In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells

HIV-specific chimeric antigen receptor–T cell (CAR T cell) therapies are candidates to functionally cure HIV infection in people with HIV (PWH) by eliminating reactivated HIV-infected cells derived from latently infected cells within the HIV reservoir. Paramount to translating such therapeutic candi...

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Main Authors: Kim Anthony-Gonda, Alex Ray, Hang Su, Yuge Wang, Ying Xiong, Danica Lee, Ariele Block, Vanessa Chilunda, Jessica Weiselberg, Lily Zemelko, Yen Y. Wang, Sarah Kleinsorge-Block, Jane S. Reese, Marcos de Lima, Christina Ochsenbauer, John C. Kappes, Dimiter S. Dimitrov, Rimas Orentas, Steven G. Deeks, Rachel L. Rutishauser, Joan W. Berman, Harris Goldstein, Boro Dropulić
Format: Article
Language:English
Published: American Society for Clinical investigation 2022-11-01
Series:JCI Insight
Subjects:
Online Access:https://doi.org/10.1172/jci.insight.161698
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author Kim Anthony-Gonda
Alex Ray
Hang Su
Yuge Wang
Ying Xiong
Danica Lee
Ariele Block
Vanessa Chilunda
Jessica Weiselberg
Lily Zemelko
Yen Y. Wang
Sarah Kleinsorge-Block
Jane S. Reese
Marcos de Lima
Christina Ochsenbauer
John C. Kappes
Dimiter S. Dimitrov
Rimas Orentas
Steven G. Deeks
Rachel L. Rutishauser
Joan W. Berman
Harris Goldstein
Boro Dropulić
author_facet Kim Anthony-Gonda
Alex Ray
Hang Su
Yuge Wang
Ying Xiong
Danica Lee
Ariele Block
Vanessa Chilunda
Jessica Weiselberg
Lily Zemelko
Yen Y. Wang
Sarah Kleinsorge-Block
Jane S. Reese
Marcos de Lima
Christina Ochsenbauer
John C. Kappes
Dimiter S. Dimitrov
Rimas Orentas
Steven G. Deeks
Rachel L. Rutishauser
Joan W. Berman
Harris Goldstein
Boro Dropulić
author_sort Kim Anthony-Gonda
collection DOAJ
description HIV-specific chimeric antigen receptor–T cell (CAR T cell) therapies are candidates to functionally cure HIV infection in people with HIV (PWH) by eliminating reactivated HIV-infected cells derived from latently infected cells within the HIV reservoir. Paramount to translating such therapeutic candidates successfully into the clinic will require anti-HIV CAR T cells to localize to lymphoid tissues in the body and eliminate reactivated HIV-infected cells such as CD4+ T cells and monocytes/macrophages. Here we show that i.v. injected anti-HIV duoCAR T cells, generated using a clinical-grade anti-HIV duoCAR lentiviral vector, localized to the site of active HIV infection in the spleen of humanized mice and eliminated HIV-infected PBMCs. CyTOF analysis of preinfusion duoCAR T cells revealed an early memory phenotype composed predominantly of CCR7+ stem cell–like/central memory T cells (TSCM/TCM) with expression of some effector-like molecules. In addition, we show that anti-HIV duoCAR T cells effectively sense and kill HIV-infected CD4+ T cells and monocytes/macrophages. Furthermore, we demonstrate efficient genetic modification of T cells from PWH on suppressive ART into anti-HIV duoCAR T cells that subsequently kill autologous PBMCs superinfected with HIV. These studies support the safety and efficacy of anti-HIV duoCAR T cell therapy in our presently open phase I/IIa clinical trial (NCT04648046).
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spelling doaj.art-07c21215b58f4bf69b7d186bb38fd62e2023-11-07T16:24:47ZengAmerican Society for Clinical investigationJCI Insight2379-37082022-11-01721In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cellsKim Anthony-GondaAlex RayHang SuYuge WangYing XiongDanica LeeAriele BlockVanessa ChilundaJessica WeiselbergLily ZemelkoYen Y. WangSarah Kleinsorge-BlockJane S. ReeseMarcos de LimaChristina OchsenbauerJohn C. KappesDimiter S. DimitrovRimas OrentasSteven G. DeeksRachel L. RutishauserJoan W. BermanHarris GoldsteinBoro DropulićHIV-specific chimeric antigen receptor–T cell (CAR T cell) therapies are candidates to functionally cure HIV infection in people with HIV (PWH) by eliminating reactivated HIV-infected cells derived from latently infected cells within the HIV reservoir. Paramount to translating such therapeutic candidates successfully into the clinic will require anti-HIV CAR T cells to localize to lymphoid tissues in the body and eliminate reactivated HIV-infected cells such as CD4+ T cells and monocytes/macrophages. Here we show that i.v. injected anti-HIV duoCAR T cells, generated using a clinical-grade anti-HIV duoCAR lentiviral vector, localized to the site of active HIV infection in the spleen of humanized mice and eliminated HIV-infected PBMCs. CyTOF analysis of preinfusion duoCAR T cells revealed an early memory phenotype composed predominantly of CCR7+ stem cell–like/central memory T cells (TSCM/TCM) with expression of some effector-like molecules. In addition, we show that anti-HIV duoCAR T cells effectively sense and kill HIV-infected CD4+ T cells and monocytes/macrophages. Furthermore, we demonstrate efficient genetic modification of T cells from PWH on suppressive ART into anti-HIV duoCAR T cells that subsequently kill autologous PBMCs superinfected with HIV. These studies support the safety and efficacy of anti-HIV duoCAR T cell therapy in our presently open phase I/IIa clinical trial (NCT04648046).https://doi.org/10.1172/jci.insight.161698AIDS/HIVTherapeutics
spellingShingle Kim Anthony-Gonda
Alex Ray
Hang Su
Yuge Wang
Ying Xiong
Danica Lee
Ariele Block
Vanessa Chilunda
Jessica Weiselberg
Lily Zemelko
Yen Y. Wang
Sarah Kleinsorge-Block
Jane S. Reese
Marcos de Lima
Christina Ochsenbauer
John C. Kappes
Dimiter S. Dimitrov
Rimas Orentas
Steven G. Deeks
Rachel L. Rutishauser
Joan W. Berman
Harris Goldstein
Boro Dropulić
In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
JCI Insight
AIDS/HIV
Therapeutics
title In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
title_full In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
title_fullStr In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
title_full_unstemmed In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
title_short In vivo killing of primary HIV-infected cells by peripheral-injected early memory–enriched anti-HIV duoCAR T cells
title_sort in vivo killing of primary hiv infected cells by peripheral injected early memory enriched anti hiv duocar t cells
topic AIDS/HIV
Therapeutics
url https://doi.org/10.1172/jci.insight.161698
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