Overcoming stromal resistance in solid tumors with MMP2-engineered CAR-T cells

Jiaxin Tu1, Yuge Zhu2, Xinyu Li1

  • 1Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Biochemistry and Molecular Biology, Peking University Cancer Hospital & Institute, Beijing 100142, China.

PubMed

Insights

Matrix metalloproteinase-2 (MMP2) enhances chimeric antigen receptor (CAR) T-cell therapy for solid tumors by degrading extracellular matrix barriers. This single-enzyme approach improves T-cell infiltration and antitumor efficacy, offering a scalable strategy.

Area of Science:

  • Immunotherapy
  • Oncology
  • Biochemistry

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy faces challenges in solid tumors due to extracellular matrix (ECM) stromal barriers.
  • Previous strategies using multiple matrix metalloproteinases (MMPs) increased complexity, while single MMP7 overexpression showed limited efficacy.

Purpose of the Study:

  • To identify a single enzyme for effective ECM remodeling to enhance CAR T-cell therapy in solid tumors.
  • To evaluate the efficacy of matrix metalloproteinase-2 (MMP2) in overcoming ECM-mediated resistance.

Main Methods:

  • Engineered CAR T-cells (targeting mesothelin and B7H3) to co-express MMP2.
  • In vitro assessment of ECM traversal, T-cell fitness, and cytotoxicity.
  • In vivo evaluation in a cancer-associated fibroblast (CAF)-enriched xenograft model.

Main Results:

  • MMP2 co-expression enhanced CAR T-cell infiltration and cytotoxicity by facilitating ECM traversal.
  • MMP2's effects were confirmed by inhibition with the pan-MMP inhibitor GM6001.
  • MMP2-engineered CAR T-cells demonstrated increased intratumoral accumulation and durable tumor control in vivo.

Conclusions:

  • Matrix metalloproteinase-2 (MMP2) is a potent single enzyme for ECM remodeling in solid tumors.
  • MMP2-based strategy offers a simple, scalable, and clinically translatable approach to overcome stromal resistance in CAR T-cell therapy.

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