Engineered red blood cells as an off-the-shelf allogeneic anti-tumor therapeutic.
4-1BB Ligand
/ genetics
Animals
Antigen-Presenting Cells
/ immunology
Cell Engineering
/ methods
Cell Line, Tumor
Coculture Techniques
Disease Models, Animal
Erythrocytes
/ immunology
Female
HLA-A2 Antigen
/ genetics
Histocompatibility Antigens Class I
/ genetics
Humans
Immunotherapy, Adoptive
/ methods
Interleukin-12
/ genetics
Lymphocyte Activation
Neoplasms
/ immunology
Papillomavirus E7 Proteins
/ genetics
Primary Cell Culture
T-Lymphocytes
/ immunology
Transplantation, Homologous
/ methods
Journal
Nature communications
ISSN: 2041-1723
Titre abrégé: Nat Commun
Pays: England
ID NLM: 101528555
Informations de publication
Date de publication:
11 05 2021
11 05 2021
Historique:
received:
23
02
2021
accepted:
31
03
2021
entrez:
12
5
2021
pubmed:
13
5
2021
medline:
27
5
2021
Statut:
epublish
Résumé
Checkpoint inhibitors and T-cell therapies have highlighted the critical role of T cells in anti-cancer immunity. However, limitations associated with these treatments drive the need for alternative approaches. Here, we engineer red blood cells into artificial antigen-presenting cells (aAPCs) presenting a peptide bound to the major histocompatibility complex I, the costimulatory ligand 4-1BBL, and interleukin (IL)-12. This leads to robust, antigen-specific T-cell expansion, memory formation, additional immune activation, tumor control, and antigen spreading in tumor models in vivo. The presence of 4-1BBL and IL-12 induces minimal toxicities due to restriction to the vasculature and spleen. The allogeneic aAPC, RTX-321, comprised of human leukocyte antigen-A*02:01 presenting the human papilloma virus (HPV) peptide HPV16 E7
Identifiants
pubmed: 33976146
doi: 10.1038/s41467-021-22898-3
pii: 10.1038/s41467-021-22898-3
pmc: PMC8113241
doi:
Substances chimiques
4-1BB Ligand
0
HLA-A*02:01 antigen
0
HLA-A2 Antigen
0
Histocompatibility Antigens Class I
0
Papillomavirus E7 Proteins
0
TNFSF9 protein, human
0
oncogene protein E7, Human papillomavirus type 16
0
Interleukin-12
187348-17-0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Video-Audio Media
Langues
eng
Sous-ensembles de citation
IM
Pagination
2637Subventions
Organisme : NINDS NIH HHS
ID : P30 NS072030
Pays : United States
Références
Li, D. et al. Genetically engineered T cells for cancer immunotherapy. Signal Transduct. Target. Ther. 4, 1–17 (2019).
Wang, D. Y. et al. Fatal toxic effects associated with immune checkpoint inhibitors: A systematic review and meta-analysis. JAMA Oncol. 4, 1721–1728 (2018).
pubmed: 30242316
pmcid: 6440712
doi: 10.1001/jamaoncol.2018.3923
June, C. H., O’Connor, R. S., Kawalekar, O. U., Ghassemi, S. & Milone, M. C. CAR T cell immunotherapy for human cancer. Science 359, 1361–1365 (2018).
doi: 10.1126/science.aar6711
pubmed: 29567707
Hay, K. A. Cytokine release syndrome and neurotoxicity after CD19 chimeric antigen receptor-modified (CAR-) T cell therapy. Br. J. Haematol. 183, 364–374 (2018).
pubmed: 30407609
doi: 10.1111/bjh.15644
Barrueto, L. et al. Resistance to checkpoint inhibition in cancer immunotherapy. Transl. Oncol. 13, 100738 (2020).
pubmed: 32114384
pmcid: 7047187
doi: 10.1016/j.tranon.2019.12.010
Lesch, S. et al. Determinants of response and resistance to CAR T cell therapy. Semin. Cancer Biol. https://doi.org/10.1016/j.semcancer.2019.11.004 (2019).
Wang, X. & Rivière, I. Clinical manufacturing of CAR T cells: foundation of a promising therapy. Mol. Ther. Oncolytics 3, 16015 (2016).
pubmed: 27347557
pmcid: 4909095
doi: 10.1038/mto.2016.15
Harrison, R. P., Zylberberg, E., Ellison, S. & Levine, B. L. Chimeric antigen receptor-T cell therapy manufacturing: modelling the effect of offshore production on aggregate cost of goods. Cytotherapy 21, 224–233 (2019).
pubmed: 30770285
doi: 10.1016/j.jcyt.2019.01.003
Levine, B. L. Performance-enhancing drugs: design and production of redirected chimeric antigen receptor (CAR) T cells. Cancer Gene Ther. 22, 79–84 (2015).
pubmed: 25675873
doi: 10.1038/cgt.2015.5
Goral, S. The three-signal hypothesis of lymphocyte activation/targets for immunosuppression. Dial. Transplant. 40, 14–16 (2011).
doi: 10.1002/dat.20527
Curtsinger, J. M. & Mescher, M. F. Inflammatory cytokines as a third signal for T Cell activation. Curr. Opin. Immunol. 22, 333–340 (2010).
pubmed: 20363604
pmcid: 2891062
doi: 10.1016/j.coi.2010.02.013
Chen, L. & Flies, D. B. Molecular mechanisms of T cell co-stimulation and co-inhibition. Nat. Rev. Immunol. 13, 227–242 (2013).
pubmed: 23470321
pmcid: 3786574
doi: 10.1038/nri3405
Neal, L. R. et al. The basics of artificial antigen presenting cells in T cell-based cancer immunotherapies. J. Immunol. Res. Ther. 2, 68–79 (2017).
pubmed: 28825053
pmcid: 5560309
Kim, J. V., Latouche, J.-B., Rivière, I. & Sadelain, M. The ABCs of artificial antigen presentation. Nat. Biotechnol. 22, 403–410 (2004).
pubmed: 15060556
doi: 10.1038/nbt955
Weijden, J., Paulis, L., Verdoes, M., Hest, J. & Figdor, C. The right touch: design of artificial antigen-presenting cells to stimulate the immune system. Chem. Sci. 5, 3355–3367 (2014).
doi: 10.1039/C4SC01112K
Maus, M. V. et al. Ex vivo expansion of polyclonal and antigen-specific cytotoxic T lymphocytes by artificial APCs expressing ligands for the T-cell receptor, CD28 and 4-1BB. Nat. Biotechnol. 20, 143–148 (2002).
pubmed: 11821859
doi: 10.1038/nbt0202-143
Sahoo, K. et al. Molecular and biocompatibility characterization of red blood cell membrane targeted and cell-penetrating-peptide-modified polymeric nanoparticles. Mol. Pharm. 14, 2224–2235 (2017).
pubmed: 28505457
doi: 10.1021/acs.molpharmaceut.7b00053
Huang, N.-J. et al. Genetically engineered red cells expressing single domain camelid antibodies confer long-term protection against botulinum neurotoxin. Nat. Commun. 8, 423 (2017).
pubmed: 28871080
pmcid: 5583347
doi: 10.1038/s41467-017-00448-0
Shi, J. et al. Engineered red blood cells as carriers for systemic delivery of a wide array of functional probes. Proc. Natl Acad. Sci. USA 111, 10131–10136 (2014).
pubmed: 24982154
doi: 10.1073/pnas.1409861111
pmcid: 4104923
Chester, C., Sanmamed, M. F., Wang, J. & Melero, I. Immunotherapy targeting 4-1BB: mechanistic rationale, clinical results, and future strategies. Blood 131, 49–57 (2018).
pubmed: 29118009
doi: 10.1182/blood-2017-06-741041
Leonard, J. P. et al. Effects of single-dose interleukin-12 exposure on interleukin-12-associated toxicity and interferon-gamma production. Blood 90, 2541–2548 (1997).
pubmed: 9326219
Miles, B., Safran, H. P. & Monk, B. J. Therapeutic options for treatment of human papillomavirus-associated cancers - novel immunologic vaccines: ADXS11–001. Gynecol. Oncol. Res. Pract. 4, 10 (2017).
pubmed: 28725449
pmcid: 5512733
doi: 10.1186/s40661-017-0047-8
Straat, M., Klei, T., de Korte, D., van Bruggen, R. & Juffermans, N. Accelerated clearance of human red blood cells in a rat transfusion model. Intensive Care Med. Exp. 3, 27 (2015).
pubmed: 26384491
pmcid: 4575311
doi: 10.1186/s40635-015-0064-z
Kolb, H. C., Finn, M. G. & Sharpless, K. B. Click chemistry: diverse chemical function from a few good reactions. Angew. Chem. Int. Ed. Engl. 40, 2004–2021 (2001).
pubmed: 11433435
doi: 10.1002/1521-3773(20010601)40:11<2004::AID-ANIE2004>3.0.CO;2-5
Segal, N. H. et al. Results from an integrated safety analysis of Urelumab, an agonist anti-CD137 monoclonal antibody. Clin. Cancer Res. 23, 1929–1936 (2017).
pubmed: 27756788
doi: 10.1158/1078-0432.CCR-16-1272
Atkins, M. B. et al. Phase I evaluation of intravenous recombinant human interleukin 12 in patients with advanced malignancies. Clin. Cancer Res. 3, 409–417 (1997).
pubmed: 9815699
Cesta, M. F. Normal structure, function, and histology of the spleen. Toxicol. Pathol. 34, 455–465 (2006).
pubmed: 17067939
doi: 10.1080/01926230600867743
Etxeberria, I. et al. Intratumor adoptive transfer of IL-12 mRNA transiently engineered antitumor CD8+ T Cells. Cancer Cell 36, 613–629 (2019). e7.
pubmed: 31761658
doi: 10.1016/j.ccell.2019.10.006
Jin, B. Y. et al. Engineered T cells targeting E7 mediate regression of human papillomavirus cancers in a murine model. JCI Insight 3, e99488 (2018).
pmcid: 5931134
doi: 10.1172/jci.insight.99488
Perica, K., Kosmides, A. & Schneck, J. Linking form to function: biophysical aspects of artificial antigen presenting cell design. Biochim. Biophys. Acta 1853, 781–790 (2015).
pubmed: 25200637
doi: 10.1016/j.bbamcr.2014.09.001
Chang, Z. L. & Chen, Y. Y. CARs: synthetic immunoreceptors for cancer therapy and beyond. Trends Mol. Med. 23, 430–450 (2017).
pubmed: 28416139
pmcid: 5423782
doi: 10.1016/j.molmed.2017.03.002
Suhoski, M. M. et al. Engineering artificial antigen-presenting cells to express a diverse array of co-stimulatory molecules. Mol. Ther. J. Am. Soc. Gene Ther. 15, 981–988 (2007).
doi: 10.1038/mt.sj.6300134
Weinkove, R., George, P., Dasyam, N. & McLellan, A. D. Selecting costimulatory domains for chimeric antigen receptors: functional and clinical considerations. Clin. Transl. Immunol. 8, e1049 (2019).
doi: 10.1002/cti2.1049
Berraondo, P., Etxeberria, I., Ponz-Sarvise, M. & Melero, I. Revisiting interleukin-12 as a cancer immunotherapy agent. Clin. Cancer Res. 24, 2716–2718 (2018).
pubmed: 29549160
doi: 10.1158/1078-0432.CCR-18-0381
Chabeda, A. et al. Therapeutic vaccines for high-risk HPV-associated diseases. Papillomavirus Res. 5, 46–58 (2018).
pubmed: 29277575
doi: 10.1016/j.pvr.2017.12.006
Massarelli, E. et al. Combining immune checkpoint blockade and tumor-specific vaccine for patients with incurable human papillomavirus 16-related cancer: a phase 2 clinical trial. JAMA Oncol. 5, 67–73 (2019).
pubmed: 30267032
doi: 10.1001/jamaoncol.2018.4051
Khallouf, H., Grabowska, A. K. & Riemer, A. B. Therapeutic vaccine strategies against human papillomavirus. Vaccines 2, 422–462 (2014).
pubmed: 26344626
pmcid: 4494257
doi: 10.3390/vaccines2020422
Lewis, K. E. et al. Interleukin-21 combined with PD-1 or CTLA-4 blockade enhances antitumor immunity in mouse tumor models. OncoImmunology 7, e1377873 (2018).
doi: 10.1080/2162402X.2017.1377873
Chen, S. et al. Combination of 4-1BB agonist and PD-1 antagonist promotes anti-tumor effector/memory CD8 T cells in a poorly immunogenic tumor model. Cancer Immunol. Res. https://doi.org/10.1158/2326-6066.CIR-14-0118 (2014).
Jiao, R., Allen, K. J. H., Malo, M. E., Rickles, D. & Dadachova, E. Evaluating the combination of radioimmunotherapy and immunotherapy in a melanoma mouse model. Int. J. Mol. Sci. 21, 773 (2020).
Pauken, K. E. & Wherry, E. J. Overcoming T cell exhaustion in infection and cancer. Trends Immunol. 36, 265–276 (2015).
pubmed: 25797516
pmcid: 4393798
doi: 10.1016/j.it.2015.02.008
Gulley, J. L. et al. Role of antigen spread and distinctive characteristics of immunotherapy in cancer treatment. J. Natl. Cancer Inst. 109, djw261 (2017).
Gulley, J. L. Therapeutic vaccines. Hum. Vaccines Immunother. 9, 219–221 (2013).
doi: 10.4161/hv.22106
Ma, L. et al. Enhanced CAR–T cell activity against solid tumors by vaccine boosting through the chimeric receptor. Science 365, 162–168 (2019).
pubmed: 31296767
pmcid: 6800571
doi: 10.1126/science.aav8692
Walsh, S. R. et al. Endogenous T cells prevent tumor immune escape following adoptive T cell therapy. J. Clin. Invest. 129, 5400–5410 (2019).
pubmed: 31682239
pmcid: 6877330
doi: 10.1172/JCI126199
Lai, J. et al. Adoptive cellular therapy with T cells expressing the dendritic cell growth factor Flt3L drives epitope spreading and antitumor immunity. Nat. Immunol. 21, 914–926 (2020).
pubmed: 32424363
doi: 10.1038/s41590-020-0676-7
Ruella, M. & Maus, M. V. Catch me if you can: leukemia escape after CD19-directed T cell immunotherapies. Comput. Struct. Biotechnol. J. 14, 357–362 (2016).
pubmed: 27761200
pmcid: 5061074
doi: 10.1016/j.csbj.2016.09.003
Peng, S. et al. HLA-DQB1*02–restricted HPV-16 E7 peptide–specific CD4+ T-cell immune responses correlate with regression of HPV-16–associated high-grade squamous intraepithelial lesions. Clin. Cancer Res. 13, 2479–2487 (2007).
pubmed: 17438108
pmcid: 3181117
doi: 10.1158/1078-0432.CCR-06-2916
Masterson, L. et al. CD8+ T cell response to human papillomavirus 16 E7 is able to predict survival outcome in oropharyngeal cancer. Eur. J. Cancer 67, 141–151 (2016).
pubmed: 27669501
doi: 10.1016/j.ejca.2016.08.012
Bhatt, K. H. et al. Profiling HPV-16–specific T cell responses reveals broad antigen reactivities in oropharyngeal cancer patients. J. Exp. Med. 217, e20200389 (2020).
Muñoz, N., Castellsagué, X., de González, A. B. & Gissmann, L. Chapter 1: HPV in the etiology of human cancer. Vaccine 24, S1–S10 (2006).
doi: 10.1016/j.vaccine.2006.05.115
Mirabello, L. et al. HPV16 E7 genetic conservation Is critical to carcinogenesis. Cell 170, 1164–1174 (2017). e6.
pubmed: 28886384
pmcid: 5674785
doi: 10.1016/j.cell.2017.08.001
Keskin, D. B. et al. Direct identification of an HPV-16 tumor antigen from cervical cancer biopsy specimens. Front. Immunol. 2, 75 (2011).
pubmed: 22566864
pmcid: 3342284
Riemer, A. B. et al. A conserved E7-derived cytotoxic T lymphocyte epitope expressed on human papillomavirus 16-transformed HLA-A2+ epithelial cancers. J. Biol. Chem. 285, 29608–29622 (2010).
pubmed: 20615877
pmcid: 2937992
doi: 10.1074/jbc.M110.126722
Mahnke, Y. D., Brodie, T. M., Sallusto, F., Roederer, M. & Lugli, E. The who’s who of T-cell differentiation: human memory T-cell subsets. Eur. J. Immunol. 43, 2797–2809 (2013).
pubmed: 24258910
doi: 10.1002/eji.201343751
Sun, X. et al. Surface-engineering of red blood cells as artificial antigen presenting cells promising for cancer immunotherapy. Small 13, 1701864 (2017).
doi: 10.1002/smll.201701864
Sun, L. et al. DNA-edited ligand positioning on red blood cells to enable optimized T cell activation for adoptive. Immunother. Angew. Chem. Int. Ed. 59, 14842–14853 (2020).
doi: 10.1002/anie.202003367
Bijker, M. S. et al. CD8
pubmed: 17911588
doi: 10.4049/jimmunol.179.8.5033
Robins, H. S. et al. Comprehensive assessment of T-cell receptor beta-chain diversity in alphabeta T cells. Blood 114, 4099–4107 (2009).
pubmed: 19706884
pmcid: 2774550
doi: 10.1182/blood-2009-04-217604
Robins, H. et al. Ultra-sensitive detection of rare T cell clones. J. Immunol. Methods 375, 14–19 (2012).
pubmed: 21945395
doi: 10.1016/j.jim.2011.09.001
Carlson, C. S. et al. Using synthetic templates to design an unbiased multiplex PCR assay. Nat. Commun. 4, 2680 (2013).
pubmed: 24157944
doi: 10.1038/ncomms3680
Stauffer, W., Sheng, H. & Lim, H. N. EzColocalization: an ImageJ plugin for visualizing and measuring colocalization in cells and organisms. Sci. Rep. 8, 15764 (2018).
pubmed: 30361629
pmcid: 6202351
doi: 10.1038/s41598-018-33592-8