PMID- 29515236 OWN - NLM STAT- MEDLINE DCOM- 20190401 LR - 20210103 IS - 1476-5551 (Electronic) IS - 0887-6924 (Print) IS - 0887-6924 (Linking) VI - 32 IP - 6 DP - 2018 Jun TI - Compound CAR T-cells as a double-pronged approach for treating acute myeloid leukemia. PG - 1317-1326 LID - 10.1038/s41375-018-0075-3 [doi] AB - Acute myeloid leukemia (AML) bears heterogeneous cells that can consequently offset killing by single-CAR-based therapy, which results in disease relapse. Leukemic stem cells (LSCs) associated with CD123 expression comprise a rare population that also plays an important role in disease progression and relapse. Here, we report on the robust anti-tumor activity of a compound CAR (cCAR) T-cell possessing discrete scFv domains targeting two different AML antigens, CD123, and CD33, simultaneously. We determined that the resulting cCAR T-cells possessed consistent, potent, and directed cytotoxicity against each target antigen population. Using four leukemia mouse models, we found superior in vivo survival after cCAR treatment. We also designed an alemtuzumab safety-switch that allowed for rapid cCAR therapy termination in vivo. These findings indicate that targeting both CD123 and CD33 on AML cells may be an effective strategy for eliminating both AML bulk disease and LSCs, and potentially prevent relapse due to antigen escape or LSC persistence. FAU - Petrov, Jessica C AU - Petrov JC AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. FAU - Wada, Masayuki AU - Wada M AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. masayuki.wada@icellgene.com. FAU - Pinz, Kevin G AU - Pinz KG AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. FAU - Yan, Lulu E AU - Yan LE AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. FAU - Chen, Kevin H AU - Chen KH AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. FAU - Shuai, Xiao AU - Shuai X AD - Department of Hematology West China Hospital, Sichuan University, Chengdu, P.R. China. FAU - Liu, Hua AU - Liu H AD - Department of Pathology, Stony Brook Medicine, Stony Brook, NY, 11794, USA. FAU - Chen, Xi AU - Chen X AD - Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, China. FAU - Leung, Lai-Han AU - Leung LH AD - Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, China. FAU - Salman, Huda AU - Salman H AD - Department of Internal Medicine Stony Brook Medicine, Stony Brook University Medical Center, Stony Brook, NY, 11794, USA. FAU - Hagag, Nabil AU - Hagag N AD - Department of Internal Medicine Stony Brook Medicine, Stony Brook University Medical Center, Stony Brook, NY, 11794, USA. FAU - Liu, Fang AU - Liu F AD - Department of Hematology, Chengdu Military General Hospital, Chengdu, Sichuan, P.R. China. FAU - Jiang, Xun AU - Jiang X AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. FAU - Ma, Yupo AU - Ma Y AD - iCell Gene Therapeutics LLC Research & Development Division Long Island High Technology Incubator, 25 Health Science Drive, Stony Brook, NY, 11790, USA. yupo.ma@icellgene.com. AD - Department of Pathology, Stony Brook Medicine, Stony Brook, NY, 11794, USA. yupo.ma@icellgene.com. AD - Macau Institute for Applied Research in Medicine and Health, Macau University of Science and Technology, Macau, China. yupo.ma@icellgene.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180225 PL - England TA - Leukemia JT - Leukemia JID - 8704895 RN - 0 (Interleukin-3 Receptor alpha Subunit) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Sialic Acid Binding Ig-like Lectin 3) RN - 3A189DH42V (Alemtuzumab) SB - IM MH - Alemtuzumab/therapeutic use MH - Animals MH - Cell Line, Tumor MH - Cytotoxicity, Immunologic MH - Humans MH - Immunotherapy, Adoptive/*methods MH - Interleukin-3 Receptor alpha Subunit/*antagonists & inhibitors MH - Leukemia, Myeloid, Acute/*therapy MH - Male MH - Mice MH - Receptors, Antigen, T-Cell/*immunology MH - Sialic Acid Binding Ig-like Lectin 3/*antagonists & inhibitors PMC - PMC5990523 COIS- Yupo Ma is a co-founder of iCell Gene Therapeutics, LLC. EDAT- 2018/03/09 06:00 MHDA- 2019/04/02 06:00 PMCR- 2018/02/25 CRDT- 2018/03/09 06:00 PHST- 2017/10/23 00:00 [received] PHST- 2018/01/31 00:00 [accepted] PHST- 2017/12/22 00:00 [revised] PHST- 2018/03/09 06:00 [pubmed] PHST- 2019/04/02 06:00 [medline] PHST- 2018/03/09 06:00 [entrez] PHST- 2018/02/25 00:00 [pmc-release] AID - 10.1038/s41375-018-0075-3 [pii] AID - 75 [pii] AID - 10.1038/s41375-018-0075-3 [doi] PST - ppublish SO - Leukemia. 2018 Jun;32(6):1317-1326. doi: 10.1038/s41375-018-0075-3. Epub 2018 Feb 25.