[PDF][PDF] Structural design of engineered costimulation determines tumor rejection kinetics and persistence of CAR T cells

Z Zhao, M Condomines, SJC van der Stegen, F Perna… - Cancer cell, 2015 - cell.com
Z Zhao, M Condomines, SJC van der Stegen, F Perna, CC Kloss, G Gunset, J Plotkin…
Cancer cell, 2015cell.com
T cell engineering is a powerful means to rapidly generate anti-tumor T cells. The
costimulatory properties of second-generation chimeric antigen receptors (CARs) determine
the overall potency of adoptively transferred T cells. Using an in vivo" stress test" to
challenge CD19-targeted T cells, we studied the functionality and persistence imparted by
seven different CAR structures providing CD28 and/or 4-1BB costimulation. One
configuration, which uses two signaling domains (CD28 and CD3ζ) and the 4-1BB ligand …
Summary
T cell engineering is a powerful means to rapidly generate anti-tumor T cells. The costimulatory properties of second-generation chimeric antigen receptors (CARs) determine the overall potency of adoptively transferred T cells. Using an in vivo "stress test" to challenge CD19-targeted T cells, we studied the functionality and persistence imparted by seven different CAR structures providing CD28 and/or 4-1BB costimulation. One configuration, which uses two signaling domains (CD28 and CD3ζ) and the 4-1BB ligand, provided the highest therapeutic efficacy, showing balanced tumoricidal function and increased T cell persistence accompanied by an elevated CD8/CD4 ratio and decreased exhaustion. Remarkably, induction of the IRF7/IFNβ pathway was required for optimal anti-tumor activity. Thus, 1928z-41BBL T cells possess strikingly potent intrinsic and immunomodulatory qualities.
cell.com