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From mono- to bivalent: improving theranostic properties of target modules for redirection of UniCAR T cells against EGFR-expressing tumor cells in vitro and in vivo.


ABSTRACT: CAR-modified T cells show impressive results in clinical trials. However, cytokine release syndrome and "on-target, off-tumor" reactions represent most concerning side effects. To improve the safety of CAR-T cell therapy, we established a switchable CAR platform termed UniCAR system consisting of two components: UniCAR-modified T cells and tumor-specific target modules (TM). For treatment of EGFR+ epithelial tumors, we recently described a monovalent nanobody-based ?-EGFR TM, either expressed in bacteria or eukaryotic cells. In spite of the identical primary sequence the eukaryotic TM showed a reduced killing capability and affinity. Here we describe a novel bivalent ?-EGFR-EGFR TM. As expected, the avidity of the bivalent TM is higher than that of its monovalent counterpart. Binding of neither the monovalent ?-EGFR TM nor the bivalent ?-EGFR-EGFR TM to EGFR effected the EGF-mediated signaling. While the monovalent ?-EGFR TM could only mediate the killing of tumor cells expressing high levels of EGFR, the bivalent ?-EGFR-EGFR TM could redirect UniCAR T cells to tumor cells expressing low levels of EGFR. According to PET experiments in vivo, the increased avidity of the bivalent ?-EGFR-EGFR TM improves the enrichment at the tumor site and its use for PET imaging.

SUBMITTER: Albert S 

PROVIDER: S-EPMC5986651 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature

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From mono- to bivalent: improving theranostic properties of target modules for redirection of UniCAR T cells against EGFR-expressing tumor cells <i>in vitro</i> and <i>in vivo</i>.

Albert Susann S   Arndt Claudia C   Koristka Stefanie S   Berndt Nicole N   Bergmann Ralf R   Feldmann Anja A   Schmitz Marc M   Pietzsch Jens J   Steinbach Jörg J   Bachmann Michael M  

Oncotarget 20180522 39


CAR-modified T cells show impressive results in clinical trials. However, cytokine release syndrome and "on-target, off-tumor" reactions represent most concerning side effects. To improve the safety of CAR-T cell therapy, we established a switchable CAR platform termed UniCAR system consisting of two components: UniCAR-modified T cells and tumor-specific target modules (TM). For treatment of EGFR<sup>+</sup> epithelial tumors, we recently described a monovalent nanobody-based α-EGFR TM, either e  ...[more]

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