1. Simplified process for the production of anti–CD19-CAR–engineered T cells
- Author
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Tasha Lin, Marianna Sabatino, Daniel W. Lee, Barbara Tumaini, Luciano Castiello, Crystal L. Mackall, David F. Stroncek, and Alan S. Wayne
- Subjects
Cytotoxicity, Immunologic ,Cancer Research ,CD3 Complex ,T-Lymphocytes ,CD3 ,Antigens, CD19 ,Immunology ,Genetic transduction ,Lymphocyte Activation ,Immunotherapy, Adoptive ,Peripheral blood mononuclear cell ,Article ,CD19 ,Viral vector ,Transduction (genetics) ,CD28 Antigens ,Transduction, Genetic ,hemic and lymphatic diseases ,medicine ,Humans ,Immunology and Allergy ,Cell Engineering ,Cells, Cultured ,Genetics (clinical) ,Transplantation ,biology ,hemic and immune systems ,Cell Biology ,medicine.disease ,Leukemia, Lymphocytic, Chronic, B-Cell ,Molecular biology ,Chimeric antigen receptor ,Receptors, Antigen ,Leukemia ,Oncology ,Leukocytes, Mononuclear ,biology.protein - Abstract
Background aims Adoptive immunotherapy with the use of chimeric antigen receptor (CAR)-engineered T cells specific for CD19 has shown promising results for the treatment of B-cell lymphomas and leukemia. This therapy involves the transduction of autologous T cells with a viral vector and the subsequent cell expansion. We describe a new, simplified method to produce anti-CD19-CAR T cells. Methods T cells were isolated from peripheral blood mononuclear cell (PBMC) with anti-CD3/anti-CD28 paramagnetic beads. After 2 days, the T cells were added to culture bags pre-treated with RetroNectin and loaded with the retroviral anti-CD19 CAR vector. The cells, beads and vector were incubated for 24 h, and a second transduction was then performed. No spinoculation was used. Cells were then expanded for an additional 9 days. Results The method was validated through the use of two PBMC products from a patient with B-cell chronic lymphoblastic leukemia and one PBMC product from a healthy subject. The two PBMC products from the patient with B-cell chronic lymphoblastic leukemia contained 11.4% and 12.9% T cells. The manufacturing process led to final products highly enriched in T cells with a mean CD3+ cell content of 98%, a mean expansion of 10.6-fold and a mean transduction efficiency of 68%. Similar results were obtained from the PBMCs of the first four patients with acute lymphoblastic leukemia treated at our institution. Conclusions We developed a simplified, semi-closed system for the initial selection, activation, transduction and expansion of T cells with the use of anti-CD3/anti-CD28 beads and bags to produce autologous anti-CD19 CAR–transduced T cells to support an ongoing clinical trial.
- Published
- 2013