1. Human CD4+CD25+ T cells expressing a chimeric antigen receptor against aberrant superoxide dismutase 1 trigger antigen-specific immunomodulation.
- Author
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Graber DJ, Cook WJ, Sentman ML, Murad-Mabaera JM, and Sentman CL
- Subjects
- Mice, Animals, Humans, Superoxide Dismutase-1 genetics, Superoxide Dismutase-1 metabolism, Superoxide Dismutase-1 therapeutic use, Interleukin-10 genetics, Superoxide Dismutase metabolism, Mice, Transgenic, CD4-Positive T-Lymphocytes metabolism, Immunomodulation, Disease Models, Animal, Amyotrophic Lateral Sclerosis genetics, Amyotrophic Lateral Sclerosis therapy, Receptors, Chimeric Antigen therapeutic use
- Abstract
Background Aims: Amyotrophic lateral sclerosis (ALS) is a fatal disease associated with motor neuron degeneration, accumulation of aggregated misfolded proteins and neuroinflammation in motor regions of the central nervous system (CNS). Clinical trials using regulatory T cells (Tregs) are ongoing because of Tregs' immunomodulatory function, ability to traffic to the CNS, high numbers correlating with slower disease in ALS and disease-modifying activity in ALS mouse models. In the current study, a chimeric antigen receptor (CAR) was developed and characterized in human Tregs to enhance their immunomodulatory activity when in contact with an ALS protein aggregate., Methods: A CAR (DG05-28-3z) consisting of a human superoxide dismutase 1 (hSOD1)-binding single-chain variable fragment, CD28 hinge, transmembrane and co-stimulatory domain and CD3ζ signaling domain was created and expressed in human Tregs. Human Tregs were isolated by either magnetic enrichment for CD4+CD25
hi cells (Enr-Tregs) or cell sorting for CD4+CD25hi CD127lo cells (FP-Tregs), transduced and expanded for 17 days., Results: The CAR bound preferentially to the ALS mutant G93A-hSOD1 protein relative to the wild-type hSOD1 protein. The CAR Tregs produced IL-10 when cultured with aggregated G93A-hSOD1 proteins or spinal cord explants from G93A-hSOD1 transgenic mice. Co-culturing DG05-28-3z CAR Tregs with human monocytes/macrophages inhibited production of tumor necrosis factor alpha and reactive oxygen species. Expanded FP-Tregs resulted in more robust Tregs compared with Enr-Tregs. FP-Tregs produced similar IL-10 and less interferon gamma, had lower Treg-specific demethylated region methylation and expressed higher FoxP3 and CD39., Conclusions: Taken together, this study demonstrates that gene-modified Tregs can be developed to target an aggregated ALS-relevant protein to elicit CAR-mediated Treg effector functions and provides an approach for generating Treg therapies for ALS with the goal of enhanced disease site-specific immunomodulation., Competing Interests: Declaration of Competing Interest DJG, WJC and CLS have pending patent applications for CARs and the use of CAR Tregs as therapy for neurodegenerative diseases. DJG and CLS are co-founders of Black Bear Bio, LLC. These interests are managed through the policies of Dartmouth College. JMM is an employee of Celdara Medical, LLC., (Copyright © 2023 International Society for Cell & Gene Therapy. Published by Elsevier Inc. All rights reserved.)- Published
- 2024
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