Rational design of PD-1-CD28 immunostimulatory fusion proteins for CAR T cell therapy

© 2023. The Author(s)..

BACKGROUND: In many situations, the therapeutic efficacy of CAR T cells is limited due to immune suppression and poor persistence. Immunostimulatory fusion protein (IFP) constructs have been advanced as a tool to convert suppressive signals into stimulation and thus promote the persistence of T cells, but no universal IFP design has been established so far. We now took advantage of a PD-1-CD28 IFP as a clinically relevant structure to define key determinants of IFP activity.

METHODS: We compared different PD-1-CD28 IFP variants in a human leukemia model to assess the impact of distinctive design choices on CAR T cell performance in vitro and a xenograft mouse model.

RESULTS: We observed that IFP constructs that putatively exceed the extracellular length of PD-1 induce T-cell response without CAR target recognition, rendering them unsuitable for tumour-specific therapy. IFP variants with physiological PD-1 length ameliorated CAR T cell effector function and proliferation in response to PD-L1+ tumour cells in vitro and prolonged survival in vivo. Transmembrane or extracellular CD28 domains were found to be replaceable by corresponding PD-1 domains for in vivo efficacy.

CONCLUSION: PD-1-CD28 IFP constructs must mimic the physiological interaction of PD-1 with PD-L1 to retain selectivity and mediate CAR-conditional therapeutic activity.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:129

Enthalten in:

British journal of cancer - 129(2023), 4 vom: 04. Sept., Seite 696-705

Sprache:

Englisch

Beteiligte Personen:

Lorenzini, Theo [VerfasserIn]
Cadilha, Bruno L [VerfasserIn]
Obeck, Hannah [VerfasserIn]
Benmebarek, Mohamed-Reda [VerfasserIn]
Märkl, Florian [VerfasserIn]
Michaelides, Stefanos [VerfasserIn]
Strzalkowski, Thaddäus [VerfasserIn]
Briukhovetska, Daria [VerfasserIn]
Müller, Philipp Jie [VerfasserIn]
Nandi, Sayantan [VerfasserIn]
Winter, Pia [VerfasserIn]
Majed, Lina [VerfasserIn]
Grünmeier, Ruth [VerfasserIn]
Seifert, Matthias [VerfasserIn]
Rausch, Svenja [VerfasserIn]
Feuchtinger, Tobias [VerfasserIn]
Endres, Stefan [VerfasserIn]
Kobold, Sebastian [VerfasserIn]

Links:

Volltext

Themen:

B7-H1 Antigen
CD28 Antigens
Journal Article
Programmed Cell Death 1 Receptor
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 14.08.2023

Date Revised 15.08.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41416-023-02332-9

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM359018750