CAR-Modified Vγ9Vδ2 T Cells Propagated Using a Novel Bisphosphonate Prodrug for Allogeneic Adoptive Immunotherapy

Int J Mol Sci. 2023 Jun 29;24(13):10873. doi: 10.3390/ijms241310873.

Abstract

The benefits of CAR-T therapy could be expanded to the treatment of solid tumors through the use of derived autologous αβ T cell, but clinical trials of CAR-T therapy for patients with solid tumors have so far been disappointing. CAR-T therapy also faces hurdles due to the time and cost intensive preparation of CAR-T cell products derived from patients as such CAR-T cells are often poor in quality and low in quantity. These inadequacies may be mitigated through the use of third-party donor derived CAR-T cell products which have a potent anti-tumor function but a constrained GVHD property. Vγ9Vδ2 TCR have been shown to exhibit potent antitumor activity but not alloreactivity. Therefore, in this study, CAR-T cells were prepared from Vγ9Vδ2 T (CAR-γδ T) cells which were expanded by using a novel prodrug PTA. CAR-γδ T cells suppressed tumor growth in an antigen specific manner but only during a limited time window. Provision of GITR co-stimulation enhanced anti-tumor function of CAR-γδ T cells. Our present results indicate that, while further optimization of CAR-γδ T cells is necessary, the present results demonstrate that Vγ9Vδ2 T cells are potential source of 'off-the-shelf' CAR-T cell products for successful allogeneic adoptive immunotherapy.

Keywords: Vγ9Vδ2 T cell; carcinoembryonic antigen (CEA); chimeric antigen receptor (CAR); glucocorticoid-induced TNFR-related protein (GITR); graft-versus-host disease (GVHD); off-the-shelf; tetrakis-pivaloyloxymethyl 2-(thiazole-2-ylamino)ethylidene-1,1-bisphosphonate (PTA).

MeSH terms

  • Diphosphonates
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunotherapy
  • Immunotherapy, Adoptive / methods
  • Neoplasms*
  • Prodrugs* / pharmacology
  • Prodrugs* / therapeutic use
  • Receptors, Antigen, T-Cell, gamma-delta
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes

Substances

  • Diphosphonates
  • Receptors, Antigen, T-Cell, gamma-delta
  • Prodrugs
  • Receptors, Chimeric Antigen

Grants and funding

This work was supported by JSPS (Japan) KAKENHI Grant Numbers 20K07674 to T.K. and 19K09195 to L.W.