PreprintCited by 19CAR-T cell therapy researchImmunotherapy and Immune ResponsesCancer Immunotherapy and Biomarkers

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Structural principles of peptide-centric Chimeric Antigen Receptor recognition guide therapeutic expansion

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Preprint — published as 10.1126/sciimmunol.adj5792 · Paper page

Abstract

Peptide-Centric Chimeric Antigen Receptors (PC-CARs), which recognize oncoprotein epitopes displayed by human leukocyte antigens (HLAs) on the cell surface, offer a promising strategy for targeted cancer therapy 1 . We have previously developed a PC-CAR targeting a neuroblastoma- associated PHOX2B peptide, leading to robust tumor cell lysis restricted by two common HLA allotypes 2 . Here, we determine the 2.1 Å structure of the PC-CAR:PHOX2B/HLA-A*24:02/β2m complex, which reveals the basis for antigen-specific recognition through interactions with CAR complementarity-determining regions (CDRs). The PC-CAR adopts a diagonal docking mode, where interactions with both conserved and polymorphic HLA framework residues permit recognition of multiple HLA allotypes from the A9 serological cross-reactivity group, covering a combined American population frequency of up to 25.2%. Comprehensive characterization using biochemical binding assays, molecular dynamics simulations, and structural and functional analyses demonstrate that high-affinity PC-CAR recognition of cross-reactive pHLAs necessitates the presentation of a specific peptide backbone, where subtle structural adaptations of the peptide are critical for high-affinity complex formation and CAR-T cell killing. Our results provide a molecular blueprint for engineering CARs with optimal recognition of tumor-associated antigens in the context of different HLAs, while minimizing cross-reactivity with self-epitopes.

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Metadata

Authors
Sun, Y., Florio, T. J., Gupta, S., Young, M. C., Marshall, Q. F., Garfinkle, S. E., Papadaki, G. F., Truong, H. V., Mycek, E., Li, P., Farrel, A., Church, N. L., Jabar, S., Beasley, M. D., Kiefel, B. R., Yarmarkovich, M., Mallik, L., Maris, J. M., & Sgourakis, N. G.
Affiliations
Children's Hospital of Philadelphia (US)
Corresponding author
Sgourakis, Nikolaos G.
Venue
Science Immunology
Publisher
openRxiv
Published
2023-05-24
Volume
8
Issue
90
Pages
eadj5792-eadj5792
ISSN
2470-9468 (ISSN-L)
OpenAlex
W4389233063
Cited by
19
References
1
Citations by year
2026: 6 · 2025: 8 · 2024: 4 · 2023: 1
FWCI
2.31
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Science Immunology (publishedVersion, cc-by)
  • bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion, other-oa)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion, other-oa)
  • PubMed Central (submittedVersion)
Funders
  • U.S. Department of Energy (76SF00515, DE‐SC0012704, DE–AC02–76SF00515, KP1607011, Contract No: DESC0012704, AC02‐76SF00515, No. DE-SC0012704, SC0012704., No. DE-AC02–76SF00515, P30GM133893, Contract No. DE-AC02-76SF00515, P30-GM133894, DE-AC02-)
  • American Association for Cancer Research (SU2C-AACR-DT-27-17)
  • St. Baldrick's Foundation (SU2C-AACR-DT-27–17)
  • Children's Hospital of Philadelphia
  • Entertainment Industry Foundation
  • Cancer Research UK (CGCATF2021/100014)
  • National Institutes of Health (17-ID-1, DE-AC02-76SF00515)
  • Office of Science (AC02-76SF00515, DE-SC-0012704, No. DE-SC0012704, DE-AC02-76SF0051 5, DE-AC02, Contract No. DE-SC0012704, SC0012704, 76SF00515, KP1607011)
  • Stand Up To Cancer (SU2C-AACR-DT-27-17)
  • National Cancer Institute (OT2CA278687, U54CA232568, R35CA220500)
  • National Institute of General Medical Sciences (DE-AC02-76SF00515, 17-ID-1, P30GM133893, P30GM133894, R35GM125034)
  • National Institute of Allergy and Infectious Diseases (R01AI143997)
  • Biological and Environmental Research (DE-SC0012704, DE- AC0276SF00515, P30GM133894, KP1607011)
  • Moonshot Research and Development Program
  • Brookhaven National Laboratory (SC0012704, No. DE-SC0012704, DE- SC0012704, Contract No. DE-SC0012704)
  • SLAC National Accelerator Laboratory (DEAC02−76SF00515, AC02‐76SF00515, Contract No. DE-AC02-76SF00515)
  • Cancer Moonshot
Topics
  • Health Sciences › Medicine › Oncology › CAR-T cell therapy research
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
Keywords
PHOX2B, HLA-A*24:02, CAR T-cell therapy, neuroblastoma, hypervariable region, peptide backbone conformation, antigen recognition, crystal structure, HLA-A9

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