A universal platform for simultaneous TCRα/β removal enables safer and more potent TCR therapies and autoimmune

Giorgia Zanetti1, Mateusz Legut2, Austin Chen1

  • 1Columbia Center for Translational Immunology, Department of Medicine, Columbia University Medical Center, Columbia University, New York, NY, USA.

Insights

This study introduces a CRISPR-based method to eliminate endogenous T-cell receptors (TCRs), enhancing adoptive T-cell therapy efficacy and safety. This approach improves transgenic TCR function and reduces risks like graft-versus-host disease (GVHD).

Area of Science:

  • Immunology
  • Gene Editing
  • Cell Therapy

Background:

  • Adoptive T-cell therapies are hindered by endogenous T-cell receptor (TCR) competition, leading to reduced efficacy and potential off-target effects.
  • Existing methods struggle to completely remove endogenous TCRs without impacting therapeutic efficacy.

Purpose of the Study:

  • To develop a CRISPR-based platform for complete and selective elimination of endogenous TCR-α and -β chains.
  • To enhance the expression, pairing fidelity, and functional potency of introduced transgenic TCRs.
  • To improve the safety and efficacy of T-cell therapies, including cancer immunotherapy and autoimmune disease treatments.

Main Methods:

  • Utilized CRISPR-Cas9 technology to target and delete endogenous TCR-α and -β chain genes in Jurkat and primary human T cells.
  • Assessed deletion efficiency, transgenic TCR expression, pairing, and function.
  • Evaluated *in vitro* and *in vivo* efficacy using a clinically relevant DMF5 TCR in human immune system (HIS) mice, including assessment of graft-versus-host disease (GVHD).
  • Confirmed genomic safety through targeted locus amplification to analyze lentiviral integration profiles.

Main Results:

  • Achieved >90% deletion efficiency of endogenous TCR chains in human T cells.
  • Demonstrated enhanced expression, pairing fidelity, and functional potency of transgenic TCRs.
  • Showed improved antigen-specific activation, cytotoxicity, and tumor clearance *in vivo* with the DMF5 TCR, while preventing GVHD.
  • Confirmed no alteration in lentiviral integration profiles, indicating genomic safety.
  • Observed increased transduction efficiency and functional activity in insulin-reactive TCRs, with one showing selective islet graft infiltration.

Conclusions:

  • Established a universal, safe, and scalable genome-editing platform for precise human T-cell generation.
  • Dual endogenous TCR removal offers a promising strategy to improve specificity, safety, and therapeutic efficacy in TCR-based cell therapies.
  • This platform has implications for both cancer immunotherapy and autoimmune disease modeling and treatment.