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Increased antitumor activities of glypican-3-specific chimeric antigen receptor-modified T cells by coexpression of a soluble PD1–CH3 fusion protein

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Abstract

Our recent clinical study demonstrated that glypican-3 (GPC3)-specific chimeric antigen receptor-modified T (CAR-T) cells are a promising treatment for hepatocellular carcinoma (HCC). However, the interaction of programmed cell death 1 (PD-1) and PD-L1-mediated T-cell inhibition is involved in immune evasion in a wide range of solid tumors, including HCC. To overcome this problem, we introduced a fusion protein composed of a PD-1 extracellular domain and CH3 from IgG4 into GPC3-specific CAR-T cells (GPC3-28Z) to block the PD-1/PD-L1 pathway. GPC3-specific CAR-T cells carrying the PD-1–CH3 fusion protein (sPD1) specifically recognized and lysed GPC3-positive HCC cells. The proliferation capacity of GPC3-28Z-sPD1 T cells after weekly stimulation with target cells was much higher than that of control GPC3-28Z T cells. Additionally, the coexpression of sPD1 could protect CAR-T cells from exhaustion when incubated with target cells, as phosphorylated AKT and Bcl-xL expression levels were higher in GPC3-28Z-sPD1 T cells than in GPC3-28Z cells. Importantly, in two HCC tumor xenograft models, GPC3-28Z-sPD1 T cells displayed a significantly higher tumor suppression capacity than GPC3-28Z T cells. In addition, an increased number of CD3+ T cells in the circulation and tumors and increased granzyme B levels and decreased Ki67 expression levels in the tumors were observed in the mice treated with GPC3-28Z-sPD1 T cells. Together, these data indicated that GPC3-specific CAR-T cells carrying sPD1 show promise as a treatment for patients with HCC.

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Abbreviations

Bcl-xL:

B cell lymphoma-extra large

CAR:

Chimeric antigen receptor

CFSE:

Carboxyfluorescein succinimidyl ester

GPC3:

Glypican-3

LAG-3:

Lymphocyte activation gene 3

HCC:

Hepatocellular carcinoma

MOI:

Multiplicity of infection

PBMCs:

Peripheral blood mononuclear cells

PD-1:

Programmed cell death 1

PD-L1:

Programmed cell death 1 ligand 1

P-AKT:

Phosphorylated AKT

sPD1:

Soluble PD-1–CH3 fusion protein

Tcm:

Central memory T cell

TME:

Tumor microenvironment

TIM-3:

T cell/transmembrane, immunoglobulin, and mucin-1

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Acknowledgements

Linguistic revision was done by Nature Research Editing Service.

Funding

This work was supported by the Supporting Programs of Shanghai Science and Technology Innovation Action Plan (No. 16DZ1910700), the “13th Five-Year Plan” National Science and Technology Major Project of China (2017ZX10203206006), the Collaborative Innovation Center for Translational Medicine at Shanghai Jiao Tong University School of Medicine (TM201601), the Research Fund of the Shanghai Municipal Commission of Health and Family Planning (No. 20174Y0178), and the National Natural Science Foundation of China (81472569).

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Authors

Contributions

ZL conceived the ideas, designed the research and revised the manuscript; ZP designed subsequent experiments; ZP and SD performed the experiments and wrote the manuscript; BS performed molecular cloning work; HJ helped to perform the in vitro and in vivo work; ZS analyzed the data; YL, YW, HL, MY and XW assisted with the in vitro work.

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Correspondence to Zonghai Li.

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Conflict of interest

Dr. Zonghai Li has ownership interests regarding GPC3-specific CAR-T cells with sPD1 coexpression. The other authors declare no conflict of interest.

Ethical approval and ethical standards

The study was approved by the Shanghai Science and Technology Committee, approval number: SYXK (SH) 2017-0011. The protocols followed the appropriate guidelines and were approved by the Shanghai Medical Experimental Animal Care Commission.

Informed consent

The peripheral blood mononuclear cells (PBMCs) from healthy donors were obtained by the Shanghai Blood Center from staff members of the research laboratory who volunteered to donate blood. They consented to the use of this blood for research purposes.

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Pan, Z., Di, S., Shi, B. et al. Increased antitumor activities of glypican-3-specific chimeric antigen receptor-modified T cells by coexpression of a soluble PD1–CH3 fusion protein. Cancer Immunol Immunother 67, 1621–1634 (2018). https://doi.org/10.1007/s00262-018-2221-1

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