CD44v6-targeted T cells mediate potent antitumor effects against acute myeloid leukemia and multiple myeloma

M Casucci, B Nicolis di Robilant… - Blood, The Journal …, 2013 - ashpublications.org
M Casucci, B Nicolis di Robilant, L Falcone, B Camisa, M Norelli, P Genovese, B Gentner…
Blood, The Journal of the American Society of Hematology, 2013ashpublications.org
Genetically targeted T cells promise to solve the feasibility and efficacy hurdles of adoptive T-
cell therapy for cancer. Selecting a target expressed in multiple-tumor types and that is
required for tumor growth would widen disease indications and prevent immune escape
caused by the emergence of antigen-loss variants. The adhesive receptor CD44 is broadly
expressed in hematologic and epithelial tumors, where it contributes to the cancer
stem/initiating phenotype. In this study, silencing of its isoform variant 6 (CD44v6) prevented …
Abstract
Genetically targeted T cells promise to solve the feasibility and efficacy hurdles of adoptive T-cell therapy for cancer. Selecting a target expressed in multiple-tumor types and that is required for tumor growth would widen disease indications and prevent immune escape caused by the emergence of antigen-loss variants. The adhesive receptor CD44 is broadly expressed in hematologic and epithelial tumors, where it contributes to the cancer stem/initiating phenotype. In this study, silencing of its isoform variant 6 (CD44v6) prevented engraftment of human acute myeloid leukemia (AML) and multiple myeloma (MM) cells in immunocompromised mice. Accordingly, T cells targeted to CD44v6 by means of a chimeric antigen receptor containing a CD28 signaling domain mediated potent antitumor effects against primary AML and MM while sparing normal hematopoietic stem cells and CD44v6-expressing keratinocytes. Importantly, in vitro activation with CD3/CD28 beads and interleukin (IL)-7/IL-15 was required for antitumor efficacy in vivo. Finally, coexpressing a suicide gene enabled fast and efficient pharmacologic ablation of CD44v6-targeted T cells and complete rescue from hyperacute xenogeneic graft-versus-host disease modeling early and generalized toxicity. These results warrant the clinical investigation of suicidal CD44v6-targeted T cells in AML and MM.
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