Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model

Recent advances in novel immune strategies, particularly chimeric antigen receptor (CAR)-bearing T-cells, have shown limited efficacy against glioblastoma (GBM) in clinical trials. We currently have an incomplete understanding of how these emerging therapies integrate with the current standard of ca...

Full description

Bibliographic Details
Main Authors: Surya Murty, Samuel T. Haile, Corinne Beinat, Amin Aalipour, Israt S. Alam, Tara Murty, Travis M. Shaffer, Chirag B. Patel, Edward E. Graves, Crystal L. Mackall, Sanjiv S. Gambhir
Format: Article
Language:English
Published: Taylor & Francis Group 2020-01-01
Series:OncoImmunology
Subjects:
Online Access:http://dx.doi.org/10.1080/2162402X.2020.1757360
_version_ 1819133895368507392
author Surya Murty
Samuel T. Haile
Corinne Beinat
Amin Aalipour
Israt S. Alam
Tara Murty
Travis M. Shaffer
Chirag B. Patel
Edward E. Graves
Crystal L. Mackall
Sanjiv S. Gambhir
author_facet Surya Murty
Samuel T. Haile
Corinne Beinat
Amin Aalipour
Israt S. Alam
Tara Murty
Travis M. Shaffer
Chirag B. Patel
Edward E. Graves
Crystal L. Mackall
Sanjiv S. Gambhir
author_sort Surya Murty
collection DOAJ
description Recent advances in novel immune strategies, particularly chimeric antigen receptor (CAR)-bearing T-cells, have shown limited efficacy against glioblastoma (GBM) in clinical trials. We currently have an incomplete understanding of how these emerging therapies integrate with the current standard of care, specifically radiation therapy (RT). Additionally, there is an insufficient number of preclinical studies monitoring these therapies with high spatiotemporal resolution. To address these limitations, we report the first longitudinal fluorescence-based intravital microscopy imaging of CAR T-cells within an orthotopic GBM preclinical model to illustrate the necessity of RT for complete therapeutic response. Additionally, we detail the first usage of murine-derived CAR T-cells targeting the disialoganglioside GD2 in an immunocompetent tumor model. Cell culture assays demonstrated substantial GD2 CAR T-cell-mediated killing of murine GBM cell lines SB28 and GL26 induced to overexpress GD2. Complete antitumor response in advanced syngeneic orthotopic models of GBM was achieved only when a single intravenous dose of GD2 CAR T-cells was following either sub-lethal whole-body irradiation or focal RT. Intravital microscopy imaging successfully visualized CAR T-cell homing and T-cell mediated apoptosis of tumor cells in real-time within the tumor stroma. Findings indicate that RT allows for rapid CAR T-cell extravasation from the vasculature and expansion within the tumor microenvironment, leading to a more robust and lasting immunologic response. These exciting results highlight potential opportunities to improve intravenous adoptive T-cell administration in the treatment of GBM through concurrent RT. Additionally, they emphasize the need for advancements in immunotherapeutic homing to and extravasation through the tumor microenvironment.
first_indexed 2024-12-22T09:54:34Z
format Article
id doaj.art-a7e4daafe1b94a41b5da9f3711edf6f3
institution Directory Open Access Journal
issn 2162-402X
language English
last_indexed 2024-12-22T09:54:34Z
publishDate 2020-01-01
publisher Taylor & Francis Group
record_format Article
series OncoImmunology
spelling doaj.art-a7e4daafe1b94a41b5da9f3711edf6f32022-12-21T18:30:18ZengTaylor & Francis GroupOncoImmunology2162-402X2020-01-019110.1080/2162402X.2020.17573601757360Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma modelSurya Murty0Samuel T. Haile1Corinne Beinat2Amin Aalipour3Israt S. Alam4Tara Murty5Travis M. Shaffer6Chirag B. Patel7Edward E. Graves8Crystal L. Mackall9Sanjiv S. Gambhir10Stanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineStanford University School of MedicineRecent advances in novel immune strategies, particularly chimeric antigen receptor (CAR)-bearing T-cells, have shown limited efficacy against glioblastoma (GBM) in clinical trials. We currently have an incomplete understanding of how these emerging therapies integrate with the current standard of care, specifically radiation therapy (RT). Additionally, there is an insufficient number of preclinical studies monitoring these therapies with high spatiotemporal resolution. To address these limitations, we report the first longitudinal fluorescence-based intravital microscopy imaging of CAR T-cells within an orthotopic GBM preclinical model to illustrate the necessity of RT for complete therapeutic response. Additionally, we detail the first usage of murine-derived CAR T-cells targeting the disialoganglioside GD2 in an immunocompetent tumor model. Cell culture assays demonstrated substantial GD2 CAR T-cell-mediated killing of murine GBM cell lines SB28 and GL26 induced to overexpress GD2. Complete antitumor response in advanced syngeneic orthotopic models of GBM was achieved only when a single intravenous dose of GD2 CAR T-cells was following either sub-lethal whole-body irradiation or focal RT. Intravital microscopy imaging successfully visualized CAR T-cell homing and T-cell mediated apoptosis of tumor cells in real-time within the tumor stroma. Findings indicate that RT allows for rapid CAR T-cell extravasation from the vasculature and expansion within the tumor microenvironment, leading to a more robust and lasting immunologic response. These exciting results highlight potential opportunities to improve intravenous adoptive T-cell administration in the treatment of GBM through concurrent RT. Additionally, they emphasize the need for advancements in immunotherapeutic homing to and extravasation through the tumor microenvironment.http://dx.doi.org/10.1080/2162402X.2020.1757360chimeric antigen receptor (car)glioblastomaintravital microscopyimagingimmunotherapy
spellingShingle Surya Murty
Samuel T. Haile
Corinne Beinat
Amin Aalipour
Israt S. Alam
Tara Murty
Travis M. Shaffer
Chirag B. Patel
Edward E. Graves
Crystal L. Mackall
Sanjiv S. Gambhir
Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
OncoImmunology
chimeric antigen receptor (car)
glioblastoma
intravital microscopy
imaging
immunotherapy
title Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
title_full Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
title_fullStr Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
title_full_unstemmed Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
title_short Intravital imaging reveals synergistic effect of CAR T-cells and radiation therapy in a preclinical immunocompetent glioblastoma model
title_sort intravital imaging reveals synergistic effect of car t cells and radiation therapy in a preclinical immunocompetent glioblastoma model
topic chimeric antigen receptor (car)
glioblastoma
intravital microscopy
imaging
immunotherapy
url http://dx.doi.org/10.1080/2162402X.2020.1757360
work_keys_str_mv AT suryamurty intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT samuelthaile intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT corinnebeinat intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT aminaalipour intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT isratsalam intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT taramurty intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT travismshaffer intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT chiragbpatel intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT edwardegraves intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT crystallmackall intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel
AT sanjivsgambhir intravitalimagingrevealssynergisticeffectofcartcellsandradiationtherapyinapreclinicalimmunocompetentglioblastomamodel