γδ-Enriched CAR-T cell therapy for bone metastatic castrate-resistant prostate cancer

Sci Adv. 2023 May 3;9(18):eadf0108. doi: 10.1126/sciadv.adf0108. Epub 2023 May 3.

Abstract

Immune checkpoint blockade has been largely unsuccessful for the treatment of bone metastatic castrate-resistant prostate cancer (mCRPC). Here, we report a combinatorial strategy to treat mCRPC using γδ-enriched chimeric antigen receptor (CAR) T cells and zoledronate (ZOL). In a preclinical murine model of bone mCRPC, γδ CAR-T cells targeting prostate stem cell antigen (PSCA) induced a rapid and significant regression of established tumors, combined with increased survival and reduced cancer-associated bone disease. Pretreatment with ZOL, a U.S. Food and Drug Administration-approved bisphosphonate prescribed to mitigate pathological fracture in mCRPC patients, resulted in CAR-independent activation of γδ CAR-T cells, increased cytokine secretion, and enhanced antitumor efficacy. These data show that the activity of the endogenous Vγ9Vδ2 T cell receptor is preserved in CAR-T cells, allowing for dual-receptor recognition of tumor cells. Collectively, our findings support the use of γδ CAR-T cell therapy for mCRPC treatment.

MeSH terms

  • Animals
  • Cell- and Tissue-Based Therapy
  • Humans
  • Male
  • Mice
  • Prostatic Neoplasms, Castration-Resistant* / therapy
  • Receptors, Antigen, T-Cell
  • Receptors, Chimeric Antigen*
  • United States
  • Zoledronic Acid / pharmacology

Substances

  • Receptors, Chimeric Antigen
  • Zoledronic Acid
  • Receptors, Antigen, T-Cell