PMID- 33323464 OWN - NLM STAT- MEDLINE DCOM- 20210920 LR - 20210920 IS - 2051-1426 (Electronic) IS - 2051-1426 (Linking) VI - 8 IP - 2 DP - 2020 Dec TI - In vivo therapeutic effects of affinity-improved-TCR engineered T-cells on HBV-related hepatocellular carcinoma. LID - 10.1136/jitc-2020-001748 [doi] LID - e001748 AB - BACKGROUND: In patients with hepatitis B virus (HBV)-related hepatocellular carcinoma (HCC), virus-specific cytotoxic T lymphocytes (CTLs) fail to eliminate HCC cells expressing HBV antigens. As the expression of viral antigen in HBV-associated HCC may decrease to allow tumor to escape immune attacks, we hypothesized that an HBV surface antigen (HBsAg)-specific affinity-improved-T-cell receptor (TCR) will enable T cells to target HCC more effectively than corresponding wild-type-TCR. We also postulated that TCR promiscuity can be exploited to efficiently capture HBV variants that can hinder CTL-based therapeutics. METHODS: We applied flexi-panning to isolate affinity-improved TCRs binding to a variant antigen, the human leukocyte antigen (HLA)-A*02:01-restricted nonapeptide HBs(371-379)-ILSPFLPLL, from libraries constructed with a TCR cloned using the decapeptide HBs(370-379)-SIVSPFIPLL. The potency and safety of the affinity-improved-TCR engineered T-cells (Ai-TCR-T) were verified with potentially cross-reactive human and HBV-variant peptides, tumor and normal cells, and xenograft mouse models. RESULTS: Ai-TCR-T cells retained cognate HBV antigen specificity and recognized a wide range of HBV genotypic variants with improved sensitivity and cytotoxicity. Cell infusions produced complete elimination of HCC without recurrence in the xenograft mouse models. Elevated accumulation of CD8(+) Ai-TCR-T cells in tumors correlated with tumor shrinkage. CONCLUSION: The in vitro and in vivo studies demonstrated that HBsAg-specific Ai-TCR-T cells had safety profiles similar to those of their wild-type counterparts and significantly enhanced potency. This study presents an approach to develop new therapeutic strategies for HBV-related HCC. CI - (c) Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Liu, Qi AU - Liu Q AUID- ORCID: 0000-0001-6273-9351 AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. AD - University of the Chinese Academy of Sciences, Beijing, China. FAU - Tian, Ye AU - Tian Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. FAU - Li, Yanyan AU - Li Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. FAU - Zhang, Wei AU - Zhang W AD - Hefei Institute of Stem Cell and Regenerative Medicine, Guangzhou Institutes of Biomedicine and Health, Hefei, Anhui, China. FAU - Cai, Wenxuan AU - Cai W AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. FAU - Liu, Yaju AU - Liu Y AD - Hefei Institute of Stem Cell and Regenerative Medicine, Guangzhou Institutes of Biomedicine and Health, Hefei, Anhui, China. FAU - Ren, Yuefei AU - Ren Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. AD - School of Life Sciences, University of Science and Technology of China, Hefei, Anhui, China. FAU - Liang, Zhaoduan AU - Liang Z AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. FAU - Zhou, Peipei AU - Zhou P AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. AD - Institute of Physical Science and Information Technology, Anhui University, Hefei, Anhui, China. FAU - Zhang, Yajing AU - Zhang Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. AD - University of the Chinese Academy of Sciences, Beijing, China. FAU - Bao, Yifeng AU - Bao Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China. FAU - Li, Yi AU - Li Y AD - State Key Laboratory of Respiratory Disease, Guangzhou Institutes of Biomedicine and Health, Guangzhou, China li_yi@gibh.ac.cn. AD - University of the Chinese Academy of Sciences, Beijing, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - J Immunother Cancer JT - Journal for immunotherapy of cancer JID - 101620585 SB - IM MH - Animals MH - Carcinoma, Hepatocellular/immunology/pathology/*virology MH - Hepatitis B virus/*pathogenicity MH - Humans MH - Liver Neoplasms/pathology/*virology MH - Male MH - Mice MH - T-Lymphocytes/*metabolism MH - Tissue Engineering/*methods MH - Xenograft Model Antitumor Assays PMC - PMC7745518 OTO - NOTNLM OT - CD8-Positive T-lymphocytes OT - adoptive OT - cell engineering OT - immunohistochemistry OT - immunotherapy OT - liver neoplasms COIS- Competing interests: None declared. EDAT- 2020/12/17 06:00 MHDA- 2021/09/21 06:00 PMCR- 2020/12/15 CRDT- 2020/12/16 05:28 PHST- 2020/11/15 00:00 [accepted] PHST- 2020/12/16 05:28 [entrez] PHST- 2020/12/17 06:00 [pubmed] PHST- 2021/09/21 06:00 [medline] PHST- 2020/12/15 00:00 [pmc-release] AID - jitc-2020-001748 [pii] AID - 10.1136/jitc-2020-001748 [doi] PST - ppublish SO - J Immunother Cancer. 2020 Dec;8(2):e001748. doi: 10.1136/jitc-2020-001748.