NY-ESO-1 TCR single edited stem and central memory T cells to treat multiple myeloma without graft-versus-host disease

S Mastaglio, P Genovese, Z Magnani… - Blood, The Journal …, 2017 - ashpublications.org
S Mastaglio, P Genovese, Z Magnani, E Ruggiero, E Landoni, B Camisa, G Schiroli
Blood, The Journal of the American Society of Hematology, 2017ashpublications.org
Transfer of T-cell receptors (TCRs) specific for tumor-associated antigens is a promising
approach for cancer immunotherapy. We developed the TCR gene editing technology that is
based on the knockout of the endogenous TCR α and β genes, followed by the introduction
of tumor-specific TCR genes, and that proved safer and more effective than conventional
TCR gene transfer. Although successful, complete editing requires extensive cell
manipulation and 4 transduction procedures. Here we propose a novel and clinically …
Abstract
Transfer of T-cell receptors (TCRs) specific for tumor-associated antigens is a promising approach for cancer immunotherapy. We developed the TCR gene editing technology that is based on the knockout of the endogenous TCR α and β genes, followed by the introduction of tumor-specific TCR genes, and that proved safer and more effective than conventional TCR gene transfer. Although successful, complete editing requires extensive cell manipulation and 4 transduction procedures. Here we propose a novel and clinically feasible TCR “single editing” (SE) approach, based on the disruption of the endogenous TCR α chain only, followed by the transfer of genes encoding for a tumor-specific TCR. We validated SE with the clinical grade HLA-A2 restricted NY-ESO-1157-165–specific TCR. SE allowed the rapid production of high numbers of tumor-specific T cells, with optimal TCR expression and preferential stem memory and central memory phenotype. Similarly to unedited T cells redirected by TCR gene transfer (TCR transferred [TR]), SE T cells efficiently killed NY-ESO-1pos targets; however, although TR cells proved highly alloreactive, SE cells showed a favorable safety profile. Accordingly, when infused in NSG mice previously engrafted with myeloma, SE cells mediated tumor rejection without inducing xenogeneic graft-versus-host disease, thus resulting in significantly higher survival than that observed in mice treated with TR cells. Overall, single TCR gene editing represents a clinically feasible approach that is able to increase the safety and efficacy of cancer adoptive immunotherapy.
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