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TCR??/CD3 disruption enables CD3-specific antileukemic T cell immunotherapy.


ABSTRACT: T cells engineered to express chimeric antigen receptors (CARs) against B cell antigens are being investigated as cellular immunotherapies. Similar approaches designed to target T cell malignancies have been hampered by the critical issue of T-on-T cytotoxicity, whereby fratricide or self-destruction of healthy T cells prohibits cell product manufacture. To date, there have been no reports of T cells engineered to target the definitive T cell marker, CD3 (3CAR). Recent improvements in gene editing now provide access to efficient disruption of such molecules on T cells, and this has provided a route to generation of 3CAR, CD3-specific CAR T cells. T cells were transduced with a lentiviral vector incorporating an anti-CD3? CAR derived from OKT3, either before or after TALEN-mediated disruption of the endogenous TCR??/CD3 complex. Only transduction after disrupting assembly of TCR??/CD3 yielded viable 3CAR T cells, and these cultures were found to undergo self-enrichment for 3CAR+TCR-CD3- T cells without any further processing. Specific cytotoxicity against CD3? was demonstrated against primary T cells and against childhood T cell acute lymphoblastic leukemia (T-ALL). 3CAR T cells mediated potent antileukemic effects in a human/murine chimeric model, supporting the application of cellular immunotherapy strategies against T cell malignancies. 3CAR provides a bridging strategy to achieve T cell eradication and leukemic remission ahead of conditioned allogeneic stem cell transplantation.

SUBMITTER: Rasaiyaah J 

PROVIDER: S-EPMC6124532 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature

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TCRαβ/CD3 disruption enables CD3-specific antileukemic T cell immunotherapy.

Rasaiyaah Jane J   Georgiadis Christos C   Preece Roland R   Mock Ulrike U   Qasim Waseem W  

JCI insight 20180712 13


T cells engineered to express chimeric antigen receptors (CARs) against B cell antigens are being investigated as cellular immunotherapies. Similar approaches designed to target T cell malignancies have been hampered by the critical issue of T-on-T cytotoxicity, whereby fratricide or self-destruction of healthy T cells prohibits cell product manufacture. To date, there have been no reports of T cells engineered to target the definitive T cell marker, CD3 (3CAR). Recent improvements in gene editi  ...[more]

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