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Large-scale GMP-compliant CRISPR-Cas9-mediated deletion of the glucocorticoid receptor in multivirus-specific T cells.


ABSTRACT: Virus-specific T cells have proven highly effective for the treatment of severe and drug-refractory infections after hematopoietic stem cell transplant (HSCT). However, the efficacy of these cells is hindered by the use of glucocorticoids, often given to patients for the management of complications such as graft-versus-host disease. To address this limitation, we have developed a novel strategy for the rapid generation of good manufacturing practice (GMP)-grade glucocorticoid-resistant multivirus-specific T cells (VSTs) using clustered regularly interspaced short palindromic repeats (CRISPR)-CRISPR-associated protein 9 (Cas9) gene-editing technology. We have shown that deleting the nuclear receptor subfamily 3 group C member 1 (NR3C1; the gene encoding for the glucocorticoid receptor) renders VSTs resistant to the lymphocytotoxic effect of glucocorticoids. NR3C1-knockout (KO) VSTs kill their targets and proliferate successfully in the presence of high doses of dexamethasone both in vitro and in vivo. Moreover, we developed a protocol for the rapid generation of GMP-grade NR3C1 KO VSTs with high on-target activity and minimal off-target editing. These genetically engineered VSTs promise to be a novel approach for the treatment of patients with life-threatening viral infections post-HSCT on glucocorticoid therapy.

SUBMITTER: Basar R 

PROVIDER: S-EPMC7391161 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Large-scale GMP-compliant CRISPR-Cas9-mediated deletion of the glucocorticoid receptor in multivirus-specific T cells.

Basar Rafet R   Daher May M   Uprety Nadima N   Gokdemir Elif E   Alsuliman Abdullah A   Ensley Emily E   Ozcan Gonca G   Mendt Mayela M   Hernandez Sanabria Mayra M   Kerbauy Lucila Nassif LN   Nunez Cortes Ana Karen AK   Li Li L   Banerjee Pinaki P PP   Muniz-Feliciano Luis L   Acharya Sunil S   Fowlkes Natalie W NW   Lu Junjun J   Li Sufang S   Mielke Stephan S   Kaplan Mecit M   Nandivada Vandana V   Bdaiwi Mustafa M   Kontoyiannis Alexander D AD   Li Ye Y   Liu Enli E   Ang Sonny S   Marin David D   Brunetti Lorenzo L   Gundry Michael C MC   Turk Rolf R   Schubert Mollie S MS   Rettig Garrett R GR   McNeill Matthew S MS   Kurgan Gavin G   Behlke Mark A MA   Champlin Richard R   Shpall Elizabeth J EJ   Rezvani Katayoun K  

Blood advances 20200701 14


Virus-specific T cells have proven highly effective for the treatment of severe and drug-refractory infections after hematopoietic stem cell transplant (HSCT). However, the efficacy of these cells is hindered by the use of glucocorticoids, often given to patients for the management of complications such as graft-versus-host disease. To address this limitation, we have developed a novel strategy for the rapid generation of good manufacturing practice (GMP)-grade glucocorticoid-resistant multiviru  ...[more]

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