Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality

Successful translation of chimeric antigen receptor (CAR) T cell therapy for the treatment of solid tumors has proved to be troublesome, mainly due to the complex tumor microenvironment promoting T cell dysfunction and antigen heterogeneity. Mesothelin (MSLN) has emerged as an attractive target for...

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Main Authors: Esther Schoutrop, Stefanie Renken, Isabella Micallef Nilsson, Paula Hahn, Thomas Poiret, Rolf Kiessling, Stina L Wickström, Jonas Mattsson, Isabelle Magalhaes
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:OncoImmunology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/2162402X.2022.2093426
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author Esther Schoutrop
Stefanie Renken
Isabella Micallef Nilsson
Paula Hahn
Thomas Poiret
Rolf Kiessling
Stina L Wickström
Jonas Mattsson
Isabelle Magalhaes
author_facet Esther Schoutrop
Stefanie Renken
Isabella Micallef Nilsson
Paula Hahn
Thomas Poiret
Rolf Kiessling
Stina L Wickström
Jonas Mattsson
Isabelle Magalhaes
author_sort Esther Schoutrop
collection DOAJ
description Successful translation of chimeric antigen receptor (CAR) T cell therapy for the treatment of solid tumors has proved to be troublesome, mainly due to the complex tumor microenvironment promoting T cell dysfunction and antigen heterogeneity. Mesothelin (MSLN) has emerged as an attractive target for CAR T cell therapy of several solid malignancies, including ovarian cancer. To improve clinical response rates with MSLN-CAR T cells, a better understanding of the mechanisms impacting CAR T cell functionality in vitro is crucial. Here, we demonstrated superior cytolytic capacity of CD28-costimulated MSLN-CAR T cells (M28z) relative to 4–1BB-costimulated MSLN-CAR T cells (MBBz). Furthermore, CD28-costimulated MSLN CAR T cells displayed enhanced cytolytic capacity against tumor spheroids with heterogeneous MSLN expression compared to MBBz CAR T cells. In this study, we identified CAR-mediated trogocytosis as a potential impeding factor for successful MSLN-CAR T cell therapy due to fratricide killing and contributing to tumor antigen heterogeneity. Moreover, we link antigen-dependent upregulation of LAG-3 with reduced CAR T cell functionality. Taken together, our study highlights the therapeutic potential and bottlenecks of MSLN-CAR T cells, providing a rationale for combinatorial treatment strategies.
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spelling doaj.art-33f5ba011cf646ee88cac171d4e0b61d2022-12-22T00:19:59ZengTaylor & Francis GroupOncoImmunology2162-402X2022-12-0111110.1080/2162402X.2022.2093426Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionalityEsther Schoutrop0Stefanie Renken1Isabella Micallef Nilsson2Paula Hahn3Thomas Poiret4Rolf Kiessling5Stina L Wickström6Jonas Mattsson7Isabelle Magalhaes8Department of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, SwedenSuccessful translation of chimeric antigen receptor (CAR) T cell therapy for the treatment of solid tumors has proved to be troublesome, mainly due to the complex tumor microenvironment promoting T cell dysfunction and antigen heterogeneity. Mesothelin (MSLN) has emerged as an attractive target for CAR T cell therapy of several solid malignancies, including ovarian cancer. To improve clinical response rates with MSLN-CAR T cells, a better understanding of the mechanisms impacting CAR T cell functionality in vitro is crucial. Here, we demonstrated superior cytolytic capacity of CD28-costimulated MSLN-CAR T cells (M28z) relative to 4–1BB-costimulated MSLN-CAR T cells (MBBz). Furthermore, CD28-costimulated MSLN CAR T cells displayed enhanced cytolytic capacity against tumor spheroids with heterogeneous MSLN expression compared to MBBz CAR T cells. In this study, we identified CAR-mediated trogocytosis as a potential impeding factor for successful MSLN-CAR T cell therapy due to fratricide killing and contributing to tumor antigen heterogeneity. Moreover, we link antigen-dependent upregulation of LAG-3 with reduced CAR T cell functionality. Taken together, our study highlights the therapeutic potential and bottlenecks of MSLN-CAR T cells, providing a rationale for combinatorial treatment strategies.https://www.tandfonline.com/doi/10.1080/2162402X.2022.2093426CAR T cellsmesothelintrogocytosisovarian cancerimmune escapefratricide killing
spellingShingle Esther Schoutrop
Stefanie Renken
Isabella Micallef Nilsson
Paula Hahn
Thomas Poiret
Rolf Kiessling
Stina L Wickström
Jonas Mattsson
Isabelle Magalhaes
Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
OncoImmunology
CAR T cells
mesothelin
trogocytosis
ovarian cancer
immune escape
fratricide killing
title Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
title_full Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
title_fullStr Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
title_full_unstemmed Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
title_short Trogocytosis and fratricide killing impede MSLN-directed CAR T cell functionality
title_sort trogocytosis and fratricide killing impede msln directed car t cell functionality
topic CAR T cells
mesothelin
trogocytosis
ovarian cancer
immune escape
fratricide killing
url https://www.tandfonline.com/doi/10.1080/2162402X.2022.2093426
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