PMID- 29675462 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 2372-7705 (Print) IS - 2372-7705 (Electronic) IS - 2372-7705 (Linking) VI - 3 DP - 2016 TI - An MHC-restricted antibody-based chimeric antigen receptor requires TCR-like affinity to maintain antigen specificity. PG - 1-9 LID - 10.1038/mto.2016.23 [doi] AB - Chimeric antigen receptors (CARs) are synthetic receptors that usually redirect T cells to surface antigens independent of human leukocyte antigen (HLA). Here, we investigated a T cell receptor-like CAR based on an antibody that recognizes HLA-A*0201 presenting a peptide epitope derived from the cancer-testis antigen NY-ESO-1. We hypothesized that this CAR would efficiently redirect transduced T cells in an HLA-restricted, antigen-specific manner. However, we found that despite the specificity of the soluble Fab, the same antibody in the form of a CAR caused moderate lysis of HLA-A2 expressing targets independent of antigen owing to T cell avidity. We hypothesized that lowering the affinity of the CAR for HLA-A2 would improve its specificity. We undertook a rational approach of mutating residues that, in the crystal structure, were predicted to stabilize binding to HLA-A2. We found that one mutation (DN) lowered the affinity of the Fab to T cell receptor-range and restored the epitope specificity of the CAR. DN CAR T cells lysed native tumor targets in vitro, and, in a xenogeneic mouse model implanted with two human melanoma lines (A2+/NYESO+ and A2+/NYESO-), DN CAR T cells specifically migrated to, and delayed progression of, only the HLA-A2+/NY-ESO-1+ melanoma. Thus, although maintaining MHC-restricted antigen specificity required T cell receptor-like affinity that decreased potency, there is exciting potential for CARs to expand their repertoire to include a broad range of intracellular antigens. FAU - Maus, Marcela V AU - Maus MV AD - Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Plotkin, Jason AU - Plotkin J AD - Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Jakka, Gopinadh AU - Jakka G AD - Department of Oncology, University Hospital Zurich, Zurich, Switzerland. FAU - Stewart-Jones, Guillaume AU - Stewart-Jones G AD - Division of Structural Biology, Welcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK. FAU - Riviere, Isabelle AU - Riviere I AD - Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, New York, USA. FAU - Merghoub, Taha AU - Merghoub T AD - Ludwig Center for Cancer Immunotherapy, Swim Across America Laboratory, MSKCC, New York, New York, USA. FAU - Wolchok, Jedd AU - Wolchok J AD - Ludwig Center for Cancer Immunotherapy, Swim Across America Laboratory, MSKCC, New York, New York, USA. FAU - Renner, Christoph AU - Renner C AD - Department of Oncology, University Hospital Zurich, Zurich, Switzerland. AD - Department of Oncology, University Hospital Basel, Basel, Switzerland. FAU - Sadelain, Michel AU - Sadelain M AD - Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, New York, USA. AD - Weill-Cornell Medical College, New York, New York, USA. LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States GR - T32 CA009512/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20170111 PL - United States TA - Mol Ther Oncolytics JT - Molecular therapy oncolytics JID - 101666776 PMC - PMC5904357 EDAT- 2017/01/11 00:00 MHDA- 2017/01/11 00:01 PMCR- 2017/01/11 CRDT- 2018/04/21 06:00 PHST- 2016/04/13 00:00 [received] PHST- 2016/08/23 00:00 [accepted] PHST- 2018/04/21 06:00 [entrez] PHST- 2017/01/11 00:00 [pubmed] PHST- 2017/01/11 00:01 [medline] PHST- 2017/01/11 00:00 [pmc-release] AID - S2372-7705(16)30060-2 [pii] AID - 16023 [pii] AID - 10.1038/mto.2016.23 [doi] PST - epublish SO - Mol Ther Oncolytics. 2017 Jan 11;3:1-9. doi: 10.1038/mto.2016.23. eCollection 2016.