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2016 ; 3
(ä): 1-9
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An MHC-restricted antibody-based chimeric antigen receptor requires TCR-like
affinity to maintain antigen specificity
#MMPMID29675462
Maus MV
; Plotkin J
; Jakka G
; Stewart-Jones G
; Rivière I
; Merghoub T
; Wolchok J
; Renner C
; Sadelain M
Mol Ther Oncolytics
2016[]; 3
(ä): 1-9
PMID29675462
show ga
Chimeric antigen receptors (CARs) are synthetic receptors that usually redirect T
cells to surface antigens independent of human leukocyte antigen (HLA). Here, we
investigated a T cell receptor-like CAR based on an antibody that recognizes
HLA-A*0201 presenting a peptide epitope derived from the cancer-testis antigen
NY-ESO-1. We hypothesized that this CAR would efficiently redirect transduced T
cells in an HLA-restricted, antigen-specific manner. However, we found that
despite the specificity of the soluble Fab, the same antibody in the form of a
CAR caused moderate lysis of HLA-A2 expressing targets independent of antigen
owing to T cell avidity. We hypothesized that lowering the affinity of the CAR
for HLA-A2 would improve its specificity. We undertook a rational approach of
mutating residues that, in the crystal structure, were predicted to stabilize
binding to HLA-A2. We found that one mutation (DN) lowered the affinity of the
Fab to T cell receptor-range and restored the epitope specificity of the CAR. DN
CAR T cells lysed native tumor targets in vitro, and, in a xenogeneic mouse model
implanted with two human melanoma lines (A2+/NYESO+ and A2+/NYESO-), DN CAR T
cells specifically migrated to, and delayed progression of, only the
HLA-A2+/NY-ESO-1+ melanoma. Thus, although maintaining MHC-restricted antigen
specificity required T cell receptor-like affinity that decreased potency, there
is exciting potential for CARs to expand their repertoire to include a broad
range of intracellular antigens.