A herceptin-based chimeric antigen receptor with modified signaling domains leads to enhanced survival of transduced T lymphocytes and antitumor activity

Y Zhao, QJ Wang, S Yang, JN Kochenderfer… - The Journal of …, 2009 - journals.aai.org
Y Zhao, QJ Wang, S Yang, JN Kochenderfer, Z Zheng, X Zhong, M Sadelain, Z Eshhar…
The Journal of Immunology, 2009journals.aai.org
To generate chimeric Ag receptors (CARs) for the adoptive immunotherapy of cancer
patients with ErbB2-expressing tumors, a single-chain Ab derived from the humanized mAb
4D5 Herceptin (trastuzumab) was initially linked to T cell signaling domains derived from
CD28 and the CD3ζ to generate a CAR against ErbB2. Human PBLs expressing the 4D5
CAR demonstrated Ag-specific activities against ErbB2+ tumors. However, a gradual loss of
transgene expression was noted for PBLs transduced with this 4D5 CAR. When the CD3ζ …
Abstract
To generate chimeric Ag receptors (CARs) for the adoptive immunotherapy of cancer patients with ErbB2-expressing tumors, a single-chain Ab derived from the humanized mAb 4D5 Herceptin (trastuzumab) was initially linked to T cell signaling domains derived from CD28 and the CD3ζ to generate a CAR against ErbB2. Human PBLs expressing the 4D5 CAR demonstrated Ag-specific activities against ErbB2+ tumors. However, a gradual loss of transgene expression was noted for PBLs transduced with this 4D5 CAR. When the CD3ζ signaling domain of the CAR was truncated or mutated, loss of CAR expression was not observed, suggesting that the CD3ζ signaling caused the transgene decrease, which was supported by the finding that T cells expressing 4D5 CARs with CD3ζ ITAM mutations were less prone to apoptosis. By adding 4-1BB cytoplasmic domains to the CD28-CD3ζ signaling moieties, we found increased transgene persistence in 4D5 CAR-transduced PBLs. Furthermore, constructs with 4-1BB sequences demonstrated increased cytokine secretion and lytic activity in 4D5 CAR-transduced T cells. More importantly, PBLs expressing this new version of the 4D5 CAR could not only efficiently lyse the autologous fresh tumor digests, but they could strongly suppress tumor growth in a xenogenic mouse model.
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