Rapid CAR screening and circRNA-driven CAR-NK cells for persistent shed-resistant immunotherapy

Joo-Yoon Chung1,2, Jisu Hong3, Su-Min Yee1

  • 1Medicinal Materials Research Center, Biomedical Research Division, Korea Institute of Science and Technology (KIST), Seoul, 02792, Republic of Korea.

Insights

This study engineered circular RNA (circRNA) to create shed-resistant chimeric antigen receptor (CAR)-NK cells. This novel approach enhances CAR-NK cell persistence and efficacy against solid tumors, overcoming key immunotherapy challenges.

Area of Science:

  • Immunology
  • Biotechnology
  • Oncology

Background:

  • Chimeric antigen receptor (CAR)-based immunotherapies face challenges in solid tumors, including antigen shedding and limited immune cell persistence.
  • The immunosuppressive tumor microenvironment and decoy effects from shedding antigens hinder CAR T-cell efficacy.

Purpose of the Study:

  • To develop a novel CAR-NK cell therapy overcoming antigen shedding and enhancing immune cell persistence in solid tumors.
  • To engineer shed-resistant CAR therapeutics using circular RNA (circRNA) technology and functional screening.

Main Methods:

  • Functional screening in human primary natural killer (NK) cells to identify a novel scFv, CLMS10, targeting a membrane-proximal epitope.
  • Utilizing circular RNA (circRNA) for CAR expression, co-delivered with interleukin-21 (IL-21), to enhance stability and persistence.
  • Evaluating the efficacy of engineered CAR-NK cells in an in vivo metastatic pancreatic cancer model.

Main Results:

  • Identified CLMS10 scFv that evades inhibition by soluble mesothelin (solMSLN) by targeting a shed-resistant epitope.
  • circRNA-mediated CAR expression with IL-21 demonstrated stability against antigen shedding induced by cancer-associated fibroblasts (CAFs).
  • Engineered IL-21-augmented circCAR-MS10-NK cells showed comparable potency to lentiviral CAR-NK cells with superior manufacturability in vivo.

Conclusions:

  • Established a paradigm for generating shed-resistant CAR therapeutics by integrating epitope-specific selection and circRNA technology.
  • circRNA-based CAR expression offers enhanced stability and persistence, crucial for overcoming solid tumor microenvironment challenges.
  • This approach provides a promising strategy for developing more effective CAR-based immunotherapies against solid tumors.

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