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Structural surfaceomics reveals an AML-specific conformation of integrin β2 as a CAR T cellular therapy target.


ABSTRACT: Safely expanding indications for cellular therapies has been challenging given a lack of highly cancer-specific surface markers. Here we explore the hypothesis that tumor cells express cancer-specific surface protein conformations that are invisible to standard target discovery pipelines evaluating gene or protein expression, and these conformations can be identified and immunotherapeutically targeted. We term this strategy integrating cross-linking mass spectrometry with glycoprotein surface capture 'structural surfaceomics'. As a proof of principle, we apply this technology to acute myeloid leukemia (AML), a hematologic malignancy with dismal outcomes and no known optimal immunotherapy target. We identify the activated conformation of integrin β2 as a structurally defined, widely expressed AML-specific target. We develop and characterize recombinant antibodies to this protein conformation and show that chimeric antigen receptor T cells eliminate AML cells and patient-derived xenografts without notable toxicity toward normal hematopoietic cells. Our findings validate an AML conformation-specific target antigen and demonstrate a tool kit for applying these strategies more broadly.

SUBMITTER: Mandal K 

PROVIDER: S-EPMC10663162 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature

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Structural surfaceomics reveals an AML-specific conformation of integrin β<sub>2</sub> as a CAR T cellular therapy target.

Mandal Kamal K   Wicaksono Gianina G   Yu Clinton C   Adams Jarrett J JJ   Hoopmann Michael R MR   Temple William C WC   Izgutdina Adila A   Escobar Bonell Patiño BP   Gorelik Maryna M   Ihling Christian H CH   Nix Matthew A MA   Naik Akul A   Xie William H WH   Hübner Juwita J   Rollins Lisa A LA   Reid Sandy M SM   Ramos Emilio E   Kasap Corynn C   Steri Veronica V   Serrano Juan Antonio Camara JAC   Salangsang Fernando F   Phojanakong Paul P   McMillan Melanie M   Gavallos Victor V   Leavitt Andrew D AD   Logan Aaron C AC   Rooney Cliona M CM   Eyquem Justin J   Sinz Andrea A   Huang Benjamin J BJ   Stieglitz Elliot E   Smith Catherine C CC   Moritz Robert L RL   Sidhu Sachdev S SS   Huang Lan L   Wiita Arun P AP  

Nature cancer 20231030 11


Safely expanding indications for cellular therapies has been challenging given a lack of highly cancer-specific surface markers. Here we explore the hypothesis that tumor cells express cancer-specific surface protein conformations that are invisible to standard target discovery pipelines evaluating gene or protein expression, and these conformations can be identified and immunotherapeutically targeted. We term this strategy integrating cross-linking mass spectrometry with glycoprotein surface ca  ...[more]

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