Desensitized chimeric antigen receptor T cells selectively recognize target cells with enhanced antigen expression

Nat Commun. 2018 Feb 1;9(1):468. doi: 10.1038/s41467-018-02912-x.

Abstract

Chimeric antigen receptor (CAR) T cell therapy is an effective method for treating specific cancers. CARs are normally designed to recognize antigens, which are highly expressed on malignant cells but not on T cells. However, when T cells are engineered with CARs that recognize antigens expressed on the T cell surface, CAR T cells exhibit effector function on other T cells, which results in fratricide, or killing of neighboring T cells. Here, using human leukocyte antigen-DR (HLA-DR)-targeted CAR T cells, we show that weak affinity between CAR and HLA-DR reduces fratricide and induces sustained CAR downregulation, which consequently tunes the avidity of CAR T cells, leading to desensitization. We further demonstrate that desensitized CAR T cells selectively kill Epstein-Barr virus-transformed B cells with enhanced HLA-DR expression, while sparing normal B cells. Our study supports an avidity-tuning strategy that permits sensing of antigen levels by CAR T cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antibodies, Monoclonal / genetics
  • B-Lymphocytes / cytology*
  • B-Lymphocytes / virology
  • Cell Death
  • Cell- and Tissue-Based Therapy / methods*
  • Female
  • HLA-DR Antigens / metabolism
  • HLA-DRB1 Chains / metabolism
  • Herpesvirus 4, Human / pathogenicity
  • Humans
  • Mice, Transgenic
  • Receptors, Antigen, T-Cell / genetics*
  • Receptors, Antigen, T-Cell / metabolism
  • Recombinant Proteins / genetics
  • Recombinant Proteins / metabolism
  • T-Lymphocytes / cytology
  • T-Lymphocytes / physiology*

Substances

  • Antibodies, Monoclonal
  • HLA-DR Antigens
  • HLA-DRB1 Chains
  • Receptors, Antigen, T-Cell
  • Recombinant Proteins