Micromolar affinity CAR T cells to ICAM-1 achieves rapid tumor elimination while avoiding systemic toxicity

Sci Rep. 2017 Oct 30;7(1):14366. doi: 10.1038/s41598-017-14749-3.

Abstract

Adoptive transfer of high-affinity chimeric antigen receptor (CAR) T cells targeting hematological cancers has yielded impressive clinical results. However, safety concerns regarding target expression on healthy tissue and poor efficacy have hampered application to solid tumors. Here, a panel of affinity-variant CARs were constructed targeting overexpressed ICAM-1, a broad tumor biomarker, using its physiological ligand, LFA-1. Anti-tumor T cell potency in vitro was directly proportional to CAR affinity and ICAM-1 density. In a solid tumor mouse model allowing simultaneous monitoring of anti-tumor potency and systemic off-tumor toxicity, micromolar affinity CAR T cells demonstrated superior anti-tumor efficacy and safety compared to their nanomolar counterparts. Longitudinal T cell tracking by PET/CT and concurrent cytokine measurement revealed superior expansion and contraction kinetics of micromolar affinity CAR T cells. Therefore, we developed an ICAM-1 specific CAR with broad anti-tumor applicability that utilized a reduced affinity targeting strategy to significantly boost efficacy and safety.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antibody Affinity / drug effects
  • Cell Line
  • Cell Line, Tumor
  • Hematologic Neoplasms / metabolism
  • Humans
  • Immunotherapy, Adoptive / methods*
  • Intercellular Adhesion Molecule-1 / drug effects*
  • Intercellular Adhesion Molecule-1 / immunology*
  • Lentivirus / metabolism
  • Ligands
  • Mice
  • Mice, Nude
  • Positron Emission Tomography Computed Tomography
  • Receptors, Antigen, T-Cell / metabolism
  • Receptors, Chimeric Antigen / metabolism
  • T-Lymphocytes / immunology
  • Xenograft Model Antitumor Assays

Substances

  • Ligands
  • Receptors, Antigen, T-Cell
  • Receptors, Chimeric Antigen
  • Intercellular Adhesion Molecule-1