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TGF-β inhibition via CRISPR promotes the long-term efficacy of CAR T cells against solid tumors
Na Tang, Chen Cheng, Xingying Zhang, Miaomiao Qiao, Na Li, Wei Mu, Xiao-Fei Wei, Weidong Han, Haoyi Wang
Na Tang, Chen Cheng, Xingying Zhang, Miaomiao Qiao, Na Li, Wei Mu, Xiao-Fei Wei, Weidong Han, Haoyi Wang
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Research Article Oncology Therapeutics

TGF-β inhibition via CRISPR promotes the long-term efficacy of CAR T cells against solid tumors

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Abstract

In recent years, chimeric antigen receptor–modified T cell (CAR T cell) therapy has proven to be a promising approach against cancer. Nonetheless, this approach still faces multiple challenges in eliminating solid tumors, one of which being the immunosuppressive tumor microenvironment (TME). Here, we demonstrated that knocking out the endogenous TGF-β receptor II (TGFBR2) in CAR T cells with CRISPR/Cas9 technology could reduce the induced Treg conversion and prevent the exhaustion of CAR T ce lls. Meanwhile, TGFBR2-edited CAR T cells had better in vivo tumor elimination efficacy, both in cell line–derived xenograft and patient-derived xenograft solid tumor models, whether administered locally or systemically. In addition, the TGFBR2-edited CAR T cells could eliminate contralaterally reinoculated xenografts in mice effectively, with an increased proportion of memory subsets within circulating CAR T cells of central memory and effector memory subsets. In conclusion, we greatly improved the in vitro and in vivo function of CAR T cells in TGF-β–rich tumor environments by knocking out endogenous TGFBR2 and propose a potentially new method to improve the efficacy of CAR T cell therapy for treating solid tumors.

Authors

Na Tang, Chen Cheng, Xingying Zhang, Miaomiao Qiao, Na Li, Wei Mu, Xiao-Fei Wei, Weidong Han, Haoyi Wang

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Figure 3

TGF-β1 induced FOXP3-dependent iTreg-like cell conversion of CAR T cells.

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TGF-β1 induced FOXP3-dependent iTreg-like cell conversion of CAR T cells...
(A) FOXP3 expression in control and M28z-TKO CAR T cells after incubation with OVCAR3 cells in the presence or absence of 5 ng/mL TGF-β1. (B) Proliferation suppression ability of iTreg-like cells converted from control, M28z-TKO, and M28z-FKO CAR T cells after incubation with OVCAR3 cells in the presence of 5 ng/mL TGF-β1. (C) FOXP3 KO partially rescues the negative effects of TGF-β1 on CAR T cell–mediated tumor lysis. M28z-TKO, TGFBR2-KO M28z; M28z-FKO, FOXP-KO M28z. Mean ± SD of 3 technical repetitions in 1 assay. Two-way ANOVA and Tukey’s multiple comparisons test were used. The assays in A and C were repeated more than 3 times and those in B were repeated 2 times.

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