1. Antitumor Effects of CAR T Cells Redirected to the EDB Splice Variant of Fibronectin
- Author
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Elizabeth Wickman, Alejandro Allo Anido, Giedre Krenciute, Timothy I. Shaw, Shaina N. Porter, Shondra M. Pruett-Miller, Stephen Gottschalk, Heather Tillman, Deanna Langfitt, Jessica Wagner, and Jinghui Zhang
- Subjects
0301 basic medicine ,Cancer Research ,RNA Splicing ,T-Lymphocytes ,medicine.medical_treatment ,Primary Cell Culture ,Immunology ,Cell ,Biology ,Immunotherapy, Adoptive ,Article ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Antigen ,Antigens, Neoplasm ,In vivo ,Cell Line, Tumor ,Neoplasms ,Human Umbilical Vein Endothelial Cells ,medicine ,Animals ,Humans ,Protein Isoforms ,Receptors, Chimeric Antigen ,Immunotherapy ,Xenograft Model Antitumor Assays ,Coculture Techniques ,Healthy Volunteers ,In vitro ,Chimeric antigen receptor ,Fibronectins ,Neoplasm Proteins ,030104 developmental biology ,medicine.anatomical_structure ,Cell culture ,030220 oncology & carcinogenesis ,Cancer cell ,Cancer research ,Feasibility Studies - Abstract
Chimeric antigen receptor (CAR) T-cell therapy has had limited success in early-phase clinical studies for solid tumors. Lack of efficacy is most likely multifactorial, including a limited array of targetable antigens. We reasoned that targeting the cancer-specific extra domain B (EDB) splice variant of fibronectin might overcome this limitation because it is abundantly secreted by cancer cells and adheres to their cell surface. In vitro, EDB-CAR T cells recognized and killed EDB-positive tumor cells. In vivo, 1 × 106 EDB-CAR T cells had potent antitumor activity in both subcutaneous and systemic tumor xenograft models, resulting in a significant survival advantage in comparison with control mice. EDB-CAR T cells also targeted the tumor vasculature, as judged by IHC and imaging, and their antivascular activity was dependent on the secretion of EDB by tumor cells. Thus, targeting tumor-specific splice variants such as EDB with CAR T cells is feasible and has the potential to improve the efficacy of CAR T-cell therapy.
- Published
- 2021