T cell receptor-engineered T cells to treat solid tumors: T cell processing toward optimal T cell fitness

Hum Gene Ther Methods. 2014 Dec;25(6):345-57. doi: 10.1089/hgtb.2014.051.

Abstract

Therapy with autologous T cells that have been gene-engineered to express chimeric antigen receptors (CAR) or T cell receptors (TCR) provides a feasible and broadly applicable treatment for cancer patients. In a clinical study in advanced renal cell carcinoma (RCC) patients with CAR T cells specific for carbonic anhydrase IX (CAIX), we observed toxicities that (most likely) indicated in vivo function of CAR T cells as well as low T cell persistence and clinical response rates. The latter observations were confirmed by later clinical trials in other solid tumor types and other gene-modified T cells. To improve the efficacy of T cell therapy, we have redefined in vitro conditions to generate T cells with young phenotype, a key correlate with clinical outcome. For their impact on gene-modified T cell phenotype and function, we have tested various anti-CD3/CD28 mAb-based T cell activation and expansion conditions as well as several cytokines prior to and/or after gene transfer using two different receptors: CAIX CAR and MAGE-C2(ALK)/HLA-A2 TCR. In a total set of 16 healthy donors, we observed that T cell activation with soluble anti-CD3/CD28 mAbs in the presence of both IL15 and IL21 prior to TCR gene transfer resulted in enhanced proportions of gene-modified T cells with a preferred in vitro phenotype and better function. T cells generated according to these processing methods demonstrated enhanced binding of pMHC, and an enhanced proportion of CD8+, CD27+, CD62L+, CD45RA+T cells. These new conditions will be translated into a GMP protocol in preparation of a clinical adoptive therapy trial to treat patients with MAGE-C2-positive tumors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal / immunology
  • Antigens, Neoplasm / immunology
  • CD28 Antigens / immunology
  • CD3 Complex / immunology
  • Carbonic Anhydrase IX
  • Carbonic Anhydrases / immunology
  • Cellular Senescence
  • Genetic Vectors / genetics
  • HLA-A2 Antigen / immunology
  • Humans
  • Immunophenotyping
  • Immunotherapy, Adoptive
  • Interferon-gamma Release Tests
  • Interleukins / pharmacology
  • Lymphocyte Activation
  • Neoplasm Proteins / immunology
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / immunology*
  • Recombinant Fusion Proteins / immunology
  • T-Cell Antigen Receptor Specificity
  • T-Lymphocytes / cytology*
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / transplantation
  • Transduction, Genetic

Substances

  • Antibodies, Monoclonal
  • Antigens, Neoplasm
  • CD28 Antigens
  • CD3 Complex
  • HLA-A2 Antigen
  • Interleukins
  • MAGEC2 protein, human
  • Neoplasm Proteins
  • Receptors, Antigen, T-Cell
  • Recombinant Fusion Proteins
  • CA9 protein, human
  • Carbonic Anhydrase IX
  • Carbonic Anhydrases