PMID- 35235342 OWN - NLM STAT- MEDLINE DCOM- 20220426 LR - 20220726 IS - 1946-6242 (Electronic) IS - 1946-6234 (Linking) VI - 14 IP - 634 DP - 2022 Mar 2 TI - A carcinoembryonic antigen-specific cell therapy selectively targets tumor cells with HLA loss of heterozygosity in vitro and in vivo. PG - eabm0306 LID - 10.1126/scitranslmed.abm0306 [doi] AB - The CEACAM5 gene product [carcinoembryonic antigen (CEA)] is an attractive target for colorectal cancer because of its high expression in virtually all colorectal tumors and limited expression in most healthy adult tissues. However, highly active CEA-directed investigational therapeutics have been reported to be toxic, causing severe colitis because CEA is expressed on normal gut epithelial cells. Here, we developed a strategy to address this toxicity problem: the Tmod dual-signal integrator. CEA Tmod cells use two receptors: a chimeric antigen receptor (CAR) activated by CEA and a leukocyte Ig-like receptor 1 (LIR-1)-based inhibitory receptor triggered by human leukocyte antigen (HLA)-A*02. CEA Tmod cells exploit instances of HLA heterozygous gene loss in tumors to protect the patient from on-target, off-tumor toxicity. CEA Tmod cells potently killed CEA-expressing tumor cells in vitro and in vivo. But in contrast to a traditional CEA-specific T cell receptor transgenic T cell, Tmod cells were highly selective for tumor cells even when mixed with HLA-A*02-expressing cells. These data support further development of the CEA Tmod construct as a therapeutic candidate for colorectal cancer. FAU - Sandberg, Mark L AU - Sandberg ML AUID- ORCID: 0000-0002-5365-6981 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Wang, Xueyin AU - Wang X AUID- ORCID: 0000-0003-1085-6366 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Martin, Aaron D AU - Martin AD AUID- ORCID: 0000-0003-1012-4050 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Nampe, Daniel P AU - Nampe DP AUID- ORCID: 0000-0002-4404-8220 AD - Process Development, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Gabrelow, Grant B AU - Gabrelow GB AUID- ORCID: 0000-0003-0803-2368 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Li, Chuck Z AU - Li CZ AUID- ORCID: 0000-0001-5564-0433 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - McElvain, Michele E AU - McElvain ME AUID- ORCID: 0000-0003-0661-0312 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Lee, Wen-Hua AU - Lee WH AUID- ORCID: 0000-0002-6453-5464 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Shafaattalab, Sanam AU - Shafaattalab S AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Martire, Sara AU - Martire S AUID- ORCID: 0000-0002-1570-3476 FAU - Fisher, Fernando A AU - Fisher FA AUID- ORCID: 0000-0002-1118-2909 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Ando, Yuta AU - Ando Y AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Liu, Edwin AU - Liu E AD - Process Development, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Ju, David AU - Ju D AUID- ORCID: 0000-0003-2000-1038 AD - Process Development, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Wong, Lu Min AU - Wong LM AUID- ORCID: 0000-0001-6238-7245 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Xu, Han AU - Xu H AUID- ORCID: 0000-0002-1530-2162 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. FAU - Kamb, Alexander AU - Kamb A AUID- ORCID: 0000-0002-8675-6620 AD - Discovery Research, A2 Biotherapeutics, Inc., 30301 Agoura Road, Agoura Hills, CA 91301, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220302 PL - United States TA - Sci Transl Med JT - Science translational medicine JID - 101505086 RN - 0 (Carcinoembryonic Antigen) RN - 0 (HLA-A*02 antigen) RN - 0 (HLA-A2 Antigen) RN - 0 (Receptors, Chimeric Antigen) SB - IM MH - Carcinoembryonic Antigen/genetics/metabolism MH - Cell- and Tissue-Based Therapy MH - *Colorectal Neoplasms/genetics/therapy MH - HLA-A2 Antigen/genetics MH - Humans MH - Loss of Heterozygosity MH - *Receptors, Chimeric Antigen EDAT- 2022/03/03 06:00 MHDA- 2022/04/27 06:00 CRDT- 2022/03/02 17:09 PHST- 2022/03/02 17:09 [entrez] PHST- 2022/03/03 06:00 [pubmed] PHST- 2022/04/27 06:00 [medline] AID - 10.1126/scitranslmed.abm0306 [doi] PST - ppublish SO - Sci Transl Med. 2022 Mar 2;14(634):eabm0306. doi: 10.1126/scitranslmed.abm0306. Epub 2022 Mar 2.