CD40 Ligand-Modified Chimeric Antigen Receptor T Cells Enhance Antitumor Function by Eliciting an Endogenous Antitumor Response

被引:191
作者
Kuhn, Nicholas F. [1 ,2 ]
Purdon, Terence J. [2 ]
van Leeuwen, Dayenne G. [2 ]
Lopez, Andrea, V [2 ]
Curran, Kevin J. [3 ]
Daniyan, Anthony F. [2 ]
Brentjens, Renier J. [2 ]
机构
[1] Mem Sloan Kettering Canc Ctr, Louis V Gerstner Jr Grad Sch Biomed Sci, New York, NY 10065 USA
[2] Mem Sloan Kettering Canc Ctr, Dept Med, New York, NY 10065 USA
[3] Mem Sloan Kettering Canc Ctr, Dept Pediat, New York, NY 10065 USA
基金
美国国家卫生研究院;
关键词
CHRONIC LYMPHOCYTIC-LEUKEMIA; DENDRITIC CELLS; B-CELLS; PHASE-I; EXPRESSION; ACTIVATION; CAR; MOUSE; IMMUNOTHERAPY; EFFICACY;
D O I
10.1016/j.ccell.2019.02.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Chimeric antigen receptor (CAR) T cells provide great efficacy in B cell malignancies. However, improved CAR T cell therapies are still needed. Here, we engineered tumor-targeted CAR T cells to constitutively express the immune-stimulatory molecule CD40 ligand (CD40L) and explored efficacy in differentmouse leukemia/ lymphoma models. We observed that CD40L(+) CAR T cells circumvent tumor immune escape via antigen loss through CD40/CD40L-mediated cytotoxicity and induction of a sustained, endogenous immune response. After adoptive cell transfer, the CD40L(+) CAR T cells displayed superior antitumor efficacy, licensed antigen-presenting cells, enhanced recruitment of immune effectors, and mobilized endogenous tumorrecognizing T cells. These effects were absent in Cd40(-/-) mice and provide a rationale for the use of CD40L(+) CAR T cells in cancer treatment.
引用
收藏
页码:473 / +
页数:22
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