ICOS-based chimeric antigen receptors program bipolar TH17/TH1 cells

S Guedan, X Chen, A Madar… - Blood, The Journal …, 2014 - ashpublications.org
S Guedan, X Chen, A Madar, C Carpenito, SE McGettigan, MJ Frigault, J Lee, AD Posey Jr
Blood, The Journal of the American Society of Hematology, 2014ashpublications.org
With the notable exception of B-cell malignancies, the efficacy of chimeric antigen receptor
(CAR) T cells has been limited, and CAR T cells have not been shown to expand and persist
in patients with nonlymphoid tumors. Here we demonstrate that redirection of primary human
T cells with a CAR containing the inducible costimulator (ICOS) intracellular domain
generates tumor-specific IL-17-producing effector cells that show enhanced persistence.
Compared with CARs containing the CD3ζ chain alone, or in tandem with the CD28 or the 4 …
Abstract
With the notable exception of B-cell malignancies, the efficacy of chimeric antigen receptor (CAR) T cells has been limited, and CAR T cells have not been shown to expand and persist in patients with nonlymphoid tumors. Here we demonstrate that redirection of primary human T cells with a CAR containing the inducible costimulator (ICOS) intracellular domain generates tumor-specific IL-17-producing effector cells that show enhanced persistence. Compared with CARs containing the CD3ζ chain alone, or in tandem with the CD28 or the 4-1BB intracellular domains, ICOS signaling increased IL-17A, IL-17F, and IL-22 following antigen recognition. In addition, T cells redirected with an ICOS-based CAR maintained a core molecular signature characteristic of TH17 cells and expressed higher levels of RORC, CD161, IL1R-1, and NCS1. Of note, ICOS signaling also induced the expression of IFN-γ and T-bet, consistent with a TH17/TH1 bipolarization. When transferred into mice with established tumors, TH17 cells that were redirected with ICOS-based CARs mediated efficient antitumor responses and showed enhanced persistence compared with CD28- or 4-1BB-based CAR T cells. Thus, redirection of TH17 cells with a CAR encoding the ICOS intracellular domain is a promising approach to augment the function and persistence of CAR T cells in hematologic malignancies.
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