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CAR T cells targeting BAFF-R can overcome CD19 antigen loss in B cell malignancies.

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机构: [1]Toni Stephenson Lymphoma Center, Department of Hematology and HematopoieticCell Transplantation, Beckman Research Institute of City of Hope, Duarte, CA 91010,USA [2]Center for CAR T Cell Therapy, Department of Hematology and HematopoieticCell Transplantation, Beckman Research Institute of City of Hope, Duarte, CA 91010,USA [3]Department of Medical Oncology Cancer Center, West China Hospital, SichuanUniversity, Sichuan 910041, China [4]The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450001, China [5]The Second Affiliated Hospital of Dalian MedicalUniversity, Dalian 116044, China [6]Department of Pharmacology and PharmaceuticalSciences, School of Pharmacy, University of Southern California, CA 90007, USA [7]Department of Systems Biology, Beckman Research Institute of City of Hope, Duarte,CA 91010, USA [8]Department of Pathology, City of Hope National Medical Center,Duarte, CA 91010, USA [9]Gehr Family Center for Leukemia Research, Department ofHematology and Hematopoietic Cell Transplantation, Beckman Research Instituteof City of Hope, Duarte, CA 91010, USA [10]Department of Pathology and LaboratoryMedicine, Weill Cornell Medical College, New York, NY 10065, USA
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CAR T cells targeting CD19 provide promising options for treatment of B cell malignancies. However, tumor relapse from antigen loss can limit efficacy. We developed humanized, second-generation CAR T cells against another B cell-specific marker, B cell activating factor receptor (BAFF-R), which demonstrated cytotoxicity against human lymphoma and acute lymphoblastic leukemia (ALL) lines. Adoptively transferred BAFF-R-CAR T cells eradicated 10-day preestablished tumor xenografts after a single treatment and retained efficacy against xenografts deficient in CD19 expression, including CD19-negative variants within a background of CD19-positive lymphoma cells. Four relapsed, primary ALLs with CD19 antigen loss obtained after CD19-directed therapy retained BAFF-R expression and activated BAFF-R-CAR, but not CD19-CAR, T cells. BAFF-R-CAR, but not CD19-CAR, T cells also demonstrated antitumor effects against an additional CD19 antigen loss primary patient-derived xenograft (PDX) in vivo. BAFF-R is amenable to CAR T cell therapy, and its targeting may prevent emergence of CD19 antigen loss variants. Copyright © 2019 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

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大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 医学:研究与实验
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 细胞生物学 1 区 医学:研究与实验
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第一作者机构: [1]Toni Stephenson Lymphoma Center, Department of Hematology and HematopoieticCell Transplantation, Beckman Research Institute of City of Hope, Duarte, CA 91010,USA
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