• Vaccine delivers a boost to T cell thera

    From ScienceDaily@1:317/3 to All on Wed Jul 5 22:30:22 2023
    Vaccine delivers a boost to T cell therapy
    The new strategy may enable engineered T cells to eradicate solid tumors
    such as glioblastoma

    Date:
    July 5, 2023
    Source:
    Massachusetts Institute of Technology
    Summary:
    A new vaccine boosts the response of engineered CAR-T cells and
    helps the immune system generate T cells that target other tumor
    antigens. The researchers found this approach made it more likely
    that a tumor can be eradicated in mice.


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    FULL STORY ========================================================================== Engineering T cells to destroy cancer cells has shown success in treating
    some types of cancer, such as leukemia and lymphoma. However, it hasn't
    worked as well for solid tumors.

    One reason for this lack of success is that the T cells target only one
    antigen (a target protein found on the tumors); if some of the tumor
    cells don't express that antigen, they can escape the T cell attack.

    MIT researchers have now found a way to overcome that obstacle, using a
    vaccine that boosts the response of engineered T cells, known as chimeric antigen receptor (CAR) T cells, and also helps the immune system generate
    new T cells that target other tumor antigens. In studies in mice, the researchers found that this approach made it much more likely that tumors
    could be eradicated.

    "This vaccine boosting appears to drive a process called antigen
    spreading, wherein your own immune system collaborates with engineered
    CAR T cells to reject tumors in which not all of the cells express
    the antigen targeted by the CAR T cells," says Darrell Irvine, the Underwood-Prescott Professor with appointments in MIT's departments of Biological Engineering and of Materials Science and Engineering, and a
    member of MIT's Koch Institute for Integrative Cancer Research and the
    Ragon Institute of MGH, MIT, and Harvard.

    Irvine is the senior author of the study, which appears today in
    Cell. The lead author of the paper is Leyuan Ma, a former postdoc at
    the Koch Institute and currently an assistant professor of pathology and laboratory medicine at the University of Pennsylvania School of Medicine.

    Engineered T cells The U.S. Food and Drug Administration has approved
    several types of T cell treatments for blood cancers. These treatments
    are based on CAR-T cells, which are engineered to display receptors that
    can recognize a specific antigen found on cancer cells.

    To try to adapt this kind of treatment to glioblastoma, a type of brain
    cancer, researchers have designed CAR-T cells that target a mutated
    version of the EGFR receptor. However, not all glioblastoma cells express
    this antigen, and when attacked by CAR-T cells, some glioblastoma cells
    respond by halting production of the target antigen.

    In a 2019 study, Irvine and his colleagues enhanced CAR-T cells'
    effectiveness against glioblastoma by delivering a vaccine to mice
    shortly after the engineered T cells were administered. This vaccine,
    which carries the same antigen targeted by the CAR-T cells, is taken up by immune cells in the lymph nodes, where the CAR-T cells are exposed to it.

    In that study, the researchers found that this vaccine boost not only
    helped the engineered CAR-T cells attack tumors, but it had another,
    unexpected effect: It helped to generate host T cells that target other
    tumor antigens.

    This phenomenon, known as "antigen spreading," is desirable because
    it creates populations of T cells that, working together, can fully
    eradicate tumors and prevent tumor regrowth.

    "That would be exactly the kind of thing that could help you deal with
    the antigen heterogeneity of solid tumors, because if you primed host
    T-cells to attack other antigens, they may be able to come in and kill
    the tumor cells that your CAR-T cells cannot," Irvine says.

    An immune boost In their new study, the researchers wanted to explore
    how that additional T- cell response becomes activated. They used the
    same type of CAR-T cells from their 2019 study, which are engineered
    to target mutant EGFR, and the same vaccine. The mice in the study were
    given two doses of the vaccine, one week apart.

    The researchers found that in these boosted mice, metabolic changes
    occurred in the CAR-T cells that increased their production of interferon gamma, a cytokine that helps stimulate a strong immune response. This
    helps the T cells to overcome the immunosuppressive environment of the
    tumor, which normally shuts down any T cells in the vicinity.

    As the CAR-T cells killed tumor cells expressing the target antigen,
    host T cells (not the engineered CAR-T cells) encountered other antigens
    from those tumor cells, stimulating those host T cells to target those
    antigens and help destroy tumor cells.

    Without that host T cell response, the researchers found, tumors would
    regrow even if the CAR-T cells destroyed most of the original tumor
    cells. This happens because tumor cells treated with CAR-T cells often
    stop producing the antigen targeted by the engineered cells, allowing
    them to evade those cells.

    Tumor eradication The researchers then tested their approach in mice with tumors that had different levels of the target antigen. They found that
    even in tumors where only 50 percent of the tumor cells expressed the
    target antigen, about 25 percent of the tumors could still be eradicated,
    by a combination of CAR- T cells and host T-cells.

    The success rate was higher for tumors with greater levels of the target antigen. When 80 percent of the tumor cells expressed the antigen targeted
    by CAR-T cells, tumors were eliminated in about 80 percent of the mice.

    The technology used in this study has been licensed to a company
    called Elicio Therapeutics, which is working on developing it for
    potential testing in patients. In this study, the researchers focused
    on glioblastoma and melanoma, but they believe it could potentially be
    used to combat other types of cancer as well.

    "In principle, this should apply to any solid tumor where you have
    generated a CAR T-cell that could target it," Irvine says.

    The researchers are also working on ways to adapt CAR-T cell therapy so
    that it can be used to attack tumors for which no targetable antigens
    have been identified.

    The research was funded by the National Institutes of Health, the Marble
    Center for Cancer Nanomedicine at the Koch Institute, an ASPIRE Award
    from The Mark Foundation for Cancer Research, an American Cancer Society postdoctoral fellowship, the Cell and Gene Therapy Collaborative at the Children's Hospital of Philadelphia, the W.W. Smith Charitable Trust, and
    a Koch Institute Support (core) Grant from the National Cancer Institute.

    * RELATED_TOPICS
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    * RELATED_TERMS
    o Monoclonal_antibody_therapy o T_cell o Immune_system o
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    ========================================================================== Journal Reference:
    1. Leyuan Ma, Alexander Hostetler, Duncan M. Morgan, Laura Maiorino,
    Ina
    Sulkaj, Charles A. Whittaker, Alexandra Neeser, Ivan Susin Pires,
    Parisa Yousefpour, Justin Gregory, Kashif Qureshi, Jonathan Dye,
    Wuhbet Abraham, Heikyung Suh, Na Li, J. Christopher Love, Darrell
    J. Irvine. Vaccine- boosted CAR T crosstalk with host immunity
    to reject tumors with antigen heterogeneity. Cell, 2023; DOI:
    10.1016/j.cell.2023.06.002 ==========================================================================

    Link to news story: https://www.sciencedaily.com/releases/2023/07/230705115136.htm

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