1. Modifications to the Framework Regions Eliminate Chimeric Antigen Receptor Tonic Signaling
- Author
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Venkat R. Chirasani, Barbara Savoldo, Miriam Droste, Jian Wang, Abdijapar Shamshiev, Lee Kyung Hong, Elena Dukhovlinova, Peishun Shou, Gianpietro Dotti, Serena Pellegatta, Francesco Padelli, Gaetano Finocchiaro, Soldano Ferrone, Nikolay V. Dokholyan, Zhiyuan Yao, Brian Kuhlman, Giovanni Fucà, Silvia Musio, and Elisa Landoni
- Subjects
Male ,0301 basic medicine ,Cancer Research ,medicine.drug_class ,T-Lymphocytes ,Immunology ,Receptors, Antigen, T-Cell ,chemical and pharmacologic phenomena ,Lymphocyte Activation ,Monoclonal antibody ,Article ,Proinflammatory cytokine ,Mice ,Tumor Necrosis Factor Receptor Superfamily, Member 9 ,03 medical and health sciences ,0302 clinical medicine ,CD28 Antigens ,Cell Line, Tumor ,medicine ,Animals ,Humans ,Tonic (music) ,Intrinsic instability ,Molecular instability ,chemistry.chemical_classification ,Receptors, Chimeric Antigen ,CD28 ,Xenograft Model Antitumor Assays ,Chimeric antigen receptor ,Amino acid ,Cell biology ,030104 developmental biology ,chemistry ,030220 oncology & carcinogenesis ,Cytokines ,Female ,human activities ,Signal Transduction ,Single-Chain Antibodies - Abstract
Chimeric antigen receptor (CAR) tonic signaling, defined as spontaneous activation and release of proinflammatory cytokines by CAR-T cells, is considered a negative attribute because it leads to impaired antitumor effects. Here, we report that CAR tonic signaling is caused by the intrinsic instability of the mAb single-chain variable fragment (scFv) to promote self-aggregation and signaling via the CD3ζ chain incorporated into the CAR construct. This phenomenon was detected in a CAR encoding either CD28 or 4-1BB costimulatory endodomains. Instability of the scFv was caused by specific amino acids within the framework regions (FWR) that can be identified by computational modeling. Substitutions of the amino acids causing instability, or humanization of the FWRs, corrected tonic signaling of the CAR, without modifying antigen specificity, and enhanced the antitumor effects of CAR-T cells. Overall, we demonstrated that tonic signaling of CAR-T cells is determined by the molecular instability of the scFv and that computational analyses of the scFv can be implemented to correct the scFv instability in CAR-T cells with either CD28 or 4-1BB costimulation.
- Published
- 2021
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