Cited by 156CAR-T cell therapy researchImmunotherapy and Immune ResponsesT-cell and B-cell Immunology

T cells genetically engineered to overcome death signaling enhance adoptive cancer immunotherapy

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Yamamoto, Tori N., Lee, Ping-Hsien, Vodnala, Suman K., Gurusamy, Devikala, Kishton, Rigel J., Yu, Zhiya, Eidizadeh, Arash, Eil, Robert +10 more·2019·Journal of Clinical Investigation

Abstract

Across clinical trials, T cell expansion and persistence following adoptive cell transfer (ACT) have correlated with superior patient outcomes. Herein, we undertook a pan-cancer analysis to identify actionable ligand-receptor pairs capable of compromising T cell durability following ACT. We discovered that FASLG, the gene encoding the apoptosis-inducing ligand FasL, is overexpressed within the majority of human tumor microenvironments (TMEs). Further, we uncovered that Fas, the receptor for FasL, is highly expressed on patient-derived T cells used for clinical ACT. We hypothesized that a cognate Fas-FasL interaction within the TME might limit both T cell persistence and antitumor efficacy. We discovered that genetic engineering of Fas variants impaired in the ability to bind FADD functioned as dominant negative receptors (DNRs), preventing FasL-induced apoptosis in Fas-competent T cells. T cells coengineered with a Fas DNR and either a T cell receptor or chimeric antigen receptor exhibited enhanced persistence following ACT, resulting in superior antitumor efficacy against established solid and hematologic cancers. Despite increased longevity, Fas DNR-engineered T cells did not undergo aberrant expansion or mediate autoimmunity. Thus, T cell-intrinsic disruption of Fas signaling through genetic engineering represents a potentially universal strategy to enhance ACT efficacy across a broad range of human malignancies.

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  • Next-generation T cell therapies are being engineered with transgenes designed to overcome suppressive signals in the tumor environment.

    “Next-generation T cell therapies are being engineered with transgenes designed to overcome suppressive signals in the tumor environment (Kloss et al., 2018; Lynn et al., 2019; Yamamoto et al., 2019).”

    From Pooled Knockin Targeting for Genome Engineering of Cellular Immunotherapies (2020) · cites this paper as Yamamoto et al., 2019

  • The pooled knock-in screens confirmed the functional effects of a recently described truncated Fas receptor included as a positive control.

    “The pooled knock-in screens confirmed the functional effects of a recently described truncated Fas receptor (Yamamoto et al., 2019) included as a positive control”

    From Pooled Knockin Targeting for Genome Engineering of Cellular Immunotherapies (2020) · cites this paper as Yamamoto et al., 2019

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Research works printed but not linked: 2

  1. Singer GG, Carrera AC, Marshak-Rothstein A, Martínez C, Abbas AK. Apoptosis, Fas and sys- temic autoimmunity: the MRL-lpr/lpr model. Curr Opin Immunol. 1994;6(6):913-920.
  2. Jackson CE, et al. Autoimmune lymphopro- liferative syndrome with defective Fas: geno- type influences penetrance. Am J Hum Genet. 1999;64(4):1002-1014.

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Authors
Yamamoto, T. N., Lee, P.-H., Vodnala, S. K., Gurusamy, D., Kishton, R. J., Yu, Z., Eidizadeh, A., Eil, R., Fioravanti, J., Gattinoni, L., Kochenderfer, J. N., Fry, T. J., Aksoy, B. A., Hammerbacher, J. E., Cruz, A. C., Siegel, R. M., Restifo, N. P., & Klebanoff, C. A.
Affiliations
  • National Institutes of Health (US)
  • Memorial Sloan Kettering Cancer Center (US)
  • Children's Hospital Colorado (US)
Corresponding author
Klebanoff, Christopher A.
Venue
Journal of Clinical Investigation
Published
2019-02-25
Volume
129
Issue
4
Pages
1551-1565
ISSN
  • 0021-9738 (ISSN-L)
  • 1558-8238
OpenAlex
W2913630852
Cited by
156
References
85
Citations by year
2026: 12 · 2025: 11 · 2024: 21 · 2023: 21 · 2022: 20 · 2021: 24 · 2020: 32 · 2019: 15
FWCI
9.51
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Memorial Sloan-Kettering Cancer Center (P30 CA008,48)
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
Fas/FasL signaling, T cell persistence, adoptive cell transfer, T cell engineering, FADD, apoptosis, tumor microenvironment, chimeric antigen receptor T cells, T cell receptor T cells, cancer immunotherapy, autoimmunity, hematologic malignancies, solid tumors
MeSH terms
Receptors, Chimeric Antigen, Animals, Female, Genetic Engineering, Humans, Male, Mice, Transgenic, Neoplasms, Experimental, Signal Transduction, fas Receptor, Adoptive Transfer, Mice, Fas-Associated Death Domain Protein, Fas Ligand Protein, Tumor Microenvironment

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