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Harrer, Dennis Christoph ; Bezler, Valerie ; Hartley, Jordan ; Herr, Wolfgang ; Abken, Hinrich

IRF4 downregulation improves sensitivity and endurance of CAR T cell functional capacities

Harrer, Dennis Christoph , Bezler, Valerie, Hartley, Jordan, Herr, Wolfgang and Abken, Hinrich (2023) IRF4 downregulation improves sensitivity and endurance of CAR T cell functional capacities. Frontiers in Immunology 14.

Date of publication of this fulltext: 15 Jun 2023 12:12
Article
DOI to cite this document: 10.5283/epub.54374


Abstract

Chimeric antigen receptor (CAR) modified T cells can induce complete remissions in patients with advanced hematological malignancies. Nevertheless, the efficacy is mostly transient and remains so far poor in the treatment of solid tumors. Crucial barriers to long-term CAR T cell success encompass loss of functional capacities known as "exhaustion", among others. To extend CAR T cell ...

Chimeric antigen receptor (CAR) modified T cells can induce complete remissions in patients with advanced hematological malignancies. Nevertheless, the efficacy is mostly transient and remains so far poor in the treatment of solid tumors. Crucial barriers to long-term CAR T cell success encompass loss of functional capacities known as "exhaustion", among others. To extend CAR T cell functionality, we reduced interferon regulatory factor 4 (IRF4) levels in CAR T cells using a one-vector system encoding a specific short-hairpin (sh) RNA along with constitutive CAR expression. At baseline, CAR T cells with downregulated IRF4 showed equal cytotoxicity and cytokine release compared to conventional CAR T cells. However, under conditions of repetitive antigen encounter, IRF4(low) CAR T cells displayed enhanced functionality with superior cancer cell control in the long-term compared with conventional CAR T cells. Mechanistically, the downregulation of IRF4 in CAR T cells resulted in prolonged functional capacities and upregulation of CD27. Moreover, IRF4(low) CAR T cells were more sensitive to cancer cells with low levels of target antigen. Overall, IRF4 downregulation capacitates CAR T cells to recognize and respond to target cells with improved sensitivity and endurance.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleFrontiers in Immunology
Publisher:FRONTIERS MEDIA SA
Place of Publication:LAUSANNE
Volume:14
Date23 May 2023
InstitutionsMedicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Leibniz Institute for Immunotherapy (LIT)
Identification Number
ValueType
10.3389/fimmu.2023.1185618DOI
KeywordsRECEPTOR; ANTIGEN; EXPANSION; COSTIMULATION; EXHAUSTION; TARGETS; CAR; IRF4; exhaustion; sensitivity; tumor
Dewey Decimal Classification600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgYes
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-543744
Item ID54374

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