Armored inducible expression of il-12 enhances antitumor activity of glypican-3–targeted chimeric antigen receptor–engineered T cells in hepatocellular carcinoma

Y Liu, S Di, B Shi, H Zhang, Y Wang, X Wu… - The journal of …, 2019 - journals.aai.org
Y Liu, S Di, B Shi, H Zhang, Y Wang, X Wu, H Luo, H Wang, Z Li, H Jiang
The journal of immunology, 2019journals.aai.org
Adoptive immunotherapy based on chimeric antigen receptor–modified T (CAR-T) cells has
been demonstrated as one of the most promising therapeutic strategies in the treatment of
malignancies. However, CAR-T cell therapy has shown limited efficacy for the treatment of
solid tumors. This is, in part, because of tumor heterogeneity and a hostile tumor
microenvironment, which could suppress adoptively transferred T cell activity. In this study,
we, respectively, engineered human-or murine-derived–armored glypican-3 (GPC3) …
Abstract
Adoptive immunotherapy based on chimeric antigen receptor–modified T (CAR-T) cells has been demonstrated as one of the most promising therapeutic strategies in the treatment of malignancies. However, CAR-T cell therapy has shown limited efficacy for the treatment of solid tumors. This is, in part, because of tumor heterogeneity and a hostile tumor microenvironment, which could suppress adoptively transferred T cell activity. In this study, we, respectively, engineered human-or murine-derived–armored glypican-3 (GPC3)–specific CAR-T cells capable of inducibly expressing IL-12 (GPC3-28Z-NFAT-IL-12) T cells. The results showed that GPC3-28Z-NFAT-IL-12 T cells could lyse GPC3+ tumor cells specifically and increase cytokine secretion compared with GPC3-28Z T cells in vitro. In vivo, GPC3-28Z-NFAT-IL-12 T cells augmented the antitumor effect when encountering GPC3+ large tumor burdens, which could be attributed to IL-12 increasing IFN-γ production, favoring T cells infiltration and persistence. Furthermore, in immunocompetent hosts, low doses of GPC3-m28Z-mNFAT-mIL-12 T cells exerted superior antitumor efficacy without prior conditioning in comparison with GPC3-m28Z T cells. Also, mIL-12 secretion decreased regulatory T cell infiltration in established tumors. In conclusion, these findings demonstrated that the inducible expression of IL-12 could boost CAR-T function with less potential side effects, both in immunodeficient and immunocompetent hosts. The inducibly expressed IL-12–armored GPC3–CAR-T cells could broaden the application of CAR-T–based immunotherapy to patients intolerant of lymphodepletion chemotherapy and might provide an alternative therapeutic strategy for patients with GPC3+ cancers.
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