PMID- 25582824 OWN - NLM STAT- MEDLINE DCOM- 20160405 LR - 20220409 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 23 IP - 4 DP - 2015 Apr TI - Enhancing antitumor efficacy of chimeric antigen receptor T cells through constitutive CD40L expression. PG - 769-78 LID - 10.1038/mt.2015.4 [doi] AB - Adoptive cell therapy with genetically modified T cells expressing a chimeric antigen receptor (CAR) is a promising therapy for patients with B-cell acute lymphoblastic leukemia. However, CAR-modified T cells (CAR T cells) have mostly failed in patients with solid tumors or low-grade B-cell malignancies including chronic lymphocytic leukemia with bulky lymph node involvement. Herein, we enhance the antitumor efficacy of CAR T cells through the constitutive expression of CD40 ligand (CD40L, CD154). T cells genetically modified to constitutively express CD40L (CD40L-modified T cells) demonstrated increased proliferation and secretion of proinflammatory TH1 cytokines. Further, CD40L-modified T cells augmented the immunogenicity of CD40(+) tumor cells by the upregulated surface expression of costimulatory molecules (CD80 and CD86), adhesion molecules (CD54, CD58, and CD70), human leukocyte antigen (HLA) molecules (Class I and HLA-DR), and the Fas-death receptor (CD95). Additionally, CD40L-modified T cells induced maturation and secretion of the proinflammatory cytokine interleukin-12 by monocyte-derived dendritic cells. Finally, tumor-targeted CD19-specific CAR/CD40L T cells exhibited increased cytotoxicity against CD40(+) tumors and extended the survival of tumor-bearing mice in a xenotransplant model of CD19(+) systemic lymphoma. This preclinical data supports the clinical application of CAR T cells additionally modified to constitutively express CD40L with anticipated enhanced antitumor efficacy. FAU - Curran, Kevin J AU - Curran KJ AD - Department of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Seinstra, Beatrijs A AU - Seinstra BA AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Nikhamin, Yan AU - Nikhamin Y AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Yeh, Raymond AU - Yeh R AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Usachenko, Yelena AU - Usachenko Y AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - van Leeuwen, Dayenne G AU - van Leeuwen DG AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Purdon, Terence AU - Purdon T AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Pegram, Hollie J AU - Pegram HJ AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Brentjens, Renier J AU - Brentjens RJ AD - Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA. LA - eng GR - K08 CA095152/CA/NCI NIH HHS/United States GR - R01 CA138738/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - CA008748/CA/NCI NIH HHS/United States GR - CA138738/CA/NCI NIH HHS/United States GR - P01 CA059350/CA/NCI NIH HHS/United States GR - CA059350/CA/NCI NIH HHS/United States GR - CA095152/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150113 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Recombinant Fusion Proteins) RN - 147205-72-9 (CD40 Ligand) SB - IM MH - Animals MH - CD40 Ligand/*metabolism MH - Cell Line, Tumor MH - Heterografts MH - Humans MH - Immunophenotyping MH - *Immunotherapy MH - Lymphoma, Follicular/immunology/*therapy MH - Mice MH - Recombinant Fusion Proteins/*metabolism MH - T-Lymphocytes/*immunology PMC - PMC4395796 EDAT- 2015/01/15 06:00 MHDA- 2016/04/06 06:00 PMCR- 2016/04/01 CRDT- 2015/01/14 06:00 PHST- 2014/04/10 00:00 [received] PHST- 2015/01/02 00:00 [accepted] PHST- 2015/01/14 06:00 [entrez] PHST- 2015/01/15 06:00 [pubmed] PHST- 2016/04/06 06:00 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - S1525-0016(16)30096-X [pii] AID - 10.1038/mt.2015.4 [doi] PST - ppublish SO - Mol Ther. 2015 Apr;23(4):769-78. doi: 10.1038/mt.2015.4. Epub 2015 Jan 13.