[HTML][HTML] Engineered triple inhibitory receptor resistance improves anti-tumor CAR-T cell performance via CD56

F Zou, L Lu, J Liu, B Xia, W Zhang, Q Hu, W Liu… - Nature …, 2019 - nature.com
F Zou, L Lu, J Liu, B Xia, W Zhang, Q Hu, W Liu, Y Zhang, Y Lin, S Jing, M Huang, B Huang…
Nature communications, 2019nature.com
The inhibitory receptors PD-1, Tim-3, and Lag-3 are highly expressed on tumor-infiltrating
lymphocytes and compromise their antitumor activity. For efficient cancer immunotherapy, it
is important to prevent chimeric antigen receptor T (CAR-T)-cell exhaustion. Here we
downregulate these three checkpoint receptors simultaneously on CAR-T cells and that
show the resulting PTL-CAR-T cells undergo epigenetic modifications and better control
tumor growth. Furthermore, we unexpectedly find increased tumor infiltration by PTL-CAR-T …
Abstract
The inhibitory receptors PD-1, Tim-3, and Lag-3 are highly expressed on tumor-infiltrating lymphocytes and compromise their antitumor activity. For efficient cancer immunotherapy, it is important to prevent chimeric antigen receptor T (CAR-T)-cell exhaustion. Here we downregulate these three checkpoint receptors simultaneously on CAR-T cells and that show the resulting PTL-CAR-T cells undergo epigenetic modifications and better control tumor growth. Furthermore, we unexpectedly find increased tumor infiltration by PTL-CAR-T cells and their clustering between the living and necrotic tumor tissue. Mechanistically, PTL-CAR-T cells upregulate CD56 (NCAM), which is essential for their effector function. The homophilic interaction between intercellular CD56 molecules correlates with enhanced infiltration of CAR-T cells, increased secretion of interferon-γ, and the prolonged survival of CAR-T cells. Ectopically expressed CD56 promotes CAR-T cell survival and antitumor response. Our findings demonstrate that genetic blockade of three checkpoint inhibitory receptors and the resulting high expression of CD56 on CAR-T cells enhances the inhibition of tumor growth.
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