Novel B7-H3 CAR T cells show potent antitumor effects in glioblastoma: a preclinical study

新型B7-H3 CAR T细胞在胶质母细胞瘤中显示出强大的抗肿瘤作用:一项临床前研究

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作者:Thananya Inthanachai ,Chatikorn Boonkrai ,Tanapati Phakham ,Trairak Pisitkun ,Rattapoom Thaiwong ,Vichaya Chuthaphakdikun ,Nithidol Sakunrangsit ,Vudhiporn Limprasutr ,Thanyavi Chinsuwan ,Nattiya Hirankarn ,Koramit Suppipat ,Norihiro Watanabe ,Supannikar Tawinwung

Abstract

Background: B7 homolog 3 (B7-H3), an overexpressed antigen across multiple solid cancers, represents a promising target for CAR T cell therapy. This study investigated the expression of B7-H3 across various solid tumors and developed novel monoclonal antibodies (mAbs) targeting B7-H3 for CAR T cell therapy. Methods: Expression of B7-H3 across various solid tumors was evaluated using RNA-seq data from TCGA, TARGET, and GTEx datasets and by flow cytometry staining. B7-H3-specific mAbs were developed by immunizing mice with human B7-H3, screening with ELISA, and analyzing kinetics with surface plasmon resonance. These mAbs were used to create second-generation CAR constructs, which were evaluated in vitro and in vivo for their antitumor function. Results: We identified four mAb clones from immunized mice, with three demonstrating high specificity and affinity. The second-generation B7-H3 CAR T cells derived from these mAbs exhibited robust cytotoxicity against B7-H3-positive targets and successfully infiltrated and eliminated tumor spheroids in vitro. In a xenograft mouse model of glioblastoma, these CAR T cells, particularly those derived from clone A2H4, eradicated the primary tumor, and effectively controlled rechallenge tumor, resulting in prolonged survival of the xenograft mice. In vivo T cell trafficking revealed high accumulation and persistence of A2H4-derived CAR T cells at the tumor site. Conclusions: Our results provide novel B7-H3-targeted CAR T cells with high efficacy, paving the way for clinical translation of solid tumor treatment.

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