Artikel ; Online: High-Specificity CRISPR-Mediated Genome Engineering in Anti-BCMA Allogeneic CAR T Cells Suppresses Allograft Rejection in Preclinical Models.
2024 Band 12, Heft 4, Seite(n) 462–477
Abstract: Allogeneic chimeric antigen receptor (CAR) T cell therapies hold the potential to overcome many of the challenges associated with patient-derived (autologous) CAR T cells. Key considerations in the development of allogeneic CAR T cell therapies include ... ...
Abstract | Allogeneic chimeric antigen receptor (CAR) T cell therapies hold the potential to overcome many of the challenges associated with patient-derived (autologous) CAR T cells. Key considerations in the development of allogeneic CAR T cell therapies include prevention of graft-vs-host disease (GvHD) and suppression of allograft rejection. Here, we describe preclinical data supporting the ongoing first-in-human clinical study, the CaMMouflage trial (NCT05722418), evaluating CB-011 in patients with relapsed/refractory multiple myeloma. CB-011 is a hypoimmunogenic, allogeneic anti-B-cell maturation antigen (BCMA) CAR T cell therapy candidate. CB-011 cells feature 4 genomic alterations and were engineered from healthy donor-derived T cells using a Cas12a CRISPR hybrid RNA-DNA (chRDNA) genome-editing technology platform. To address allograft rejection, CAR T cells were engineered to prevent endogenous HLA class I complex expression and overexpress a single-chain polyprotein complex composed of beta-2 microglobulin (B2M) tethered to HLA-E. In addition, T-cell receptor (TCR) expression was disrupted at the TCR alpha constant locus in combination with the site-specific insertion of a humanized BCMA-specific CAR. CB-011 cells exhibited robust plasmablast cytotoxicity in vitro in a mixed lymphocyte reaction in cell cocultures derived from patients with multiple myeloma. In addition, CB-011 cells demonstrated suppressed recognition by and cytotoxicity from HLA-mismatched T cells. CB-011 cells were protected from natural killer cell-mediated cytotoxicity in vitro and in vivo due to endogenous promoter-driven expression of B2M-HLA-E. Potent antitumor efficacy, when combined with an immune-cloaking armoring strategy to dampen allograft rejection, offers optimized therapeutic potential in multiple myeloma. See related Spotlight by Caimi and Melenhorst, p. 385. |
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Mesh-Begriff(e) | Humans ; Multiple Myeloma/genetics ; Multiple Myeloma/therapy ; B-Cell Maturation Antigen/metabolism ; HLA-E Antigens ; T-Lymphocytes ; Receptors, Antigen, T-Cell ; Immunotherapy, Adoptive ; Histocompatibility Antigens Class I/metabolism ; Hematopoietic Stem Cell Transplantation ; Allografts/pathology |
Chemische Substanzen | B-Cell Maturation Antigen ; HLA-E Antigens ; Receptors, Antigen, T-Cell ; Histocompatibility Antigens Class I |
Sprache | Englisch |
Erscheinungsdatum | 2024-02-12 |
Erscheinungsland | United States |
Dokumenttyp | Journal Article |
ZDB-ID | 2732489-8 |
ISSN | 2326-6074 ; 2326-6066 |
ISSN (online) | 2326-6074 |
ISSN | 2326-6066 |
DOI | 10.1158/2326-6066.CIR-23-0679 |
Datenquelle | MEDical Literature Analysis and Retrieval System OnLINE |
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