PMID- 33717142 OWN - NLM STAT- MEDLINE DCOM- 20211004 LR - 20240503 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 12 DP - 2021 TI - GMP-Compliant Universal Antigen Presenting Cells (uAPC) Promote the Metabolic Fitness and Antitumor Activity of Armored Cord Blood CAR-NK Cells. PG - 626098 LID - 10.3389/fimmu.2021.626098 [doi] LID - 626098 AB - Natural killer (NK) cells are innate lymphocytes recognized for their important role against tumor cells. NK cells expressing chimeric antigen receptors (CARs) have enhanced effector function against various type of cancer and are attractive contenders for the next generation of cancer immunotherapies. However, a number of factors have hindered the application of NK cells for cellular therapy, including their poor in vitro growth kinetics and relatively low starting percentages within the mononuclear cell fraction of peripheral blood or cord blood (CB). To overcome these limitations, we genetically-engineered human leukocyte antigen (HLA)-A(-) and HLA-B(-) K562 cells to enforce the expression of CD48, 4-1BBL, and membrane-bound IL-21 (mbIL21), creating a universal antigen presenting cell (uAPC) capable of stimulating their cognate receptors on NK cells. We have shown that uAPC can drive the expansion of both non-transduced (NT) and CAR-transduced CB derived NK cells by >900-fold in 2 weeks of co-culture with excellent purity (>99.9%) and without indications of senescence/exhaustion. We confirmed that uAPC-expanded research- and clinical-grade NT and CAR-transduced NK cells have higher metabolic fitness and display enhanced effector function against tumor targets compared to the corresponding cell fractions cultured without uAPCs. This novel approach allowed the expansion of highly pure GMP-grade CAR NK cells at optimal cell numbers to be used for adoptive CAR NK cell-based cancer immunotherapy. CI - Copyright (c) 2021 Liu, Ang, Kerbauy, Basar, Kaur, Kaplan, Li, Tong, Daher, Ensley, Uprety, Nunez Cortes, Yang, Li, Shaim, Reyes Silva, Lin, Mohanty, Acharya, Shanley, Muniz-Feliciano, Banerjee, Chen, Champlin, Shpall and Rezvani. FAU - Liu, Enli AU - Liu E AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Ang, Sonny O T AU - Ang SOT AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Kerbauy, Lucila AU - Kerbauy L AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. AD - Departments of Stem Cell Transplantation and Hemotherapy/Cellular Therapy, Hospital Israelita Albert Einstein, Sao Paulo, Brazil. AD - Department of Genetics and Evolutionary Biology, Human Genome and Stem Cell Research Center, Biosciences Institute, University of Sao Paulo, Sao Paulo, Brazil. FAU - Basar, Rafet AU - Basar R AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Kaur, Indreshpal AU - Kaur I AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Kaplan, Mecit AU - Kaplan M AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Li, Li AU - Li L AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Tong, Yijiu AU - Tong Y AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Daher, May AU - Daher M AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Ensley, Emily L AU - Ensley EL AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Uprety, Nadima AU - Uprety N AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Nunez Cortes, Ana Karen AU - Nunez Cortes AK AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Yang, Ryan Z AU - Yang RZ AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Li, Ye AU - Li Y AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Shaim, Hila AU - Shaim H AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Reyes Silva, Francia AU - Reyes Silva F AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Lin, Paul AU - Lin P AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Mohanty, Vakul AU - Mohanty V AD - Department of Bioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Acharya, Sunil AU - Acharya S AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Shanley, Mayra AU - Shanley M AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Muniz-Feliciano, Luis AU - Muniz-Feliciano L AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Banerjee, Pinaki P AU - Banerjee PP AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Chen, Ken AU - Chen K AD - Department of Bioinformatics and Computational Biology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Champlin, Richard E AU - Champlin RE AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Shpall, Elizabeth J AU - Shpall EJ AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. FAU - Rezvani, Katayoun AU - Rezvani K AD - Department of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, TX, United States. LA - eng GR - P30 CA016672/CA/NCI NIH HHS/United States GR - P50 CA100632/CA/NCI NIH HHS/United States GR - R01 CA211044/CA/NCI NIH HHS/United States GR - P01 CA148600/CA/NCI NIH HHS/United States GR - T32 CA009666/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 - 20210226 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (HLA Antigens) RN - 0 (Receptors, Chimeric Antigen) RN - 0 (Receptors, Natural Killer Cell) SB - IM MH - Animals MH - Antigen-Presenting Cells/*metabolism MH - Cell Engineering MH - Cell Line, Tumor MH - Cell Proliferation MH - Cytotoxicity, Immunologic MH - Fetal Blood MH - HLA Antigens/genetics MH - Humans MH - K562 Cells MH - Killer Cells, Natural/*immunology/*metabolism MH - Mice MH - Mice, Knockout MH - Receptors, Chimeric Antigen/*genetics MH - Receptors, Natural Killer Cell/metabolism MH - Transcriptome MH - Transduction, Genetic MH - Xenograft Model Antitumor Assays PMC - PMC7952299 OTO - NOTNLM OT - K562 cells OT - NK cell expansion OT - adoptive cancer immunotherapy OT - cell engineering OT - universal antigen presenting cell COIS- KR, ES, RC, EL, SAn, RB, MD, PB, and The University of Texas MD Anderson Cancer Center (MDACC) have an institutional financial conflict of interest with Takeda Pharmaceutical for the licensing of the technology related to CAR-NK cell research reported here. MD Anderson has implemented an Institutional Conflict of Interest Management and Monitoring Plan to manage and monitor the conflict of interest with respect to MDACC's conduct of any other ongoing or future research related to this relationship. KR, ES, RB, EL, SAn and The University of Texas MD Anderson Cancer Center has an institutional financial conflict of interest with Affimed GmbH. Because MD Anderson is committed to the protection of human subjects and the effective management of its financial conflicts of interest in relation to its research activities, MD Anderson is implementing an Institutional Conflict of Interest Management and Monitoring Plan to manage and monitor the conflict of interest with respect to MD Anderson's conduct of any other ongoing or future research related to this relationship. KR participates on Scientific Advisory Board for GemoAb, AvengeBio, Kiadis, GSK and Bayer. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/03/16 06:00 MHDA- 2021/10/05 06:00 PMCR- 2021/01/01 CRDT- 2021/03/15 06:58 PHST- 2020/11/04 00:00 [received] PHST- 2021/01/26 00:00 [accepted] PHST- 2021/03/15 06:58 [entrez] PHST- 2021/03/16 06:00 [pubmed] PHST- 2021/10/05 06:00 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2021.626098 [doi] PST - epublish SO - Front Immunol. 2021 Feb 26;12:626098. doi: 10.3389/fimmu.2021.626098. eCollection 2021.