Synthetic dual co-stimulation increases the potency of HIT and TCR-targeted cell therapies
Open accessAbstract
Chimeric antigen receptor T cells have dramatically improved the treatment of hematologic malignancies. T cell antigen receptor (TCR)-based cell therapies are yet to achieve comparable outcomes. Importantly, chimeric antigen receptors not only target selected antigens but also reprogram T cell functions through the co-stimulatory pathways that they engage upon antigen recognition. We show here that a fusion receptor comprising the CD80 ectodomain and the 4-1BB cytoplasmic domain, termed 80BB, acts as both a ligand and a receptor to engage the CD28 and 4-1BB pathways, thereby increasing the antitumor potency of human leukocyte antigen-independent TCR (HIT) receptor- or TCR-engineered T cells and tumor-infiltrating lymphocytes. Furthermore, 80BB serves as a switch receptor that provides agonistic 4-1BB co-stimulation upon its ligation by the inhibitory CTLA4 molecule. By combining multiple co-stimulatory features in a single antigen-agnostic synthetic receptor, 80BB is a promising tool to sustain CD3-dependent T cell responses in a wide range of targeted immunotherapies. Dobrin et al. develop a fusion receptor comprising the CD80 ectodomain and the 4-1BB cytoplasmic domain, which engages the CD28 and 4-1BB pathways and increases the antitumor potency of HLA-independent (HIT) and TCR-engineered T cells.
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Efforts to improve functional CAR T cell performance have spawned CAR T cell products co-expressing additional costimulatory receptors.
“Efforts to improve functional CAR T cell performance has spawned CAR T cell products co-expressing additional costimulatory receptors [3,4,5,6], including CD80/CD86-CD28 [3,5], 41BBL-CD137 [6], CD70-CD27 [7], and CD40-CD40L [8], or the constitutive active CD40/TLR4 [9].”
From Ectopic PU.1 Expression Provides Chimeric Antigen Receptor (CAR) T Cells with Innate Cell Capacities Including IFN-β Release (2024) · cites this paper as [3]
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Targeting a CAR to the TRAC locus with CRISPR/Cas9 enhances tumour rejection
Eyquem, J., Mansilla-Soto, J., Giavridis, T., van der Stegen, S. J. C., Hamieh, M., Cunanan, K. M., Odak, A., Gönen, M., & Sadelain, M. (2017) · Nature · doi:10.1038/nature21405 · Cited by 1,831 · cited 1× · see citing works
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Self-citationAxicabtagene Ciloleucel as Second-Line Therapy for Large B-Cell Lymphoma
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“We found increased 19-HIT 80BB T cell accumulation in the bone marrow of leukemic mice at day 9, accompanied by less expression of inhibitory markers and transcription factors associated with T cell dysfunction 38,39,54 (Fig.”
Anti-CTLA-4 Immunotherapy Does Not Deplete FOXP3+ Regulatory T Cells (Tregs) in Human Cancers
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Roth, T. L., Li, P. J., Blaeschke, F., Nies, J. F., Apathy, R., Mowery, C., Yu, R., Nguyen, M. L. T., Lee, Y., Truong, A., et al. (2020) · Cell · doi:10.1016/j.cell.2020.03.039 · Cited by 186 · see citing works
T cells genetically engineered to overcome death signaling enhance adoptive cancer immunotherapy
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Harrer, D. C., Eder, M., Barden, M., Pan, H., Herr, W., & Abken, H. (2024) · Cancers · doi:10.3390/cancers16152737 · Cited by 1 · see citing works
- Authors
- Dobrin, A., Lindenbergh, P. L., Shi, Y., Perica, K., Xie, H., Jain, N., Chow, A., Wolchok, J. D., Merghoub, T., Sadelain, M., & Hamieh, M.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Weill Cornell Medicine (US)
- Corresponding author
- Sadelain, Michel
- ORCID
- Venue
- Nature Cancer
- Published
- 2024-03-19
- Volume
- 5
- Issue
- 5
- Pages
- 760-773
- ISSN
- 2662-1347 (ISSN-L)
- PMC
- PMC11921049
- OpenAlex
- W4392955797
- Cited by
- 23
- References
- 7
- Citations by year
- 2026: 10 · 2025: 8 · 2024: 5
- FWCI
- 3.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nature Cancer (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion, cc-by)
- Funders
- U.S. Department of Health & Human Services | NIH | National Cancer Institute (P30 CA08748)
- Lake Road Foundation Lymphoma and Leukemia Society The Pasteur-Weizmann/Servier award The Leopold Griffuel award
- Gouvernement du Canada | Canadian Institutes of Health Research (CIHR-IRSC:0207000741)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- CD80, 4-1BB, CD28 costimulation, CTLA-4, T cell costimulation, TCR-engineered T cells, tumor-infiltrating lymphocytes, antitumor T-cell responses, hematologic malignancies
- MeSH terms
- Receptors, Chimeric Antigen, Animals, Humans, Lymphocyte Activation, Receptors, Antigen, T-Cell, T-Lymphocytes, Immunotherapy, Adoptive, Lymphocytes, Tumor-Infiltrating, CD28 Antigens, B7-1 Antigen, Mice, Tumor Necrosis Factor Receptor Superfamily, Member 9, CTLA-4 Antigen, Cell- and Tissue-Based Therapy
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