[PDF][PDF] Engineered tumor-targeted T cells mediate enhanced anti-tumor efficacy both directly and through activation of the endogenous immune system

MP Avanzi, O Yeku, X Li, DP Wijewarnasuriya… - Cell reports, 2018 - cell.com
MP Avanzi, O Yeku, X Li, DP Wijewarnasuriya, DG van Leeuwen, K Cheung, H Park…
Cell reports, 2018cell.com
Chimeric antigen receptor (CAR) T cell therapy has proven clinically beneficial against B cell
acute lymphoblastic leukemia and non-Hodgkin's lymphoma. However, suboptimal clinical
outcomes have been associated with decreased expansion and persistence of adoptively
transferred CAR T cells, antigen-negative relapses, and impairment by an
immunosuppressive tumor microenvironment. Improvements in CAR T cell design are
required to enhance clinical efficacy, as well as broaden the applicability of this technology …
Summary
Chimeric antigen receptor (CAR) T cell therapy has proven clinically beneficial against B cell acute lymphoblastic leukemia and non-Hodgkin's lymphoma. However, suboptimal clinical outcomes have been associated with decreased expansion and persistence of adoptively transferred CAR T cells, antigen-negative relapses, and impairment by an immunosuppressive tumor microenvironment. Improvements in CAR T cell design are required to enhance clinical efficacy, as well as broaden the applicability of this technology. Here, we demonstrate that interleukin-18 (IL-18)-secreting CAR T cells exhibit enhanced in vivo expansion and persistence and significantly increase long-term survival in syngeneic mouse models of both hematological and solid malignancies. In addition, we demonstrate that IL-18-secreting CAR T cells are capable of modulating the tumor microenvironment, as well as enhancing an effective endogenous anti-tumor immune response. IL-18-secreting CAR T cells represent a promising strategy to enhance the clinical outcomes of adoptive T cell therapy.
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