Molecular Therapy: Oncolytics (Jun 2020)

Viral Delivery of CAR Targets to Solid Tumors Enables Effective Cell Therapy

  • Amin Aalipour,
  • Fabrice Le Boeuf,
  • Matthew Tang,
  • Surya Murty,
  • Federico Simonetta,
  • Alexander X. Lozano,
  • Travis M. Shaffer,
  • John C. Bell,
  • Sanjiv S. Gambhir

Journal volume & issue
Vol. 17
pp. 232 – 240

Abstract

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Chimeric antigen receptor (CAR) T cell therapy has had limited efficacy for solid tumors, largely due to a lack of selectively and highly expressed surface antigens. To avoid reliance on a tumor’s endogenous antigens, here we describe a method of tumor-selective delivery of surface antigens using an oncolytic virus to enable a generalizable CAR T cell therapy. Using CD19 as our proof of concept, we engineered a thymidine kinase-disrupted vaccinia virus to selectively deliver CD19 to malignant cells, and thus demonstrated potentiation of CD19 CAR T cell activity against two tumor types in vitro. In an immunocompetent model of B16 melanoma, this combination markedly delayed tumor growth and improved median survival compared with antigen-mismatched combinations. We also found that CD19 delivery could improve CAR T cell activity against tumor cells that express low levels of cognate antigen, suggesting a potential application in counteracting antigen-low escape. This approach highlights the potential of engineering tumors for effective adoptive cell therapy.

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