Quadruple gene-engineered natural killer cells enable multi-antigen targeting for durable antitumor activity against multiple myeloma

被引:56
作者
Cichocki, Frank [1 ]
Bjordahl, Ryan [2 ]
Goodridge, Jodie P. [2 ]
Mahmood, Sajid [2 ]
Gaidarova, Svetlana [2 ]
Abujarour, Ramzey [1 ]
Davis, Zachary B. [1 ]
Merino, Aimee [1 ]
Tuininga, Katie [1 ]
Wang, Hongbo [1 ]
Kumar, Akhilesh [1 ]
Groff, Brian [2 ]
Witty, Alec [2 ]
Bonello, Greg [2 ]
Huffman, Janel [2 ]
Dailey, Thomas [2 ]
Lee, Tom T. [2 ]
Malmberg, Karl-Johan [3 ]
Walcheck, Bruce [4 ]
Hoepken, Uta [5 ]
Rehm, Armin [5 ]
Valamehr, Bahram [2 ]
Miller, Jeffrey S. [1 ]
机构
[1] Univ Minnesota, Dept Med, Minneapolis, MN 55455 USA
[2] Fate Therapeut, San Diego, CA 92121 USA
[3] Oslo Univ Hosp, Oslo, Norway
[4] Univ Minnesota, Dept Vet & Biomed Sci, St Paul, MN 55108 USA
[5] Max Delbruck Ctr Mol Med, MDC, Berlin, Germany
关键词
MATURATION ANTIGEN; NK CELLS; T-CELLS; THERAPY; TRANSPLANTATION; DARATUMUMAB; EXPANSION;
D O I
10.1038/s41467-022-35127-2
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Allogeneic natural killer (NK) cell adoptive transfer is a promising treatment for several cancers but is less effective for the treatment of multiple myeloma. In this study, we report on quadruple gene-engineered induced pluripotent stem cell (iPSC)-derived NK cells designed for mass production from a renewable source and for dual targeting against multiple myeloma through the introduction of an NK cell-optimized chimeric antigen receptor (CAR) specific for B cell maturation antigen (BCMA) and a high affinity, non-cleavable CD16 to augment antibody-dependent cellular cytotoxicity when combined with therapeutic anti-CD38 antibodies. Additionally, these cells express a membrane-bound interleukin-15 fusion molecule to enhance function and persistence along with knock out of CD38 to prevent antibody-mediated fratricide and enhance NK cell metabolic fitness. In various preclinical models, including xenogeneic adoptive transfer models, quadruple gene-engineered NK cells consistently demonstrate durable antitumor activity independent of exogenous cytokine support. Results presented here support clinical translation of this off-the-shelf strategy for effective treatment of multiple myeloma. The use of chimeric antigen receptor modified immune cell therapeutics has improved the treatment of a range of tumours. Here the authors explore a dual-target iPSC-derived NK cell product as a potential therapeutic for the treatment of multiple myeloma.
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页数:15
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