[PDF][PDF] Tonic 4-1BB costimulation in chimeric antigen receptors impedes T cell survival and is vector-dependent

D Gomes-Silva, M Mukherjee, M Srinivasan… - Cell reports, 2017 - cell.com
D Gomes-Silva, M Mukherjee, M Srinivasan, G Krenciute, O Dakhova, Y Zheng, JMS Cabral
Cell reports, 2017cell.com
Antigen-independent tonic signaling by chimeric antigen receptors (CARs) can increase
differentiation and exhaustion of T cells, limiting their potency. Incorporating 4-1BB
costimulation in CARs may enable T cells to resist this functional exhaustion; however, the
potential ramifications of tonic 4-1BB signaling in CAR T cells remain unclear. Here, we
found that tonic CAR-derived 4-1BB signaling can produce toxicity in T cells via continuous
TRAF2-dependent activation of the nuclear factor κB (NF-κB) pathway and augmented FAS …
Summary
Antigen-independent tonic signaling by chimeric antigen receptors (CARs) can increase differentiation and exhaustion of T cells, limiting their potency. Incorporating 4-1BB costimulation in CARs may enable T cells to resist this functional exhaustion; however, the potential ramifications of tonic 4-1BB signaling in CAR T cells remain unclear. Here, we found that tonic CAR-derived 4-1BB signaling can produce toxicity in T cells via continuous TRAF2-dependent activation of the nuclear factor κB (NF-κB) pathway and augmented FAS-dependent cell death. This mechanism was amplified in a non-self-inactivating gammaretroviral vector through positive feedback on the long terminal repeat (LTR) promoter, further enhancing CAR expression and tonic signaling. Attenuating CAR expression by substitution with a self-inactivating lentiviral vector minimized tonic signaling and improved T cell expansion and anti-tumor function. These studies illuminate the interaction between tonic CAR signaling and the chosen expression platform and identify inhibitory properties of the 4-1BB costimulatory domain that have direct implications for rational CAR design.
cell.com