PMID- 34873326 OWN - NLM STAT- MEDLINE DCOM- 20220414 LR - 20230206 IS - 1546-1696 (Electronic) IS - 1087-0156 (Print) IS - 1087-0156 (Linking) VI - 40 IP - 4 DP - 2022 Apr TI - T cells targeted to TdT kill leukemic lymphoblasts while sparing normal lymphocytes. PG - 488-498 LID - 10.1038/s41587-021-01089-x [doi] AB - Unlike chimeric antigen receptors, T-cell receptors (TCRs) can recognize intracellular targets presented on human leukocyte antigen (HLA) molecules. Here we demonstrate that T cells expressing TCRs specific for peptides from the intracellular lymphoid-specific enzyme terminal deoxynucleotidyl transferase (TdT), presented in the context of HLA-A*02:01, specifically eliminate primary acute lymphoblastic leukemia (ALL) cells of T- and B-cell origin in vitro and in three mouse models of disseminated B-ALL. By contrast, the treatment spares normal peripheral T- and B-cell repertoires and normal myeloid cells in vitro, and in vivo in humanized mice. TdT is an attractive cancer target as it is highly and homogeneously expressed in 80-94% of B- and T-ALLs, but only transiently expressed during normal lymphoid differentiation, limiting on-target toxicity of TdT-specific T cells. TCR-modified T cells targeting TdT may be a promising immunotherapy for B-ALL and T-ALL that preserves normal lymphocytes. CI - (c) 2021. The Author(s). FAU - Ali, Muhammad AU - Ali M AUID- ORCID: 0000-0001-8964-4416 AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Giannakopoulou, Eirini AU - Giannakopoulou E AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Li, Yingqian AU - Li Y AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Lehander, Madeleine AU - Lehander M AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Virding Culleton, Stina AU - Virding Culleton S AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Yang, Weiwen AU - Yang W AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Knetter, Cathrine AU - Knetter C AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Odabasi, Mete Can AU - Odabasi MC AD - Charite - Universitatsmedizin Berlin, Institute of Immunology, Berlin, Germany. FAU - Bollineni, Ravi Chand AU - Bollineni RC AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Yang, Xinbo AU - Yang X AD - Parker Institute for Cancer Immunotherapy, Howard Hughes Medical Institute, Departments of Molecular and Cellular Physiology and Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Foldvari, Zsofia AU - Foldvari Z AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Boschen, Maxi-Lu AU - Boschen ML AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Taraldsrud, Eli AU - Taraldsrud E AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Stronen, Erlend AU - Stronen E AUID- ORCID: 0000-0001-9314-9389 AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Toebes, Mireille AU - Toebes M AD - Division of Molecular Oncology & Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands. FAU - Hillen, Amy AU - Hillen A AD - Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden. FAU - Mazzi, Stefania AU - Mazzi S AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - de Ru, Arnoud H AU - de Ru AH AD - Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands. FAU - Janssen, George M C AU - Janssen GMC AD - Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands. FAU - Kolstad, Arne AU - Kolstad A AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. AD - Department of Oncology, Oslo University Hospital Radiumhospitalet, Oslo, Norway. FAU - Tjonnfjord, Geir Erland AU - Tjonnfjord GE AD - Department of Haematology, Oslo University Hospital and KG Jebsen Center for B cell malignancies, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. FAU - Lie, Benedicte A AU - Lie BA AD - Department of Medical Genetics, University of Oslo and Oslo University Hospital, Oslo, Norway. FAU - Griffioen, Marieke AU - Griffioen M AUID- ORCID: 0000-0002-3001-4441 AD - Department of Hematology, Leiden University Medical Center, Leiden, the Netherlands. FAU - Lehmann, Soren AU - Lehmann S AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. AD - Department of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden. FAU - Osnes, Liv Toril AU - Osnes LT AD - Department of Immunology, Oslo University Hospital, Oslo, Norway. FAU - Buechner, Jochen AU - Buechner J AUID- ORCID: 0000-0001-5848-4501 AD - Department of Pediatric Hematology and Oncology, Oslo University Hospital, Oslo, Norway. FAU - Garcia, K Christopher AU - Garcia KC AUID- ORCID: 0000-0001-9273-0278 AD - Parker Institute for Cancer Immunotherapy, Howard Hughes Medical Institute, Departments of Molecular and Cellular Physiology and Structural Biology, Stanford University School of Medicine, Stanford, CA, USA. FAU - Schumacher, Ton N AU - Schumacher TN AUID- ORCID: 0000-0003-0517-8804 AD - Division of Molecular Oncology & Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands. AD - Department of Immunohematology and Bloodtransfusion, Leiden University Medical Center, Leiden, the Netherlands. FAU - van Veelen, Peter A AU - van Veelen PA AD - Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands. FAU - Leisegang, Matthias AU - Leisegang M AUID- ORCID: 0000-0003-3692-7142 AD - Charite - Universitatsmedizin Berlin, Institute of Immunology, Berlin, Germany. AD - David and Etta Jonas Center for Cellular Therapy, The University of Chicago, Chicago, IL, USA. AD - German Cancer Consortium, partner site Berlin, Berlin, Germany. AD - German Cancer Research Center, Heidelberg, Germany. FAU - Jacobsen, Sten Eirik W AU - Jacobsen SEW AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. AD - Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden. AD - Karolinska University Hospital, Stockholm, Sweden. AD - MRC Molecular Haematology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK. FAU - Woll, Petter AU - Woll P AUID- ORCID: 0000-0002-2340-2526 AD - Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden. FAU - Olweus, Johanna AU - Olweus J AUID- ORCID: 0000-0002-1898-3100 AD - Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. johanna.olweus@medisin.uio.no. AD - K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. johanna.olweus@medisin.uio.no. LA - eng GR - R01 AI103867/AI/NIAID NIH HHS/United States GR - MC_UU_12009/5/MRC_/Medical Research Council/United Kingdom GR - MC_PC_12020/MRC_/Medical Research Council/United Kingdom GR - G0501838/MRC_/Medical Research Council/United Kingdom GR - MC_UU_00016/5/MRC_/Medical Research Council/United Kingdom GR - G0801073/MRC_/Medical Research Council/United Kingdom GR - 865805/ERC_/European Research Council/International GR - HHMI/Howard Hughes Medical Institute/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20211206 PL - United States TA - Nat Biotechnol JT - Nature biotechnology JID - 9604648 RN - 0 (Receptors, Antigen, T-Cell) RN - EC 2.7.7.31 (DNA Nucleotidylexotransferase) SB - IM MH - Animals MH - *DNA Nucleotidylexotransferase MH - Hematopoietic Stem Cells MH - Lymphocytes MH - Mice MH - Receptors, Antigen, T-Cell/genetics MH - *T-Lymphocytes PMC - PMC9005346 MID - EMS140577 COIS- J.O. has a research collaboration with Kite Pharma/Gilead, Inc., and a patent application by the institutional technology transfer office Inven2 was filed (patent application number 2113437.4) that covers TCR receptor sequences (inventors J.O. and M.A.). T.N.S. is a consultant for Adaptive Biotechnologies, AIMM Therapeutics, Allogene Therapeutics, Merus, Neogene Therapeutics, Neon Therapeutics and Scenic Biotech; is a recipient of grant/research support from MSD, Bristol-Myers Squibb and Merck KGaA; is a stockholder in AIMM Therapeutics, Allogene Therapeutics, Merus, Neogene Therapeutics and Neon Therapeutics; and is venture partner at Third Rock Ventures. G.E.T. has received research support from Mundipharma and lecture honoraria from Mundipharma, Abbvie, Janssen-Cilag, Alexion Pharmaceuticals and Roche Norway. The remaining authors declare no competing interests. EDAT- 2021/12/08 06:00 MHDA- 2022/04/15 06:00 PMCR- 2021/12/06 CRDT- 2021/12/07 06:41 PHST- 2021/03/25 00:00 [received] PHST- 2021/09/02 00:00 [accepted] PHST- 2021/12/08 06:00 [pubmed] PHST- 2022/04/15 06:00 [medline] PHST- 2021/12/07 06:41 [entrez] PHST- 2021/12/06 00:00 [pmc-release] AID - 10.1038/s41587-021-01089-x [pii] AID - 1089 [pii] AID - 10.1038/s41587-021-01089-x [doi] PST - ppublish SO - Nat Biotechnol. 2022 Apr;40(4):488-498. doi: 10.1038/s41587-021-01089-x. Epub 2021 Dec 6.