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Generation of CAR T Cells for Adoptive Therapy in the Context of Glioblastoma Standard of Care
Published on: February 16, 2015
Armored Chimeric Antigen Receptor T-cell Therapy Targets Antigen-Heterogeneous Glioma
Justin D Clubb1, Ryan M Shih2, Torahito A Gao1
1Department of Chemical and Biomolecular Engineering, University of California, Los Angeles, Los Angeles, California.
Abstract:
Chimeric antigen receptor (CAR) T-cell therapy has shown early promise against glioblastoma, which lacks effective treatment options. However, two key challenges curtail efficacy: tumor-antigen heterogeneity and an immunosuppressive tumor microenvironment. CAR T cells engineered to secrete combinations of immunomodulatory proteins can reverse immune suppression and engage endogenous immunity. Through head-to-head in vivo comparisons of potentially synergistic armor combinations, we demonstrated that T cells expressing a CAR plus IL12 and the decoy-resistant form of IL18 (CAR-12.DR18 T cells) show strong efficacy against antigen-heterogeneous glioma in immunocompetent mice. Robust antitumor efficacy with effective toxicity mitigation was achieved via combined administration of CAR-12.DR18 T cells with CAR T cells that secrete an anti-vascular endothelial growth factor (anti-VEGF) single-chain variable fragment (scFv). This combination therapy presents a clinically applicable strategy to overcome key barriers to the effective treatment of glioblastoma.
Significance:
CAR-T cells armored with cytokines and anti-VEGF single-chain variable fragments can control orthotopic, antigen-heterogeneous glioma with minimal toxicity, providing a therapeutic strategy for glioblastoma patients in urgent need of efficacious treatments.
Insights
Chimeric-antigen receptor (CAR)-T cell therapy shows promise for glioblastoma. Combining CAR-T cells with IL-12 and IL-18, plus anti-VEGF CAR-T cells, effectively combats tumors while managing toxicity.
Area of Science:
- Oncology
- Immunotherapy
- Cellular Therapy
Background:
- Glioblastoma lacks effective treatments.
- CAR-T cell therapy faces challenges like tumor heterogeneity and immunosuppression.
- Engineered CAR-T cells secreting immunomodulatory proteins can enhance anti-tumor immunity.
Purpose of the Study:
- To evaluate synergistic combinations of engineered CAR-T cells for glioblastoma treatment.
- To identify optimal CAR-T cell armor strategies to overcome tumor defenses.
- To assess combination therapy for efficacy and toxicity mitigation in vivo.
Main Methods:
- In vivo comparison of engineered CAR-T cell combinations in immunocompetent mouse models.
- Evaluation of CAR-T cells secreting IL-12 and decoy-resistant IL-18 (CAR-12.DR18).
- Assessment of combination therapy with CAR-12.DR18 T cells and anti-VEGF-A CAR-T cells.
Main Results:
- CAR-12.DR18 T cells demonstrated strong efficacy against antigen-heterogeneous glioma.
- Combination therapy with CAR-12.DR18 T cells and anti-VEGF-A CAR-T cells achieved robust anti-tumor effects.
- The combination therapy effectively mitigated toxicity while enhancing anti-tumor activity.
Conclusions:
- Engineered CAR-T cells secreting IL-12 and decoy-resistant IL-18 offer a promising strategy for glioblastoma.
- Combination immunotherapy using CAR-12.DR18 T cells and anti-VEGF-A CAR-T cells presents a clinically applicable approach.
- This combination therapy overcomes key glioblastoma treatment barriers, including heterogeneity and immunosuppression.
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