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Structural principles of peptide-centric Chimeric Antigen Receptor recognition guide therapeutic expansion
Open accessPreprint — 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.
- ORCID
- Venue
- Science Immunology
- Publisher
- openRxiv
- Published
- 2023-05-24
- Volume
- 8
- Issue
- 90
- Pages
- eadj5792-eadj5792
- ISSN
- 2470-9468 (ISSN-L)
- PMC
- PMC10782944
- 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
- hybrid
- doi.org
- 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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