SMAD7 expression in CAR-T cells improves persistence and safety for solid tumors

© 2023. The Author(s), under exclusive licence to CSI and USTC..

Despite the tremendous progress of chimeric antigen receptor T (CAR-T) cell therapy in hematological malignancies, their application in solid tumors has been limited largely due to T-cell exhaustion in the tumor microenvironment (TME) and systemic toxicity caused by excessive cytokine release. As a key regulator of the immunosuppressive TME, TGF-β promotes cytokine synthesis via the NF-κB pathway. Here, we coexpressed SMAD7, a suppressor of TGF-β signaling, with a HER2-targeted CAR in engineered T cells. These novel CAR-T cells displayed high cytolytic efficacy and were resistant to TGF-β-triggered exhaustion, which enabled sustained tumoricidal capacity after continuous antigen exposure. Moreover, SMAD7 substantially reduced the production of inflammatory cytokines by antigen-primed CAR-T cells. Mechanistically, SMAD7 downregulated TGF-β receptor I and abrogated the interplay between the TGF-β and NF-κB pathways in CAR-T cells. As a result, these CAR-T cells persistently inhibited tumor growth and promoted the survival of tumor-challenged mice regardless of the hostile tumor microenvironment caused by a high concentration of TGF-β. SMAD7 coexpression also enhanced CAR-T-cell infiltration and persistent activation in patient-derived tumor organoids. Therefore, our study demonstrated the feasibility of SMAD7 coexpression as a novel approach to improve the efficacy and safety of CAR-T-cell therapy for solid tumors.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:21

Enthalten in:

Cellular & molecular immunology - 21(2024), 3 vom: 03. März, Seite 213-226

Sprache:

Englisch

Beteiligte Personen:

Liang, Sixin [VerfasserIn]
Zheng, Rui [VerfasserIn]
Zuo, Baile [VerfasserIn]
Li, Jia [VerfasserIn]
Wang, Yiyi [VerfasserIn]
Han, Yujie [VerfasserIn]
Dong, Hao [VerfasserIn]
Zhao, Xiaojuan [VerfasserIn]
Zhang, Yiting [VerfasserIn]
Wang, Pengju [VerfasserIn]
Meng, Ruotong [VerfasserIn]
Jia, Lintao [VerfasserIn]
Yang, Angang [VerfasserIn]
Yan, Bo [VerfasserIn]

Links:

Volltext

Themen:

CAR-T-cell therapy
Cytokine release syndrome (CRS)
Cytokines
Journal Article
NF-κB pathway
NF-kappa B
Receptors, Chimeric Antigen
SMAD7
SMAD7 protein, human
Smad7 Protein
Smad7 protein, mouse
TGF-β pathway
Transforming Growth Factor beta

Anmerkungen:

Date Completed 01.03.2024

Date Revised 02.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41423-023-01120-y

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM366678590