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Gamma-Delta CAR-T Cells Show CAR-Directed and Independent Activity Against Leukemia.


ABSTRACT: Autologous T cells engineered to express a chimeric antigen receptor (CAR) against the CD19 antigen are in the frontline of contemporary hemato-oncology therapies, leading to high remission rates in B-cell malignancies. Although effective, major obstacles involve the complex and costly individualized manufacturing process, and CD19 target antigen loss or modulation leading to resistant and relapse following CAR therapy. A potential solution for these limitations is the use of donor-derived ??T cells as a CAR backbone. ??T cells lack allogenecity and are safely used in haploidentical transplants. Moreover, ??T cells are known to mediate natural anti-tumor responses. Here, we describe a 14-day production process initiated from peripheral-blood mononuclear cells, leading to a median 185-fold expansion of ?? T cells with high purity (>98% CD3+ and >99% ??TCR+). CAR transduction efficacy of ?? T cells was equally high when compared to standard CAR-T cells (60.5 ± 13.2 and 65.3 ± 18.3%, respectively). CD19-directed ??CAR-T cells were effective against CD19+ cell lines in vitro and in vivo, showing cytokine production, direct target killing, and clearance of bone marrow leukemic cells in an NSG model. Multiple injections of ??CAR-T cells and priming of mice with zoledronate lead to enhanced tumor reduction in vivo. Unlike standard CD19 CAR-T cells, ??CAR-T cells were able to target CD19 antigen negative leukemia cells, an effect that was enhanced after priming the cells with zoledronate. In conclusion, ??CAR-T cell production is feasible and leads to highly pure and efficient effector cells. ??CAR-T cell may provide a promising platform in the allogeneic setting, and may target leukemic cells also after antigen loss.

SUBMITTER: Rozenbaum M 

PROVIDER: S-EPMC7343910 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Gamma-Delta CAR-T Cells Show CAR-Directed and Independent Activity Against Leukemia.

Rozenbaum Meir M   Meir Amilia A   Aharony Yarden Y   Itzhaki Orit O   Schachter Jacob J   Bank Ilan I   Jacoby Elad E   Besser Michal J MJ  

Frontiers in immunology 20200702


Autologous T cells engineered to express a chimeric antigen receptor (CAR) against the CD19 antigen are in the frontline of contemporary hemato-oncology therapies, leading to high remission rates in B-cell malignancies. Although effective, major obstacles involve the complex and costly individualized manufacturing process, and CD19 target antigen loss or modulation leading to resistant and relapse following CAR therapy. A potential solution for these limitations is the use of donor-derived γδT c  ...[more]

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