uPAR is highly expressed in recurrent glioblastoma and represents a candidate CAR T cell target

William T Maich1,2, Muhammad Vaseem Shaikh1,2, Anish Puri1

  • 1Centre for Discovery in Cancer Research, McMaster University, Hamilton, ON, Canada.

Insights

Targeting urokinase plasminogen activator receptor (uPAR) shows promise for glioblastoma (GBM) treatment. uPAR-specific CAR T cells effectively eliminated GBM cells and tumor microenvironment components in preclinical models.

Area of Science:

  • Neuro-oncology
  • Immunotherapy
  • Molecular Biology

Background:

  • Glioblastoma (GBM) is a deadly brain cancer with limited treatment options due to tumor heterogeneity.
  • Current GBM therapies have shown minimal progress over the last two decades.
  • Identifying novel therapeutic targets is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify novel therapeutic targets for glioblastoma.
  • To investigate the role of urokinase plasminogen activator receptor (uPAR) in GBM.
  • To evaluate the efficacy of uPAR-targeted chimeric antigen receptor (CAR) T cell therapy in GBM.

Main Methods:

  • Multiomic analysis of patient-derived GBM cell lines.
  • Genetic disruption of uPAR expression.
  • Generation and testing of uPAR-specific CAR T cells in xenograft models.
  • Analysis of uPAR expression in GBM cells and tumor microenvironment.

Main Results:

  • uPAR was identified as a protumorigenic marker and therapeutic target in GBM.
  • Disrupting uPAR impaired GBM cell tumorigenic properties in vitro and in vivo.
  • uPAR-specific CAR T cells demonstrated potent antitumor activity against recurrent GBM.
  • uPAR CAR T cells targeted both GBM cells and macrophages in the tumor microenvironment.

Conclusions:

  • Targeting uPAR represents a promising therapeutic strategy for glioblastoma.
  • uPAR CAR T cell therapy shows potential for direct tumor cell killing and modulating the tumor microenvironment.
  • This approach offers a novel strategy to overcome GBM heterogeneity and treatment resistance.

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