iScience (Feb 2024)

Immune-restoring CAR-T cells display antitumor activity and reverse immunosuppressive TME in a humanized ccRCC mouse model

  • Yufei Wang,
  • Jae-Won Cho,
  • Gabriella Kastrunes,
  • Alicia Buck,
  • Cecile Razimbaud,
  • Aedin C. Culhane,
  • Jiusong Sun,
  • David A. Braun,
  • Toni K. Choueiri,
  • Catherine J. Wu,
  • Kristen Jones,
  • Quang-De Nguyen,
  • Zhu Zhu,
  • Kevin Wei,
  • Quan Zhu,
  • Sabina Signoretti,
  • Gordon J. Freeman,
  • Martin Hemberg,
  • Wayne A. Marasco

Journal volume & issue
Vol. 27, no. 2
p. 108879

Abstract

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Summary: One of the major barriers that have restricted successful use of chimeric antigen receptor (CAR) T cells in the treatment of solid tumors is an unfavorable tumor microenvironment (TME). We engineered CAR-T cells targeting carbonic anhydrase IX (CAIX) to secrete anti-PD-L1 monoclonal antibody (mAb), termed immune-restoring (IR) CAR G36-PDL1. We tested CAR-T cells in a humanized clear cell renal cell carcinoma (ccRCC) orthotopic mouse model with reconstituted human leukocyte antigen (HLA) partially matched human leukocytes derived from fetal CD34+ hematopoietic stem cells (HSCs) and bearing human ccRCC skrc-59 cells under the kidney capsule. G36-PDL1 CAR-T cells, haploidentical to the tumor cells, had a potent antitumor effect compared to those without immune-restoring effect. Analysis of the TME revealed that G36-PDL1 CAR-T cells restored active antitumor immunity by promoting tumor-killing cytotoxicity, reducing immunosuppressive cell components such as M2 macrophages and exhausted CD8+ T cells, and enhancing T follicular helper (Tfh)-B cell crosstalk.

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