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Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
Published on: June 14, 2024
Sensitive CAR T cells redefine targetable CD70 expression in solid tumors
Sophie A Hanina1, Tyler Park2, Michael Lopez1
1Columbia Initiative in Cell Engineering and Therapy (CICET), Department of Medicine, Columbia University Irving Medical Center, Columbia University, New York, NY USA.
Abstract:
Solid tumor antigen heterogeneity is a major challenge for cancer immunotherapies, including chimeric antigen receptor (CAR) T cells. Unlike CD19 for B cell malignancies, no target with pan-cellular expression in solid tumors and absence in normal vital cells has been identified. CD70 is a promising candidate, physiologically confined to immune cell subsets and aberrantly expressed in many cancers. We show that heterogeneous CD70 expression in tumors is epigenetically regulated, ranging from high to very low in individual cells, appearing negative by conventional detection methods. Using a highly sensitive CD70 receptor, HLA-independent T cell (HIT) receptor coexpressing CD80 and 4-1BBL for costimulation, we efficiently eliminated CD70-heterogeneous tumors that evade prototypic CAR T cells. These findings provide a potential strategy to treat a broad range of solid tumors.
Insights
Solid tumor antigen heterogeneity poses a challenge for chimeric antigen receptor (CAR) T cell therapy. A novel HLA-independent T cell (HIT) receptor effectively targets CD70-expressing solid tumors, overcoming limitations of current CAR T cells.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Solid tumor antigen heterogeneity presents a significant hurdle for effective cancer immunotherapy, particularly for chimeric antigen receptor (CAR) T cells.
- The absence of a universal tumor antigen with restricted expression in vital normal tissues complicates solid tumor treatment strategies.
- CD70 is identified as a promising target due to its limited physiological expression in immune cells and aberrant upregulation in various cancers.
Purpose of the Study:
- To address the challenge of solid tumor antigen heterogeneity in cancer immunotherapy.
- To investigate the potential of CD70 as a pan-cancer target for T cell-based therapies.
- To develop and evaluate a novel T cell receptor strategy for targeting heterogeneous CD70 expression in solid tumors.
Main Methods:
- Investigated the epigenetic regulation of CD70 expression heterogeneity in solid tumors.
- Developed a highly sensitive CD70-targeting HLA-independent T cell (HIT) receptor.
- Engineered HIT receptor to coexpress costimulatory molecules CD80 and 4-1BBL for enhanced T cell activation.
Main Results:
- Demonstrated that CD70 expression in solid tumors is epigenetically regulated, leading to significant heterogeneity.
- Showcased that conventional detection methods may fail to identify low CD70-expressing cells.
- Confirmed efficient elimination of CD70-heterogeneous tumors by the developed HIT receptor, outperforming prototypic CAR T cells.
Conclusions:
- The developed HIT receptor strategy offers a potential solution for overcoming antigen heterogeneity in solid tumors.
- This approach may enable effective treatment of a broad spectrum of solid tumors previously refractory to immunotherapy.
- Highlights the therapeutic potential of targeting epigenetically regulated antigens like CD70 in solid tumors.
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