1. Development and Evaluation of an Optimal Human Single-Chain Variable Fragment-Derived BCMA-Targeted CAR T Cell Vector
- Author
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Eric L. Smith, Cheng Liu, Renier J. Brentjens, Sarah C. Garrett-Thomson, Mette Staehr, Ishan J. Tatake, Yiyang Xu, Pei Wang, Isabelle Riviere, Reed Masakayan, Steven C. Almo, Terence J. Purdon, Xiuyan Wang, and Hong Liu
- Subjects
0301 basic medicine ,CD4-Positive T-Lymphocytes ,Herpesvirus 4, Human ,Phage display ,Receptors, Antigen, T-Cell ,Biology ,Adaptive Immunity ,Immunotherapy, Adoptive ,CD19 ,Cell therapy ,03 medical and health sciences ,0302 clinical medicine ,Growth factor receptor ,Drug Discovery ,Genetics ,Single-chain variable fragment ,Humans ,B-Cell Maturation Antigen ,Molecular Biology ,Pharmacology ,Acquired immune system ,Chimeric antigen receptor ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cancer research ,biology.protein ,Molecular Medicine ,Original Article ,Single-Chain Antibodies - Abstract
B cell maturation antigen (BCMA) has recently been identified as an important multiple myeloma (MM)-specific target for chimeric antigen receptor (CAR) T cell therapy. In CAR T cell therapy targeting CD19 for lymphoma, host immune anti-murine CAR responses limited the efficacy of repeat dosing and possibly long-term persistence. This clinically relevant concern can be addressed by generating a CAR incorporating a human single-chain variable fragment (scFv). We screened a human B cell-derived scFv phage display library and identified a panel of BCMA-specific clones from which human CARs were engineered. Despite a narrow range of affinity for BCMA, dramatic differences in CAR T cell expansion were observed between unique scFvs in a repeat antigen stimulation assay. These results were confirmed by screening in a MM xenograft model, where only the top preforming CARs from the repeat antigen stimulation assay eradicated disease and prolonged survival. The results of this screening identified a highly effective CAR T cell therapy with properties, including rapid in vivo expansion (>10,000-fold, day 6), eradication of large tumor burden, and durable protection to tumor re-challenge. We generated a bicistronic construct including a second-generation CAR and a truncated-epithelial growth factor receptor marker. CAR T cell vectors stemming from this work are under clinical investigation.
- Published
- 2018