4-1BB Signaling Boosts the Anti-Tumor Activity of CD28-Incorporated 2nd Generation Chimeric Antigen Receptor-Modified T Cells

oleh: Qiang Dai, Qiang Dai, Ping Han, Ping Han, Xinyue Qi, Xinyue Qi, Fanlin Li, Fanlin Li, Min Li, Min Li, Lilv Fan, Lilv Fan, Huihui Zhang, Huihui Zhang, Xiaoqing Zhang, Xiaoqing Zhang, Xuanming Yang, Xuanming Yang, Xuanming Yang

Format: Article
Diterbitkan: Frontiers Media S.A. 2020-11-01

Deskripsi

While chimeric antigen receptor-modified T (CAR-T) cells have shown great success for the treatment of B cell leukemia, their efficacy appears to be compromised in B cell derived lymphoma and solid tumors. Optimization of the CAR design to improve persistence and cytotoxicity is a focus of the current CAR-T study. Herein, we established a novel CAR structure by adding a full length 4-1BB co-stimulatory receptor to a 28Z-based second generation CAR that targets CD20. Our data indicated that this new 2028Z-4-1BB CAR-T cell showed improved proliferation and cytotoxic ability. To further understand the mechanism of action, we found that constitutive 4-1BB sensing significantly reduced the apoptosis of CAR-T cells, enhanced proliferation, and increased NF-κB pathway activation. Consistent with the enhanced proliferation and cytotoxicity in vitro, this new structure of CAR-T cells exhibited robust persistence and anti-tumor activity in a mouse xenograft lymphoma model. This work provides evidence for a new strategy to optimize the function of CAR-T against lymphoma.