Combined CD28 and 4-1BB Costimulation Potentiates Affinity-tuned Chimeric Antigen Receptor-engineered T Cells. 2019

Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
Department of Haematology, Amsterdam University Medical Centers, Cancer Center Amsterdam, Location VUmc, Amsterdam, the Netherlands.

Targeting nonspecific, tumor-associated antigens (TAA) with chimeric antigen receptors (CAR) requires specific attention to restrict possible detrimental on-target/off-tumor effects. A reduced affinity may direct CAR-engineered T (CAR-T) cells to tumor cells expressing high TAA levels while sparing low expressing normal tissues. However, decreasing the affinity of the CAR-target binding may compromise the overall antitumor effects. Here, we demonstrate the prime importance of the type of intracellular signaling on the function of low-affinity CAR-T cells. We used a series of single-chain variable fragments (scFv) with five different affinities targeting the same epitope of the multiple myeloma-associated CD38 antigen. The scFvs were incorporated in three different CAR costimulation designs and we evaluated the antitumor functionality and off-tumor toxicity of the generated CAR-T cells in vitro and in vivo. We show that the inferior cytotoxicity and cytokine secretion mediated by CD38 CARs of very low-affinity (K d < 1.9 × 10-6 mol/L) bearing a 4-1BB intracellular domain can be significantly improved when a CD28 costimulatory domain is used. Additional 4-1BB signaling mediated by the coexpression of 4-1BBL provided the CD28-based CD38 CAR-T cells with superior proliferative capacity, preservation of a central memory phenotype, and significantly improved in vivo antitumor function, while preserving their ability to discriminate target antigen density. A combinatorial costimulatory design allows the use of very low-affinity binding domains (K d < 1 μmol/L) for the construction of safe but also optimally effective CAR-T cells. Thus, very-low-affinity scFvs empowered by selected costimulatory elements can enhance the clinical potential of TAA-targeting CARs.

UI MeSH Term Description Entries
D007156 Immunologic Memory The altered state of immunologic responsiveness resulting from initial contact with antigen, which enables the individual to produce antibodies more rapidly and in greater quantity in response to secondary antigenic stimulus. Immune Memory,Immunological Memory,Memory, Immunologic,Immune Memories,Immunologic Memories,Immunological Memories,Memory, Immune,Memory, Immunological
D008213 Lymphocyte Activation Morphologic alteration of small B LYMPHOCYTES or T LYMPHOCYTES in culture into large blast-like cells able to synthesize DNA and RNA and to divide mitotically. It is induced by INTERLEUKINS; MITOGENS such as PHYTOHEMAGGLUTININS, and by specific ANTIGENS. It may also occur in vivo as in GRAFT REJECTION. Blast Transformation,Blastogenesis,Lymphoblast Transformation,Lymphocyte Stimulation,Lymphocyte Transformation,Transformation, Blast,Transformation, Lymphoblast,Transformation, Lymphocyte,Activation, Lymphocyte,Stimulation, Lymphocyte
D009101 Multiple Myeloma A malignancy of mature PLASMA CELLS engaging in monoclonal immunoglobulin production. It is characterized by hyperglobulinemia, excess Bence-Jones proteins (free monoclonal IMMUNOGLOBULIN LIGHT CHAINS) in the urine, skeletal destruction, bone pain, and fractures. Other features include ANEMIA; HYPERCALCEMIA; and RENAL INSUFFICIENCY. Myeloma, Plasma-Cell,Kahler Disease,Myeloma, Multiple,Myeloma-Multiple,Myelomatosis,Plasma Cell Myeloma,Cell Myeloma, Plasma,Cell Myelomas, Plasma,Disease, Kahler,Multiple Myelomas,Myeloma Multiple,Myeloma, Plasma Cell,Myeloma-Multiples,Myelomas, Multiple,Myelomas, Plasma Cell,Myelomas, Plasma-Cell,Myelomatoses,Plasma Cell Myelomas,Plasma-Cell Myeloma,Plasma-Cell Myelomas
D010641 Phenotype The outward appearance of the individual. It is the product of interactions between genes, and between the GENOTYPE and the environment. Phenotypes
D011948 Receptors, Antigen, T-Cell Molecules on the surface of T-lymphocytes that recognize and combine with antigens. The receptors are non-covalently associated with a complex of several polypeptides collectively called CD3 antigens (CD3 COMPLEX). Recognition of foreign antigen and the major histocompatibility complex is accomplished by a single heterodimeric antigen-receptor structure, composed of either alpha-beta (RECEPTORS, ANTIGEN, T-CELL, ALPHA-BETA) or gamma-delta (RECEPTORS, ANTIGEN, T-CELL, GAMMA-DELTA) chains. Antigen Receptors, T-Cell,T-Cell Receptors,Receptors, T-Cell Antigen,T-Cell Antigen Receptor,T-Cell Receptor,Antigen Receptor, T-Cell,Antigen Receptors, T Cell,Receptor, T-Cell,Receptor, T-Cell Antigen,Receptors, T Cell Antigen,Receptors, T-Cell,T Cell Antigen Receptor,T Cell Receptor,T Cell Receptors,T-Cell Antigen Receptors
D004195 Disease Models, Animal Naturally-occurring or experimentally-induced animal diseases with pathological processes analogous to human diseases. Animal Disease Model,Animal Disease Models,Disease Model, Animal
D005818 Genetic Engineering Directed modification of the gene complement of a living organism by such techniques as altering the DNA, substituting genetic material by means of a virus, transplanting whole nuclei, transplanting cell hybrids, etc. Genetic Intervention,Engineering, Genetic,Intervention, Genetic,Genetic Interventions,Interventions, Genetic
D005822 Genetic Vectors DNA molecules capable of autonomous replication within a host cell and into which other DNA sequences can be inserted and thus amplified. Many are derived from PLASMIDS; BACTERIOPHAGES; or VIRUSES. They are used for transporting foreign genes into recipient cells. Genetic vectors possess a functional replicator site and contain GENETIC MARKERS to facilitate their selective recognition. Cloning Vectors,Shuttle Vectors,Vectors, Genetic,Cloning Vector,Genetic Vector,Shuttle Vector,Vector, Cloning,Vector, Genetic,Vector, Shuttle,Vectors, Cloning,Vectors, Shuttle
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000076962 Receptors, Chimeric Antigen Synthetic cellular receptors that reprogram T-LYMPHOCYTES to selectively bind antigens. Chimeric Antigen Receptor,Chimeric T-Cell Receptor,Artificial T-Cell Receptors,Chimeric Antigen Receptors,Chimeric Immunoreceptors,Chimeric T-Cell Receptors,Antigen Receptor, Chimeric,Antigen Receptors, Chimeric,Artificial T Cell Receptors,Chimeric T Cell Receptor,Chimeric T Cell Receptors,Immunoreceptors, Chimeric,Receptor, Chimeric Antigen,Receptor, Chimeric T-Cell,Receptors, Artificial T-Cell,Receptors, Chimeric T-Cell,T-Cell Receptor, Chimeric,T-Cell Receptors, Artificial,T-Cell Receptors, Chimeric

Related Publications

Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
February 2003, European journal of immunology,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
January 2023, Cancer research communications,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
January 1997, Journal of immunology (Baltimore, Md. : 1950),
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
May 2022, International journal of molecular sciences,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
January 2021, Frontiers in oncology,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
June 1998, The Journal of experimental medicine,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
January 2020, Frontiers in immunology,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
May 2011, The Journal of clinical investigation,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
February 2008, Cancer immunology, immunotherapy : CII,
Esther Drent, and Renée Poels, and Ruud Ruiter, and Niels W C J van de Donk, and Sonja Zweegman, and Huipin Yuan, and Joost de Bruijn, and Michel Sadelain, and Henk M Lokhorst, and Richard W J Groen, and Tuna Mutis, and Maria Themeli
September 2023, Cancer biotherapy & radiopharmaceuticals,
Copied contents to your clipboard!