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Surface Proteomics Reveals CD72 as a Target for In Vitro –Evolved Nanobody-Based CAR-T Cells in KMT2A/MLL1 -Rearranged B-ALL
Open accessPublished version of a preprint
Abstract
Alternative strategies are needed for patients with B-cell malignancy relapsing after CD19-targeted immunotherapy. Here, cell surface proteomics revealed CD72 as an optimal target for poor-prognosis KMT2A/MLL1-rearranged (MLLr) B-cell acute lymphoblastic leukemia (B-ALL), which we further found to be expressed in other B-cell malignancies. Using a recently described, fully in vitro system, we selected synthetic CD72-specific nanobodies, incorporated them into chimeric antigen receptors (CAR), and demonstrated robust activity against B-cell malignancy models, including CD19 loss. Taking advantage of the role of CD72 in inhibiting B-cell receptor signaling, we found that SHIP1 inhibition increased CD72 surface density. We establish that CD72-nanobody CAR-T cells are a promising therapy for MLLr B-ALL. Significance: Patients with MLLr B-ALL have poor prognoses despite recent immunotherapy advances. Here, surface proteomics identifies CD72 as being enriched on MLLr B-ALL but also widely expressed across B-cell cancers. We show that a recently described, fully in vitro nanobody platform generates binders highly active in CAR-T cells and demonstrate its broad applicability for immunotherapy development. This article is highlighted in the In This Issue feature, p. 1861
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Metadata
- Authors
- Nix, M. A., Mandal, K., Geng, H., Paranjape, N., Lin, Y.-H. T., Rivera, J. M., Marcoulis, M., White, K. L., Whitman, J. D., Bapat, S. P., Parker, K. R., Ramirez, J., Deucher, A., Phojanokong, P., Steri, V., Fattahi, F., Hann, B. C., Satpathy, A. T., Manglik, A., Stieglitz, E., & Wiita, A. P.
- Affiliations
- University of California, San Francisco (US)
- Stanford University (US)
- Corresponding author
- Wiita, Arun P.
- ORCID
- Venue
- Cancer Discovery
- Published
- 2021-05-16
- Volume
- 11
- Issue
- 8
- Pages
- 2032-2049
- ISSN
- 2159-8274 (ISSN-L)
- 2159-8290
- PMC
- PMC8338785
- OpenAlex
- W3137393431
- Cited by
- 72
- References
- 6
- Citations by year
- 2026: 8 · 2025: 18 · 2024: 12 · 2023: 19 · 2022: 12 · 2021: 3
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Cancer Discovery (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health (DP2 OD022552, K08 CA184116, K08 CA230188, P30 CA082103)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Health Sciences › Medicine › Hematology › Acute Lymphoblastic Leukemia research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Degradation and Inhibitors
- Keywords
- CD72, nanobodies, chimeric antigen receptor T cells, CAR T-cell therapy, surface proteomics, SHIP1, B cell receptor signaling, B-cell malignancies
- MeSH terms
- Receptors, Chimeric Antigen, Antigens, Differentiation, B-Lymphocyte, Humans, Precursor B-Cell Lymphoblastic Leukemia-Lymphoma, Antigens, CD, Immunotherapy, Adoptive, Antigens, CD19, Proteomics
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