Article ; Online: CD38 as a pan-hematologic target for chimeric antigen receptor T cells.
2023 Volume 7, Issue 16, Page(s) 4418–4430
Abstract: Many hematologic malignancies are not curable with chemotherapy and require novel therapeutic approaches. Chimeric antigen receptor (CAR) T-cell therapy is 1 such approach that involves the transfer of T cells engineered to express CARs for a specific ... ...
Abstract | Many hematologic malignancies are not curable with chemotherapy and require novel therapeutic approaches. Chimeric antigen receptor (CAR) T-cell therapy is 1 such approach that involves the transfer of T cells engineered to express CARs for a specific cell-surface antigen. CD38 is a validated tumor antigen in multiple myeloma (MM) and T-cell acute lymphoblastic leukemia (T-ALL) and is also overexpressed in acute myeloid leukemia (AML). Here, we developed human CD38-redirected T cells (CART-38) as a unified approach to treat 3 different hematologic malignancies that occur across the pediatric-to-adult age spectrum. Importantly, CD38 expression on activated T cells did not impair CART-38 cells expansion or in vitro function. In xenografted mice, CART-38 mediated the rejection of AML, T-ALL, and MM cell lines and primary samples and prolonged survival. In a xenograft model of normal human hematopoiesis, CART-38 resulted in the expected reduction of hematopoietic progenitors, which warrants caution and careful monitoring of this potential toxicity when translating this new immunotherapy into the clinic. Deploying CART-38 against multiple CD38-expressing malignancies is significant because it expands the potential for this novel therapy to affect diverse patient populations. |
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MeSH term(s) | Adult ; Animals ; Child ; Humans ; Mice ; Hematologic Neoplasms/therapy ; Hematologic Neoplasms/metabolism ; Leukemia, Myeloid, Acute/pathology ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/therapy ; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/metabolism ; Receptors, Chimeric Antigen/genetics ; Receptors, Chimeric Antigen/metabolism ; T-Lymphocytes |
Chemical Substances | Receptors, Chimeric Antigen ; CD38 protein, human (EC 3.2.2.5) |
Language | English |
Publishing date | 2023-05-06 |
Publishing country | United States |
Document type | Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural |
ZDB-ID | 2915908-8 |
ISSN | 2473-9537 ; 2473-9529 |
ISSN (online) | 2473-9537 |
ISSN | 2473-9529 |
DOI | 10.1182/bloodadvances.2022007059 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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