[HTML][HTML] In vitro and in vivo antitumor effect of anti-cd33 chimeric receptor-expressing EBV-CTL against acute myeloid leukemia

A Dutour, V Marin, I Pizzitola… - Advances in …, 2012 - hindawi.com
A Dutour, V Marin, I Pizzitola, S Valsesia-Wittmann, D Lee, E Yvon, H Finney, A Lawson
Advances in hematology, 2012hindawi.com
Genetic engineering of T cells with chimeric T-cell receptors (CARs) is an attractive strategy
to treat malignancies. It extends the range of antigens for adoptive T-cell immunotherapy,
and major mechanisms of tumor escape are bypassed. With this strategy we redirected
immune responses towards the CD33 antigen to target acute myeloid leukemia. To improve
in vivo T-cell persistence, we modified human Epstein Barr Virus-(EBV-) specific cytotoxic T
cells with an anti-CD33. CAR. Genetically modified T cells displayed EBV and HLA …
Genetic engineering of T cells with chimeric T-cell receptors (CARs) is an attractive strategy to treat malignancies. It extends the range of antigens for adoptive T-cell immunotherapy, and major mechanisms of tumor escape are bypassed. With this strategy we redirected immune responses towards the CD33 antigen to target acute myeloid leukemia. To improve in vivo T-cell persistence, we modified human Epstein Barr Virus-(EBV-) specific cytotoxic T cells with an anti-CD33.CAR. Genetically modified T cells displayed EBV and HLA-unrestricted CD33 bispecificity in vitro. In addition, though showing a myeloablative activity, they did not irreversibly impair the clonogenic potential of normal CD34+ hematopoietic progenitors. Moreover, after intravenous administration into CD33+ human acute myeloid leukemia-bearing NOD-SCID mice, anti-CD33-EBV-specific T cells reached the tumor sites exerting antitumor activity in vivo. In conclusion, targeting CD33 by CAR-modified EBV-specific T cells may provide additional therapeutic benefit to AML patients as compared to conventional chemotherapy or transplantation regimens alone.
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