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EBAG9-silencing exerts an immune checkpoint function without aggravating adverse effects

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Item Type:Article
Title:EBAG9-silencing exerts an immune checkpoint function without aggravating adverse effects
Creators Name:Wirges, A., Bunse, M., Joedicke, J.J., Blanc, E., Gudipati, V., Moles, M.W., Shiku, H., Beule, D., Huppa, J.B., Höpken, U.E. and Rehm, A.
Abstract:Chimeric antigen receptor (CAR) T cells have revolutionized treatment of B-cell malignancies. However, enhancing the efficacy of engineered T cells without compromising their safety is warranted. The estrogen receptor-binding fragment-associated antigen 9 (EBAG9) inhibits release of cytolytic enzymes from cytotoxic T lymphocytes. Here, we examined the potency of EBAG9-silencing for the improvement of adoptive T cell therapy. Micro-RNA-mediated EBAG9 downregulation in transplanted CTLs from immunized mice improved their cytolytic competence in a tumor model. In tolerant female recipient mice that received organ transplants, a minor histocompatibility antigen was turned into a rejection antigen by Ebag9 deletion, indicating an immune checkpoint function for EBAG9. Considerably less EBAG9-silenced human CAR T cells were needed for tumor growth control in a xenotransplantation model. Transcriptome profiling did not reveal additional risks regarding genotoxicity or aberrant differentiation. A single-step retrovirus transduction process links CAR or TCR expression with miRNA-mediated EBAG9 downregulation. Despite higher cytolytic efficacy, release of cytokines associated with cytokine release syndrome remains unaffected. Collectively, EBAG9-silencing enhances effector capacity of TCR- and CAR-engineered T cells, results in improved tumor eradication, facilitates efficient manufacturing, and decreases the therapeutic dose.
Keywords:Cancer Immunotherapy, Chimeric Antigen Receptor T Cells, Secretory Pathway, Cytolytic Capacity, Hematologic Malignancies, Adoptive T Cell Therapy, Multiple Myeloma, Leukemia, Animals, Mice
Source:Molecular Therapy
ISSN:1525-0016
Publisher:Cell Press / Elsevier
Volume:30
Number:11
Page Range:3358-3378
Date:2 November 2022
Official Publication:https://doi.org/10.1016/j.ymthe.2022.07.009
PubMed:View item in PubMed

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