Switching CAR T cells on and off: a novel modular platform for retargeting of T cells to AML blasts

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • M. Cartellieri - , University Cancer Centre Dresden, University Hospital Carl Gustav Carus Dresden, Cellex GmbH (Author)
  • A. Feldmann - , University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • S. Koristka - , University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • C. Arndt - , University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)
  • S. Loff - , University Cancer Centre Dresden, University Hospital Carl Gustav Carus Dresden, GEMoaB Monoclonals GmbH (Author)
  • A. Ehninger - , GEMoaB Monoclonals GmbH (Author)
  • M. von Bonin - , Department of Internal Medicine I, University Hospital Carl Gustav Carus Dresden (Author)
  • E. P. Bejestani - , University Hospital Carl Gustav Carus Dresden (Author)
  • G. Ehninger - , University Hospital Carl Gustav Carus Dresden (Author)
  • M. P. Bachmann - , University Cancer Centre Dresden, University Hospital Carl Gustav Carus Dresden, Helmholtz-Zentrum Dresden-Rossendorf (Author)

Abstract

The adoptive transfer of CD19-specific chimeric antigen receptor engineered T cells (CAR T cells) resulted in encouraging clinical trials in indolent B-cell malignancies. However, they also show the limitations of this fascinating technology: CAR T cells can lead to even life-threatening off-tumor, on-target side effects if CAR T cells crossreact with healthy tissues. Here, we describe a novel modular universal CAR platform technology termed UniCAR that reduces the risk of on-target side effects by a rapid and reversible control of CAR T-cell reactivity. The UniCAR system consists of two components: (1) a CAR for an inert manipulation of T cells and (2) specific targeting modules (TMs) for redirecting UniCAR T cells in an individualized time-and target-dependent manner. UniCAR T cells can be armed against different tumor targets simply by replacement of the respective TM for (1) targeting more than one antigen simultaneously or subsequently to enhance efficacy and (2) reducing the risk for development of antigen-loss tumor variants under treatment. Here we provide ‘proof of concept’ for retargeting of UniCAR T cells to CD33-and/or CD123-positive acute myeloid leukemia blasts in vitro and in vivo.

Details

Original languageEnglish
Article numbere458
JournalBlood cancer journal
Volume6
Issue number8
Publication statusPublished - 2016
Peer-reviewedYes

External IDs

PubMed 27518241

Keywords

ASJC Scopus subject areas