Comprehensive approach for identifying the T cell subset origin of CD3 and CD28 antibody–activated chimeric antigen receptor–modified T cells

M Schmueck-Henneresse, B Omer, T Shum… - The Journal of …, 2017 - journals.aai.org
M Schmueck-Henneresse, B Omer, T Shum, H Tashiro, M Mamonkin, N Lapteva, S Sharma…
The Journal of Immunology, 2017journals.aai.org
The outcome of therapy with chimeric Ag receptor (CAR)-modified T cells is strongly
influenced by the subset origin of the infused T cells. However, because polyclonally
activated T cells acquire a largely CD45RO+ CCR7− effector memory phenotype after
expansion, regardless of subset origin, it is impossible to know which subsets contribute to
the final T cell product. To determine the contribution of naive T cell, memory stem T cell,
central memory T cell, effector memory T cell, and terminally differentiated effector T cell …
Abstract
The outcome of therapy with chimeric Ag receptor (CAR)-modified T cells is strongly influenced by the subset origin of the infused T cells. However, because polyclonally activated T cells acquire a largely CD45RO+ CCR7− effector memory phenotype after expansion, regardless of subset origin, it is impossible to know which subsets contribute to the final T cell product. To determine the contribution of naive T cell, memory stem T cell, central memory T cell, effector memory T cell, and terminally differentiated effector T cell populations to the CD3 and CD28–activated CAR-modified T cells that we use for therapy, we followed the fate and function of individually sorted CAR-modified T cell subsets after activation with CD3 and CD28 Abs (CD3/28), transduction and culture alone, or after reconstitution into the relevant subset-depleted population. We show that all subsets are sensitive to CAR transduction, and each developed a distinct T cell functional profile during culture. Naive-derived T cells showed the greatest rate of proliferation but had more limited effector functions and reduced killing compared with memory-derived populations. When cultured in the presence of memory T cells, naive-derived T cells show increased differentiation, reduced effector cytokine production, and a reduced reproliferative response to CAR stimulation. CD3/28-activated T cells expanded in IL-7 and IL-15 produced greater expansion of memory stem T cells and central memory T cell–derived T cells compared with IL-2. Our strategy provides a powerful tool to elucidate the characteristics of CAR-modified T cells, regardless of the protocol used for expansion, reveals the functional properties of each expanded T cell subset, and paves the way for a more detailed evaluation of the effects of manufacturing changes on the subset contribution to in vitro–expanded T cells.
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