CAR-T cell therapy targeting surface expression of TYRP1 to treat cutaneous and rare melanoma subtypes

Nat Commun. 2024 Feb 9;15(1):1244. doi: 10.1038/s41467-024-45221-2.

Abstract

A major limitation to developing chimeric antigen receptor (CAR)-T cell therapies for solid tumors is identifying surface proteins highly expressed in tumors but not in normal tissues. Here, we identify Tyrosinase Related Protein 1 (TYRP1) as a CAR-T cell therapy target to treat patients with cutaneous and rare melanoma subtypes unresponsive to immune checkpoint blockade. TYRP1 is primarily located intracellularly in the melanosomes, with a small fraction being trafficked to the cell surface via vesicular transport. We develop a highly sensitive CAR-T cell therapy that detects surface TYRP1 in tumor cells with high TYRP1 overexpression and presents antitumor activity in vitro and in vivo in murine and patient-derived cutaneous, acral and uveal melanoma models. Furthermore, no systemic or off-tumor severe toxicities are observed in an immunocompetent murine model. The efficacy and safety profile of the TYRP1 CAR-T cell therapy supports the ongoing preparation of a phase I clinical trial.

MeSH terms

  • Animals
  • Cell- and Tissue-Based Therapy
  • Humans
  • Immunotherapy, Adoptive
  • Melanoma* / drug therapy
  • Melanoma* / therapy
  • Membrane Glycoproteins
  • Mice
  • Oxidoreductases
  • Receptors, Chimeric Antigen*
  • Uveal Neoplasms* / drug therapy
  • Uveal Neoplasms* / therapy

Substances

  • Receptors, Chimeric Antigen
  • TYRP1 protein, human
  • Membrane Glycoproteins
  • Oxidoreductases