T cells genetically engineered to overcome death signaling enhance adoptive cancer immunotherapy
Open accessAbstract
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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- 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.
- ORCID
- Venue
- Journal of Clinical Investigation
- Published
- 2019-02-25
- Volume
- 129
- Issue
- 4
- Pages
- 1551-1565
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC6436880
- 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
- bronze
- doi.org
- 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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