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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.
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| Item type | Article | ||||
| Journal or Publication Title | Frontiers in Immunology | ||||
| Publisher: | FRONTIERS MEDIA SA | ||||
|---|---|---|---|---|---|
| Place of Publication: | LAUSANNE | ||||
| Volume: | 14 | ||||
| Date | 23 May 2023 | ||||
| Institutions | Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie) Leibniz Institute for Immunotherapy (LIT) | ||||
| Identification Number |
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| Keywords | RECEPTOR; ANTIGEN; EXPANSION; COSTIMULATION; EXHAUSTION; TARGETS; CAR; IRF4; exhaustion; sensitivity; tumor | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-543744 | ||||
| Item ID | 54374 |
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