Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells

Impressive clinical efficacy of chimeric antigen receptor (CAR)-engineered T cell therapy for hematological malignancies have prompted significant efforts in achieving similar responses in solid tumors. The lack of truly restricted and uniform expression of tumor-associated antigens, as well as limi...

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Main Authors: John P. Murad, Anna K. Kozlowska, Hee Jun Lee, Maya Ramamurthy, Wen-Chung Chang, Paul Yazaki, David Colcher, John Shively, Mihaela Cristea, Stephen J. Forman, Saul J. Priceman
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-11-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.02268/full
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author John P. Murad
John P. Murad
Anna K. Kozlowska
Anna K. Kozlowska
Hee Jun Lee
Maya Ramamurthy
Wen-Chung Chang
Paul Yazaki
David Colcher
John Shively
Mihaela Cristea
Stephen J. Forman
Stephen J. Forman
Saul J. Priceman
Saul J. Priceman
author_facet John P. Murad
John P. Murad
Anna K. Kozlowska
Anna K. Kozlowska
Hee Jun Lee
Maya Ramamurthy
Wen-Chung Chang
Paul Yazaki
David Colcher
John Shively
Mihaela Cristea
Stephen J. Forman
Stephen J. Forman
Saul J. Priceman
Saul J. Priceman
author_sort John P. Murad
collection DOAJ
description Impressive clinical efficacy of chimeric antigen receptor (CAR)-engineered T cell therapy for hematological malignancies have prompted significant efforts in achieving similar responses in solid tumors. The lack of truly restricted and uniform expression of tumor-associated antigens, as well as limited T cell persistence and/or tumor trafficking pose major challenges for successful translation of CAR T cell therapy in solid tumors. Recent studies have demonstrated that aberrantly glycosylated cell surface proteins on tumor cells are amenable CAR targets. Tumor-associated glycoprotein 72 (TAG72) antigen is the sialyl-Tn found on multiple O-glycoproteins expressed at high levels on the surface of several cancer types, including ovarian cancer. Here, we developed a humanized TAG72-specific CAR containing a 4-1BB intracellular co-stimulatory signaling domain (TAG72-BBζ). TAG72-BBζ CAR T cells showed potent antigen-dependent cytotoxicity and cytokine production against multiple TAG72+ ovarian cancer cell lines and patient-derived ovarian cancer ascites. Using in vivo xenograft models of peritoneal ovarian tumors, regional intraperitoneal delivery of TAG72-BBζ CAR T cells significantly reduced tumor growth, extended overall survival of mice, and was further improved with repeat infusions of CAR T cells. However, reduced TAG72 expression was observed in early recurring tumors, which coincided with a lack of T cell persistence. Taken together, we demonstrate efficacy with TAG72-CAR T cells in ovarian cancer, warranting further investigations as a CAR T cell therapeutic strategy for this disease.
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spelling doaj.art-03ff7a9430ab4c70be8c4bbe6027d5ef2022-12-21T19:14:12ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-11-01910.3389/fimmu.2018.02268411924Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T CellsJohn P. Murad0John P. Murad1Anna K. Kozlowska2Anna K. Kozlowska3Hee Jun Lee4Maya Ramamurthy5Wen-Chung Chang6Paul Yazaki7David Colcher8John Shively9Mihaela Cristea10Stephen J. Forman11Stephen J. Forman12Saul J. Priceman13Saul J. Priceman14Department of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesIrell and Manella Graduate School of Biological Sciences, City of Hope, Duarte, CA, United StatesDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesChair of Medical Biotechnology, Poznan University Medical Sciences, Poznań, PolandDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesDepartment of Molecular Imaging & Therapy, Diabetes Metabolism Research Institute of City of Hope, Duarte, CA, United StatesDepartment of Molecular Imaging & Therapy, Diabetes Metabolism Research Institute of City of Hope, Duarte, CA, United StatesDepartment of Molecular Imaging & Therapy, Diabetes Metabolism Research Institute of City of Hope, Duarte, CA, United StatesDepartment of Medical Oncology & Therapeutics Research, City of Hope, Duarte, CA, United StatesDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesDepartment of Immuno-Oncology, Beckman Research Institute of City of Hope, Duarte, CA, United StatesDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA, United StatesDepartment of Immuno-Oncology, Beckman Research Institute of City of Hope, Duarte, CA, United StatesImpressive clinical efficacy of chimeric antigen receptor (CAR)-engineered T cell therapy for hematological malignancies have prompted significant efforts in achieving similar responses in solid tumors. The lack of truly restricted and uniform expression of tumor-associated antigens, as well as limited T cell persistence and/or tumor trafficking pose major challenges for successful translation of CAR T cell therapy in solid tumors. Recent studies have demonstrated that aberrantly glycosylated cell surface proteins on tumor cells are amenable CAR targets. Tumor-associated glycoprotein 72 (TAG72) antigen is the sialyl-Tn found on multiple O-glycoproteins expressed at high levels on the surface of several cancer types, including ovarian cancer. Here, we developed a humanized TAG72-specific CAR containing a 4-1BB intracellular co-stimulatory signaling domain (TAG72-BBζ). TAG72-BBζ CAR T cells showed potent antigen-dependent cytotoxicity and cytokine production against multiple TAG72+ ovarian cancer cell lines and patient-derived ovarian cancer ascites. Using in vivo xenograft models of peritoneal ovarian tumors, regional intraperitoneal delivery of TAG72-BBζ CAR T cells significantly reduced tumor growth, extended overall survival of mice, and was further improved with repeat infusions of CAR T cells. However, reduced TAG72 expression was observed in early recurring tumors, which coincided with a lack of T cell persistence. Taken together, we demonstrate efficacy with TAG72-CAR T cells in ovarian cancer, warranting further investigations as a CAR T cell therapeutic strategy for this disease.https://www.frontiersin.org/article/10.3389/fimmu.2018.02268/fullchimeric antigen receptorovarian cancerregional intraperitoneal deliveryTAG72tumor-associated glycoproteinsadoptive cellular immunotherapy
spellingShingle John P. Murad
John P. Murad
Anna K. Kozlowska
Anna K. Kozlowska
Hee Jun Lee
Maya Ramamurthy
Wen-Chung Chang
Paul Yazaki
David Colcher
John Shively
Mihaela Cristea
Stephen J. Forman
Stephen J. Forman
Saul J. Priceman
Saul J. Priceman
Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
Frontiers in Immunology
chimeric antigen receptor
ovarian cancer
regional intraperitoneal delivery
TAG72
tumor-associated glycoproteins
adoptive cellular immunotherapy
title Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
title_full Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
title_fullStr Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
title_full_unstemmed Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
title_short Effective Targeting of TAG72+ Peritoneal Ovarian Tumors via Regional Delivery of CAR-Engineered T Cells
title_sort effective targeting of tag72 peritoneal ovarian tumors via regional delivery of car engineered t cells
topic chimeric antigen receptor
ovarian cancer
regional intraperitoneal delivery
TAG72
tumor-associated glycoproteins
adoptive cellular immunotherapy
url https://www.frontiersin.org/article/10.3389/fimmu.2018.02268/full
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