PMID- 34732890 OWN - NLM STAT- MEDLINE DCOM- 20220328 LR - 20231125 IS - 1476-4687 (Electronic) IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 599 IP - 7885 DP - 2021 Nov TI - Cross-HLA targeting of intracellular oncoproteins with peptide-centric CARs. PG - 477-484 LID - 10.1038/s41586-021-04061-6 [doi] AB - The majority of oncogenic drivers are intracellular proteins, thus constraining their immunotherapeutic targeting to mutated peptides (neoantigens) presented by individual human leukocyte antigen (HLA) allotypes(1). However, most cancers have a modest mutational burden that is insufficient to generate responses using neoantigen-based therapies(2,3). Neuroblastoma is a paediatric cancer that harbours few mutations and is instead driven by epigenetically deregulated transcriptional networks(4). Here we show that the neuroblastoma immunopeptidome is enriched with peptides derived from proteins that are essential for tumourigenesis and focus on targeting the unmutated peptide QYNPIRTTF, discovered on HLA-A*24:02, which is derived from the neuroblastoma dependency gene and master transcriptional regulator PHOX2B. To target QYNPIRTTF, we developed peptide-centric chimeric antigen receptors (CARs) using a counter-panning strategy with predicted potentially cross-reactive peptides. We further hypothesized that peptide-centric CARs could recognize peptides on additional HLA allotypes when presented in a similar manner. Informed by computational modelling, we showed that PHOX2B peptide-centric CARs also recognize QYNPIRTTF presented by HLA-A*23:01 and the highly divergent HLA-B*14:02. Finally, we demonstrated potent and specific killing of neuroblastoma cells expressing these HLAs in vitro and complete tumour regression in mice. These data suggest that peptide-centric CARs have the potential to vastly expand the pool of immunotherapeutic targets to include non-immunogenic intracellular oncoproteins and widen the population of patients who would benefit from such therapy by breaking conventional HLA restriction. CI - (c) 2021. The Author(s). FAU - Yarmarkovich, Mark AU - Yarmarkovich M AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Marshall, Quinlen F AU - Marshall QF AUID- ORCID: 0000-0002-4736-9716 AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Warrington, John M AU - Warrington JM AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Premaratne, Rasika AU - Premaratne R AD - Myrio Tx, Melbourne, Victoria, Australia. FAU - Farrel, Alvin AU - Farrel A AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Groff, David AU - Groff D AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Li, Wei AU - Li W AD - University of Pittsburgh, Pittsburgh, PA, USA. FAU - di Marco, Moreno AU - di Marco M AD - University of Tubingen, Tubingen, Germany. FAU - Runbeck, Erin AU - Runbeck E AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Truong, Hau AU - Truong H AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Toor, Jugmohit S AU - Toor JS AD - Department of Chemistry and Biochemistry, University of California Santa Cruz, Santa Cruz, CA, USA. FAU - Tripathi, Sarvind AU - Tripathi S AUID- ORCID: 0000-0002-6959-0577 AD - Department of Chemistry and Biochemistry, University of California Santa Cruz, Santa Cruz, CA, USA. FAU - Nguyen, Son AU - Nguyen S AUID- ORCID: 0000-0002-0475-5158 AD - Massachusetts Institute of Technology, Cambridge, MA, USA. FAU - Shen, Helena AU - Shen H AUID- ORCID: 0000-0002-0500-441X AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Noel, Tiffany AU - Noel T AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Church, Nicole L AU - Church NL AD - Myrio Tx, Melbourne, Victoria, Australia. FAU - Weiner, Amber AU - Weiner A AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Kendsersky, Nathan AU - Kendsersky N AUID- ORCID: 0000-0003-0132-8748 AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Martinez, Dan AU - Martinez D AD - Department of Pathology and Lab Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Weisberg, Rebecca AU - Weisberg R AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Christie, Molly AU - Christie M AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Eisenlohr, Laurence AU - Eisenlohr L AD - Department of Pathology and Lab Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Bosse, Kristopher R AU - Bosse KR AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. FAU - Dimitrov, Dimiter S AU - Dimitrov DS AUID- ORCID: 0000-0002-2258-1024 AD - University of Pittsburgh, Pittsburgh, PA, USA. FAU - Stevanovic, Stefan AU - Stevanovic S AD - University of Tubingen, Tubingen, Germany. FAU - Sgourakis, Nikolaos G AU - Sgourakis NG AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. FAU - Kiefel, Ben R AU - Kiefel BR AD - Myrio Tx, Melbourne, Victoria, Australia. FAU - Maris, John M AU - Maris JM AUID- ORCID: 0000-0002-8088-7929 AD - Division of Oncology and Center for Childhood Cancer Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA. maris@chop.edu. AD - Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA. maris@chop.edu. LA - eng GR - R35 GM125034/GM/NIGMS NIH HHS/United States GR - R35 CA220500/CA/NCI NIH HHS/United States GR - T32 CA009140/CA/NCI NIH HHS/United States GR - R01 AI143997/AI/NIAID NIH HHS/United States GR - P01 CA217959/CA/NCI NIH HHS/United States GR - T32 GM132039/GM/NIGMS NIH HHS/United States GR - K08 CA230223/CA/NCI NIH HHS/United States GR - U54 CA232568/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Retracted Publication DEP - 20211103 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Antigens, Neoplasm) RN - 0 (HLA Antigens) RN - 0 (Homeodomain Proteins) RN - 0 (NBPhox protein) RN - 0 (Oncogene Proteins) RN - 0 (Receptors, Chimeric Antigen) RN - 0 (Transcription Factors) RN - 82115-62-6 (Interferon-gamma) SB - IM CIN - Sci Immunol. 2022 Jan 07;7(67):eabn9189. PMID: 34995093 CIN - Cancer Cell. 2022 Jan 10;40(1):20-22. PMID: 35016027 RIN - Nature. 2023 Nov;623(7988):872. PMID: 37938785 MH - Animals MH - Antigens, Neoplasm/*immunology/metabolism MH - Cell Line MH - Cell Line, Tumor MH - Cross Reactions MH - Cross-Priming MH - Female MH - HLA Antigens/*immunology/metabolism MH - Homeodomain Proteins/immunology/metabolism MH - Humans MH - *Immunotherapy MH - Interferon-gamma/immunology MH - Mice MH - Neoplasms/*immunology/metabolism/*therapy MH - Oncogene Proteins/antagonists & inhibitors/*immunology/metabolism MH - Receptors, Chimeric Antigen/*immunology MH - T-Lymphocytes/immunology MH - Transcription Factors/immunology/metabolism PMC - PMC8599005 COIS- J.M.M. and M.Y. have equity stake in Tantigen Bio Inc. and HuLA Therapeutics. Both companies have interest in commercializing technologies described herein. B.R.K. is an employee of and has equity interests in Myrio Therapeutics. R.P. and N.L.C. are employees of Myrio Therapeutics. J.M.M., M.Y. and B.R.K. are co-inventors on a patent filed regarding the PHOX2B PC-CAR. EDAT- 2021/11/05 06:00 MHDA- 2022/03/29 06:00 PMCR- 2021/11/03 CRDT- 2021/11/04 06:18 PHST- 2021/04/20 00:00 [received] PHST- 2021/09/23 00:00 [accepted] PHST- 2021/11/05 06:00 [pubmed] PHST- 2022/03/29 06:00 [medline] PHST- 2021/11/04 06:18 [entrez] PHST- 2021/11/03 00:00 [pmc-release] AID - 10.1038/s41586-021-04061-6 [pii] AID - 4061 [pii] AID - 10.1038/s41586-021-04061-6 [doi] PST - ppublish SO - Nature. 2021 Nov;599(7885):477-484. doi: 10.1038/s41586-021-04061-6. Epub 2021 Nov 3.