51. Engineered Tumor-Targeted T Cells Mediate Enhanced Anti-Tumor Efficacy Both Directly and through Activation of the Endogenous Immune System.
- Author
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Avanzi MP, Yeku O, Li X, Wijewarnasuriya DP, van Leeuwen DG, Cheung K, Park H, Purdon TJ, Daniyan AF, Spitzer MH, and Brentjens RJ
- Subjects
- Animals, Antineoplastic Agents therapeutic use, Autocrine Communication drug effects, B-Lymphocytes drug effects, Cell Proliferation drug effects, Cell Survival drug effects, Disease Models, Animal, Humans, Immune System drug effects, Immunotherapy, Adoptive, Interleukin-18 metabolism, Mice, Inbred C57BL, Mice, SCID, Neoplasms immunology, Neoplasms pathology, Signal Transduction drug effects, T-Lymphocytes drug effects, Tumor Microenvironment drug effects, Xenograft Model Antitumor Assays, Antineoplastic Agents pharmacology, Immune System metabolism, Immunotherapy, Neoplasms drug therapy, T-Lymphocytes immunology
- Abstract
Chimeric antigen receptor (CAR) T cell therapy has proven clinically beneficial against B cell acute lymphoblastic leukemia and non-Hodgkin's lymphoma. However, suboptimal clinical outcomes have been associated with decreased expansion and persistence of adoptively transferred CAR T cells, antigen-negative relapses, and impairment by an immunosuppressive tumor microenvironment. Improvements in CAR T cell design are required to enhance clinical efficacy, as well as broaden the applicability of this technology. Here, we demonstrate that interleukin-18 (IL-18)-secreting CAR T cells exhibit enhanced in vivo expansion and persistence and significantly increase long-term survival in syngeneic mouse models of both hematological and solid malignancies. In addition, we demonstrate that IL-18-secreting CAR T cells are capable of modulating the tumor microenvironment, as well as enhancing an effective endogenous anti-tumor immune response. IL-18-secreting CAR T cells represent a promising strategy to enhance the clinical outcomes of adoptive T cell therapy., (Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.)
- Published
- 2018
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