Article ; Online: Precision targeting of autoantigen-specific B cells in muscle-specific tyrosine kinase myasthenia gravis with chimeric autoantibody receptor T cells.
2023 Volume 41, Issue 9, Page(s) 1229–1238
Abstract: Muscle-specific tyrosine kinase myasthenia gravis (MuSK MG) is an autoimmune disease that causes life-threatening muscle weakness due to anti-MuSK autoantibodies that disrupt neuromuscular junction signaling. To avoid chronic immunosuppression from ... ...
Abstract | Muscle-specific tyrosine kinase myasthenia gravis (MuSK MG) is an autoimmune disease that causes life-threatening muscle weakness due to anti-MuSK autoantibodies that disrupt neuromuscular junction signaling. To avoid chronic immunosuppression from current therapies, we engineered T cells to express a MuSK chimeric autoantibody receptor with CD137-CD3ζ signaling domains (MuSK-CAART) for precision targeting of B cells expressing anti-MuSK autoantibodies. MuSK-CAART demonstrated similar efficacy as anti-CD19 chimeric antigen receptor T cells for depletion of anti-MuSK B cells and retained cytolytic activity in the presence of soluble anti-MuSK antibodies. In an experimental autoimmune MG mouse model, MuSK-CAART reduced anti-MuSK IgG without decreasing B cells or total IgG levels, reflecting MuSK-specific B cell depletion. Specific off-target interactions of MuSK-CAART were not identified in vivo, in primary human cell screens or by high-throughput human membrane proteome array. These data contributed to an investigational new drug application and phase 1 clinical study design for MuSK-CAART for the treatment of MuSK autoantibody-positive MG. |
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MeSH term(s) | Humans ; Mice ; Animals ; Receptors, Cholinergic/therapeutic use ; Autoantigens/therapeutic use ; Myasthenia Gravis, Autoimmune, Experimental/drug therapy ; T-Lymphocytes ; Autoantibodies/therapeutic use ; Immunoglobulin G ; Protein-Tyrosine Kinases/therapeutic use ; Muscles |
Chemical Substances | Receptors, Cholinergic ; Autoantigens ; Autoantibodies ; Immunoglobulin G ; Protein-Tyrosine Kinases (EC 2.7.10.1) |
Language | English |
Publishing date | 2023-01-19 |
Publishing country | United States |
Document type | Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 1311932-1 |
ISSN | 1546-1696 ; 1087-0156 |
ISSN (online) | 1546-1696 |
ISSN | 1087-0156 |
DOI | 10.1038/s41587-022-01637-z |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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