Acute myeloid leukemia (AML) poses a singular challenge for chimeric antigen receptor (CAR) therapy owing to its phenotypic heterogeneity and similarity to normal hematopoietic stem/progenitor cells (HSPCs). Here we expound a CAR strategy intended to efficiently target AML while minimizing HSPC toxicity. Quantification of target expression in relapsed/refractory patient samples and normal HSPCs reveals a therapeutic window for gated co-targeting of ADGRE2 and CLEC12A: We combine an attenuated ADGRE2-CAR with a CLEC12A-chimeric costimulatory receptor (ADCLEC.syn1) to preferentially engage ADGRE2(pos)CLEC12A(pos) leukemic stem cells over ADGRE2(low)CLEC12A(neg) normal HSPCs. ADCLEC.syn1 prevents antigen escape in AML xenograft models, outperforms the ADGRE2-CAR alone and eradicates AML despite proximate myelopoiesis in humanized mice. Off-target HSPC toxicity is similar to that of a CD19-CAR and can be mitigated by reducing CAR T cell-derived interferon-γ. Overall, we demonstrate the ability of target density-adapted cooperative CAR targeting to selectively eliminate AML and potentially obviate the need for hematopoietic rescue.
Cooperative CAR targeting to selectively eliminate AML and minimize escape.
阅读:2
作者:Haubner Sascha, Mansilla-Soto Jorge, Nataraj Sarah, Kogel Friederike, Chang Qing, de Stanchina Elisa, Lopez Michael, Ng Mei Rosa, Fraser Kathryn, Subklewe Marion, Park Jae H, Wang Xiuyan, Rivière Isabelle, Sadelain Michel
期刊: | Cancer Cell | 影响因子: | 44.500 |
时间: | 2023 | 起止号: | 2023 Nov 13; 41(11):1871-1891 |
doi: | 10.1016/j.ccell.2023.09.010 |
特别声明
1、本文转载旨在传播信息,不代表本网站观点,亦不对其内容的真实性承担责任。
2、其他媒体、网站或个人若从本网站转载使用,必须保留本网站注明的“来源”,并自行承担包括版权在内的相关法律责任。
3、如作者不希望本文被转载,或需洽谈转载稿费等事宜,请及时与本网站联系。
4、此外,如需投稿,也可通过邮箱info@biocloudy.com与我们取得联系。