[PDF][PDF] Logic-gated ROR1 chimeric antigen receptor expression rescues T cell-mediated toxicity to normal tissues and enables selective tumor targeting

S Srivastava, AI Salter, D Liggitt, S Yechan-Gunja… - Cancer cell, 2019 - cell.com
S Srivastava, AI Salter, D Liggitt, S Yechan-Gunja, M Sarvothama, K Cooper, KS Smythe…
Cancer cell, 2019cell.com
Many potential targets for CAR-T cells in solid tumors are expressed in some normal tissues,
raising concern for off-tumor toxicity. Following lymphodepletion, CAR-T cells targeting the
tumor-associated antigen ROR1 lysed tumors in mice but induced lethal bone marrow
failure due to recognition of ROR1+ stromal cells. To improve selectivity, we engineered T
cells with synthetic Notch (synNotch) receptors specific for EpCAM or B7-H3, which are
expressed on ROR1+ tumor cells but not ROR1+ stromal cells. SynNotch receptors induced …
Summary
Many potential targets for CAR-T cells in solid tumors are expressed in some normal tissues, raising concern for off-tumor toxicity. Following lymphodepletion, CAR-T cells targeting the tumor-associated antigen ROR1 lysed tumors in mice but induced lethal bone marrow failure due to recognition of ROR1+ stromal cells. To improve selectivity, we engineered T cells with synthetic Notch (synNotch) receptors specific for EpCAM or B7-H3, which are expressed on ROR1+ tumor cells but not ROR1+ stromal cells. SynNotch receptors induced ROR1 CAR expression selectively within the tumor, resulting in tumor regression without toxicity when tumor cells were segregated from, but not when co-localized with, normal ROR1+ cells. This strategy, thus, permits safe targeting of tumors that are sufficiently separated from normal cells.
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