors

Jose Cabezas-Caballero1, Anna Huhn1, Mikhail A Kutuzov1

  • 1Sir William Dunn School of Pathology, University of Oxford, Oxford, UK.

PubMed

Insights

Engineered T cell therapies show promise but risk autoimmune side effects. Modifying co-receptors like CD8 and CD4 can create super selective T cells, reducing off-target reactions and enhancing immunotherapy safety.

Area of Science:

  • Immunology
  • Cancer Therapy
  • Cellular Engineering

Background:

  • Adoptive T cell therapy utilizes T cell receptors (TCRs) targeting tumor peptides for immunotherapy.
  • A major challenge is TCR-T cell cross-reactivity with off-target peptides, causing autoimmune toxicity.
  • Current strategies aim to discover TCRs with inherently reduced cross-reactivity.

Purpose of the Study:

  • To investigate if co-signalling molecules CD5, CD8, and CD4 can control T cell cross-reactivity without altering the TCR.
  • To determine the optimal co-receptor modification for reducing T cell cross-reactivity while preserving on-target activity.

Main Methods:

  • Engineered cytotoxic T cells with a CD8 to CD4 co-receptor switch (CD8 knockout and CD4 expression).
  • Tested cross-reactivity using random and positional scanning peptide libraries.
  • Assessed reactivity against self-peptides and maintained on-target potency.

Main Results:

  • Co-receptor switching, specifically the CD8→CD4 modification, significantly reduced cytotoxic T cell cross-reactivity.
  • Reduced cross-reactivity was observed against diverse peptide libraries and self-peptides.
  • On-target potency against tumor-specific peptides was maintained.

Conclusions:

  • Co-receptor switching is a viable strategy to generate highly selective T cells.
  • This approach enhances the safety of T cell immunotherapies by minimizing off-target autoimmune risks.
  • The CD8→CD4 co-receptor switch offers a universal method applicable to various TCRs for improved immunotherapy safety.