Engineered Tumor-Targeted T Cells Mediate Enhanced Anti-Tumor Efficacy Both Directly and through Activation of the Endogenous Immune System.

Abstract:

: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.

journal_name

Cell Rep

journal_title

Cell reports

authors

Avanzi MP,Yeku O,Li X,Wijewarnasuriya DP,van Leeuwen DG,Cheung K,Park H,Purdon TJ,Daniyan AF,Spitzer MH,Brentjens RJ

doi

10.1016/j.celrep.2018.04.051

subject

Has Abstract

pub_date

2018-05-15 00:00:00

pages

2130-2141

issue

7

issn

2211-1247

pii

S2211-1247(18)30610-7

journal_volume

23

pub_type

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