Targeting of acute myeloid leukaemia by cytokine‐induced killer cells redirected with a novel CD 123‐specific chimeric antigen receptor

S Tettamanti, V Marin, I Pizzitola… - British journal of …, 2013 - Wiley Online Library
S Tettamanti, V Marin, I Pizzitola, CF Magnani, GMP Giordano Attianese, E Cribioli…
British journal of haematology, 2013Wiley Online Library
Current therapeutic regimens for acute myeloid leukaemia (AML) are still associated with
high rates of relapse. Immunotherapy with T‐cells genetically modified to express chimeric
antigen receptors (CAR s) represents an innovative approach. Here we investigated the
targeting of the interleukin three receptor alpha (IL 3 RA; CD 123) molecule, which is
overexpressed on AML bulk population, CD 34+ leukaemia progenitors, and leukaemia
stem cells (LSC) compared to normal haematopoietic stem/progenitor cells (HSPC s), and …
Summary
Current therapeutic regimens for acute myeloid leukaemia (AML) are still associated with high rates of relapse. Immunotherapy with T‐cells genetically modified to express chimeric antigen receptors (CARs) represents an innovative approach. Here we investigated the targeting of the interleukin three receptor alpha (IL3RA; CD123) molecule, which is overexpressed on AML bulk population, CD34+ leukaemia progenitors, and leukaemia stem cells (LSC) compared to normal haematopoietic stem/progenitor cells (HSPCs), and whose overexpression is associated with poor prognosis. Cytokine‐induced killer (CIK) cells were transduced with SFG‐retroviral‐vector encoding an anti‐CD123 CAR. Transduced cells were able to strongly kill CD123+ cell lines, as well as primary AML blasts. Interestingly, secondary colony experiments demonstrated that anti‐CD123.CAR preserved in vitro HSPCs, in contrast to a previously generated anti‐CD33.CAR, while keeping an identical cytotoxicity profile towards AML. Furthermore, limited killing of normal monocytes and CD123‐low‐expressing endothelial cells was noted, thus indicating a low toxicity profile of the anti‐CD123.CAR. Taken together, our results indicate that CD123‐specific CARs strongly enhance anti‐AML CIK functions, while sparing HSPCs and normal low‐expressing antigen cells, paving the way to develop novel immunotherapy approaches for AML treatment.
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