AAV-mediated in vivo CAR gene therapy for targeting human T-cell leukemia

Blood Cancer J. 2021 Jun 23;11(6):119. doi: 10.1038/s41408-021-00508-1.

Abstract

Chimeric antigen receptor (CAR) T-cell therapy is the most active field in immuno-oncology and brings substantial benefit to patients with B cell malignancies. However, the complex procedure for CAR T-cell generation hampers its widespread applications. Here, we describe a novel approach in which human CAR T cells can be generated within the host upon injecting an Adeno-associated virus (AAV) vector carrying the CAR gene, which we call AAV delivering CAR gene therapy (ACG). Upon single infusion into a humanized NOD.Cg-Prkdcscid Il2rgem26/Nju tumor mouse model of human T-cell leukemia, AAV generates sufficient numbers of potent in vivo CAR cells, resulting in tumor regression; these in vivo-generated CAR cells produce antitumor immunological characteristics. This instantaneous generation of in vivo CAR T cells may bypass the need for patient lymphodepletion, as well as the β processes of traditional CAR T-cell production, which may make CAR therapy simpler and less expensive. It may allow the development of intricate, individualized treatments in the form of on-demand and diverse therapies.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Dependovirus*
  • Genetic Therapy*
  • Genetic Vectors*
  • HEK293 Cells
  • Humans
  • Jurkat Cells
  • Leukemia, T-Cell* / genetics
  • Leukemia, T-Cell* / immunology
  • Leukemia, T-Cell* / therapy
  • Mice
  • Receptors, Chimeric Antigen* / genetics
  • Receptors, Chimeric Antigen* / immunology
  • Transduction, Genetic*
  • Xenograft Model Antitumor Assays

Substances

  • Receptors, Chimeric Antigen