Novel CAR T cell blend targeting PDPN and GD2 to overcome glioblastoma heterogeneity

Julian Hübner1, Marah Alsalkini2, Rhonda McFleder3

  • 1Chair of Cellular Immunotherapy, Department of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.

Abstract

Insights

A novel blend of chimeric antigen receptor (CAR) T cells targeting PDPN and GD2 shows promise for treating glioblastoma (GBM). This CAR T cell therapy effectively targets heterogeneous GBM tumors, improving survival rates in preclinical models.

Area of Science:

  • Immunotherapy
  • Oncology
  • Cancer Research

Background:

  • Chimeric antigen receptor (CAR) T cells show limited success in glioblastoma (GBM) due to tumor heterogeneity.
  • Podoplanin (PDPN) identified as a consistently expressed target antigen in GBM.
  • Investigated a PDPN-CAR T cell and GD2-CAR T cell blend for heterogeneous GBM treatment.

Purpose of the Study:

  • Evaluate the efficacy of a dual-target (PDPN/GD2) CAR T cell blend against heterogeneous glioblastoma.
  • Address limitations of single-antigen CAR T cell therapies in GBM treatment.

Main Methods:

  • Screened target antigens using clinical samples, cell lines, healthy tissues, and RNA sequencing data.
  • Assessed CAR T cell anti-tumor function in co-culture with GBM cell lines and patient-derived organoids (PDOs).
  • Evaluated efficacy in vivo using locoregional delivery in orthotopic xenograft models.

Main Results:

  • CAR T cells exhibited strong anti-tumor activity against GBM cell lines and PDOs.
  • The PDPN/GD2 CAR T cell blend induced higher apoptosis in PDOs compared to single-target CAR T cells.
  • In vivo, the blend significantly increased overall survival and achieved cures in a majority of mice with heterogeneous orthotopic tumors.

Conclusions:

  • The novel PDPN/GD2 CAR T cell blend demonstrated significant efficacy in preclinical GBM models.
  • This dual-targeting approach shows potential for treating heterogeneous GBM.
  • The CAR T cell blend may overcome limitations of single-antigen therapies in GBM.

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