PMID- 33554868 OWN - NLM STAT- MEDLINE DCOM- 20211018 LR - 20220204 IS - 1525-0024 (Electronic) IS - 1525-0016 (Print) IS - 1525-0016 (Linking) VI - 29 IP - 2 DP - 2021 Feb 3 TI - Engineering Tolerance toward Allogeneic CAR-T Cells by Regulation of MHC Surface Expression with Human Herpes Virus-8 Proteins. PG - 718-733 LID - S1525-0016(20)30553-0 [pii] LID - 10.1016/j.ymthe.2020.10.019 [doi] AB - Allogeneic, off-the-shelf (OTS) chimeric antigen receptor (CAR) cell therapies have the potential to reduce manufacturing costs and variability while providing broader accessibility to cancer patients and those with other diseases. However, host-versus-graft reactivity can limit the durability and efficacy of OTS cell therapies requiring new strategies to evade adaptive and innate-immune responses. Human herpes virus-8 (HHV8) maintains infection, in part, by evading host T and natural killer (NK) cell attack. The viral K3 gene encodes a membrane-tethered E3 ubiquitin ligase that discretely targets major histocompatibility complex (MHC) class I components, whereas K5 encodes a similar E3 ligase with broader specificity, including MHC-II and the MHC-like MHC class I polypeptide-related sequence A (MIC-A)- and sequence B (MIC-B)-activating ligands of NK cells. We created gamma-retroviruses encoding K3 and/or K5 transgenes that efficiently transduce primary human T cells. Expression of K3 or K5 resulted in dramatic downregulation of MHC-IA (human leukocyte antigen [HLA]-A, -B, and -C) and MHC class II (HLA-DR) cell-surface expression. K3 expression was sufficient for T cells to resist exogenously loaded peptide-MHC-specific cytotoxicity, as well as recognition in one-way allogeneic mixed lymphocyte reactions. Further, in immunodeficient mice engrafted with allogeneic T cells, K3-transduced T cells selectively expanded in vivo. Ectopic K5 expression in MHC class I(-), MIC-A(+)/B(+) K562 cells also reduced targeting by primary NK cells. Coexpression of K3 in prostate stem cell antigen (PSCA)-directed, inducible MyD88/CD40 (iMC)-enhanced CAR-T cells did not impact cytotoxicity, T cell growth, or cytokine production against HPAC pancreatic tumor target cells, whereas K5-expressing cells showed a modest reduction in interleukin (IL)-2 production without effect on cytotoxicity. Together, these results support application of these E3 ligases to advance development of OTS CAR-T cell products. CI - Copyright (c) 2020. Published by Elsevier Inc. FAU - Wang, Xiaomei AU - Wang X AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. FAU - Cabrera, Fabricio G AU - Cabrera FG AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. FAU - Sharp, Kelly L AU - Sharp KL AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. FAU - Spencer, David M AU - Spencer DM AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. FAU - Foster, Aaron E AU - Foster AE AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. Electronic address: afoster@bellicum.com. FAU - Bayle, J Henri AU - Bayle JH AD - Research and Development, Bellicum Pharmaceuticals, 2710 Reed Road, Suite 160, Houston, TX 77030, USA. Electronic address: jhbayle@bellicum.com. LA - eng PT - Journal Article DEP - 20201022 PL - United States TA - Mol Ther JT - Molecular therapy : the journal of the American Society of Gene Therapy JID - 100890581 RN - 0 (Histocompatibility Antigens) RN - 0 (Viral Proteins) SB - IM MH - Animals MH - *Cell- and Tissue-Based Therapy/methods MH - Disease Models, Animal MH - *Genetic Engineering MH - Herpesvirus 8, Human/*immunology MH - Histocompatibility Antigens/*immunology MH - Humans MH - *Immunotherapy, Adoptive/methods MH - Mice MH - Neoplasms/immunology/therapy MH - Viral Proteins/*immunology MH - Xenograft Model Antitumor Assays PMC - PMC7854355 OTO - NOTNLM OT - CAR-T cell OT - HHV8 OT - MARCH proteins OT - OTS OT - allogeneic cell therapy OT - iMC OT - immune evasion OT - off-the-shelf cell therapy EDAT- 2021/02/09 06:00 MHDA- 2021/10/21 06:00 PMCR- 2022/02/03 CRDT- 2021/02/08 08:43 PHST- 2020/04/27 00:00 [received] PHST- 2020/09/09 00:00 [revised] PHST- 2020/10/19 00:00 [accepted] PHST- 2021/02/08 08:43 [entrez] PHST- 2021/02/09 06:00 [pubmed] PHST- 2021/10/21 06:00 [medline] PHST- 2022/02/03 00:00 [pmc-release] AID - S1525-0016(20)30553-0 [pii] AID - 10.1016/j.ymthe.2020.10.019 [doi] PST - ppublish SO - Mol Ther. 2021 Feb 3;29(2):718-733. doi: 10.1016/j.ymthe.2020.10.019. Epub 2020 Oct 22.