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Anti-CD19 CARs displayed at the surface of lentiviral vector particles promote transduction of target-expressing cells.


ABSTRACT: Recently, a rare type of relapse was reported upon treating a B cell acute lymphoblastic leukemia (B-ALL) patient with anti-CD19 chimeric antigen receptor (CAR)-T cells caused by unintentional transduction of residual malignant B cells (CAR-B cells). We show that anti-CD19 and anti-CD20 CARs are presented on the surface of lentiviral vectors (LVs), inducing specific binding to the respective antigen. Binding of anti-CD19 CAR-encoding LVs containing supernatant was reduced by CD19-specific blocking antibodies in a dose-dependent manner, and binding was absent for unspecific LV containing supernatant. This suggests that LVs bind via displayed CAR molecules to CAR antigen-expressing cells. The relevance for CAR-T cell manufacturing was evaluated when PBMCs and B-ALL malignant B cells were mixed and transduced with anti-CD19 or anti-CD20 CAR-displaying LVs in clinically relevant doses to mimic transduction conditions of unpurified patient leukapheresis samples. Malignant B cells were transduced at higher levels with LVs displaying anti-CD19 CARs compared to LVs displaying non-binding control constructs. Stability of gene transfer was confirmed by applying a potent LV inhibitor and long-term cultures for 10 days. Our findings provide a potential explanation for the emergence of CAR-B cells pointing to safer manufacturing procedures with reduced risk of this rare type of relapse in the future.

SUBMITTER: Cordes N 

PROVIDER: S-EPMC7966970 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Anti-CD19 CARs displayed at the surface of lentiviral vector particles promote transduction of target-expressing cells.

Cordes Nicole N   Kolbe Carolin C   Lock Dominik D   Holzer Tatjana T   Althoff Deborah D   Schäfer Daniel D   Blaeschke Franziska F   Kotter Bettina B   Karitzky Sandra S   Rossig Claudia C   Cathomen Toni T   Feuchtinger Tobias T   Bürger Iris I   Assenmacher Mario M   Schaser Thomas T   Kaiser Andrew D AD  

Molecular therapy. Methods & clinical development 20210224


Recently, a rare type of relapse was reported upon treating a B cell acute lymphoblastic leukemia (B-ALL) patient with anti-CD19 chimeric antigen receptor (CAR)-T cells caused by unintentional transduction of residual malignant B cells (CAR-B cells). We show that anti-CD19 and anti-CD20 CARs are presented on the surface of lentiviral vectors (LVs), inducing specific binding to the respective antigen. Binding of anti-CD19 CAR-encoding LVs containing supernatant was reduced by CD19-specific blocki  ...[more]

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