Journal of Hematology & Oncology (Apr 2022)

Chimeric antigen receptors containing the OX40 signalling domain enhance the persistence of T cells even under repeated stimulation with multiple myeloma target cells

  • Jingwen Tan,
  • Yujie Jia,
  • Meixia Zhou,
  • Chengcheng Fu,
  • Israth Jahan Tuhin,
  • Jing Ye,
  • Masuma Akter Monty,
  • Nan Xu,
  • Liqing Kang,
  • Minghao Li,
  • Jiaqi Shao,
  • Xiaoyan Fang,
  • Hongjia Zhu,
  • Lingzhi Yan,
  • Changju Qu,
  • Shengli Xue,
  • Zhengming Jin,
  • Suning Chen,
  • Haiwen Huang,
  • Yang Xu,
  • Jia Chen,
  • Miao Miao,
  • Xiaowen Tang,
  • Caixia Li,
  • Zhiqiang Yan,
  • Depei Wu,
  • Lei Yu

DOI
https://doi.org/10.1186/s13045-022-01244-0
Journal volume & issue
Vol. 15, no. 1
pp. 1 – 6

Abstract

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Abstract Persistence of CAR-T cell function is associated with relapse rate after CAR-T therapy, while co-stimulatory agents are highly concerned with the persistence of CAR-T cells. In this study, we designed and constructed a series of BCMA-targeting second-generation CAR constructs containing CD28, 41BB, and OX40 molecules, respectively, to identify the costimulatory domains most favorable for persistence. The results of routine in vitro studies showed that OX40-CAR-T and 41BB-CAR-T had similar antitumor effects and were superior to CD28-CAR-T in terms of proliferation and cytotoxicity. Although difficult to distinguish by conventional functional assays, OX40-CAR-T cells exhibited greater proliferation and enhanced immune memory than 41BB-CAR-T cells with the repeated stimulation assay by BCMA-expressing target cells. In vivo studies further demonstrated that OX40-CAR-T cells had stronger proliferative activity than 41BB-CAR-T cells, which was highly consistent with the in vitro antitumor activity and proliferation results. Our study provides for the first time a scientific basis for designing OX40-CAR-T cell therapy to improve relapse in patients with MM after CAR-T treatment.

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