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Discovery and preclinical development of a therapeutically active nanobody-based chimeric antigen receptor targeting human CD22.


ABSTRACT: Chimeric antigen receptor (CAR) T cell therapies targeting B cell-restricted antigens CD19, CD20, or CD22 can produce potent clinical responses for some B cell malignancies, but relapse remains common. Camelid single-domain antibodies (sdAbs or nanobodies) are smaller, simpler, and easier to recombine than single-chain variable fragments (scFvs) used in most CARs, but fewer sdAb-CARs have been reported. Thus, we sought to identify a therapeutically active sdAb-CAR targeting human CD22. Immunization of an adult Llama glama with CD22 protein, sdAb-cDNA library construction, and phage panning yielded >20 sdAbs with diverse epitope and binding properties. Expressing CD22-sdAb-CAR in Jurkat cells drove varying CD22-specific reactivity not correlated with antibody affinity. Changing CD28- to CD8-transmembrane design increased CAR persistence and expression in vitro. CD22-sdAb-CAR candidates showed similar CD22-dependent CAR-T expansion in vitro, although only membrane-proximal epitope targeting CD22-sdAb-CARs activated direct cytolytic killing and extended survival in a lymphoma xenograft model. Based on enhanced survival in blinded xenograft studies, a lead CD22sdCAR-T was selected, achieving comparable complete responses to a benchmark short linker m971-scFv CAR-T in high-dose experiments. Finally, immunohistochemistry and flow cytometry confirm tissue and cellular-level specificity of the lead CD22-sdAb. This presents a complete report on preclinical development of a novel CD22sdCAR therapeutic.

SUBMITTER: McComb S 

PROVIDER: S-EPMC10914482 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Discovery and preclinical development of a therapeutically active nanobody-based chimeric antigen receptor targeting human CD22.

McComb Scott S   Arbabi-Ghahroudi Mehdi M   Hay Kevin A KA   Keller Brian A BA   Faulkes Sharlene S   Rutherford Michael M   Nguyen Tina T   Shepherd Alex A   Wu Cunle C   Marcil Anne A   Aubry Annie A   Hussack Greg G   Pinto Devanand M DM   Ryan Shannon S   Raphael Shalini S   van Faassen Henk H   Zafer Ahmed A   Zhu Qin Q   Maclean Susanne S   Chattopadhyay Anindita A   Gurnani Komal K   Gilbert Rénald R   Gadoury Christine C   Iqbal Umar U   Fatehi Dorothy D   Jezierski Anna A   Huang Jez J   Pon Robert A RA   Sigrist Mhairi M   Holt Robert A RA   Nelson Brad H BH   Atkins Harold H   Kekre Natasha N   Yung Eric E   Webb John J   Nielsen Julie S JS   Weeratna Risini D RD  

Molecular therapy. Oncology 20240213 1


Chimeric antigen receptor (CAR) T cell therapies targeting B cell-restricted antigens CD19, CD20, or CD22 can produce potent clinical responses for some B cell malignancies, but relapse remains common. Camelid single-domain antibodies (sdAbs or nanobodies) are smaller, simpler, and easier to recombine than single-chain variable fragments (scFvs) used in most CARs, but fewer sdAb-CARs have been reported. Thus, we sought to identify a therapeutically active sdAb-CAR targeting human CD22. Immunizat  ...[more]

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