T cells expressing CD19-specific engager molecules for the immunotherapy of CD19-positive malignancies

MP Velasquez, D Torres, K Iwahori, S Kakarla… - Scientific reports, 2016 - nature.com
MP Velasquez, D Torres, K Iwahori, S Kakarla, C Arber, T Rodriguez-Cruz, A Szoor
Scientific reports, 2016nature.com
T cells expressing chimeric antigen receptors (CARs) or the infusion of bispecific T-cell
engagers (BITEs) have shown antitumor activity in humans for CD19-positive malignancies.
While BITEs redirect the large reservoir of resident T cells to tumors, CAR T cells rely on
significant in vivo expansion to exert antitumor activity. We have shown that it is feasible to
modify T cells to secrete solid tumor antigen-specific BITEs, enabling T cells to redirect
resident T cells to tumor cells. To adapt this approach to CD19-positive malignancies we …
Abstract
T cells expressing chimeric antigen receptors (CARs) or the infusion of bispecific T-cell engagers (BITEs) have shown antitumor activity in humans for CD19-positive malignancies. While BITEs redirect the large reservoir of resident T cells to tumors, CAR T cells rely on significant in vivo expansion to exert antitumor activity. We have shown that it is feasible to modify T cells to secrete solid tumor antigen-specific BITEs, enabling T cells to redirect resident T cells to tumor cells. To adapt this approach to CD19-positive malignancies we now generated T cells expressing secretable, CD19-specific BITEs (CD19-ENG T cells). CD19-ENG T cells recognized tumor cells in an antigen-dependent manner as judged by cytokine production and tumor killing and redirected bystander T cells to tumor cells. Infusion of CD19-ENG T cells resulted in regression of leukemia or lymphoma in xenograft models and a survival advantage in comparison to control mice. Genetically modified T cells expressing engager molecules may present a promising addition to current CD19-targeted immunotherapies.
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