PMID- 37922880 OWN - NLM STAT- MEDLINE DCOM- 20231107 LR - 20240322 IS - 1875-9777 (Electronic) IS - 1875-9777 (Linking) VI - 30 IP - 11 DP - 2023 Nov 2 TI - Synthetic immune checkpoint engagers protect HLA-deficient iPSCs and derivatives from innate immune cell cytotoxicity. PG - 1538-1548.e4 LID - S1934-5909(23)00365-X [pii] LID - 10.1016/j.stem.2023.10.003 [doi] AB - Immune rejection of allogeneic cell therapeutics remains a major problem for immuno-oncology and regenerative medicine. Allogeneic cell products so far have inferior persistence and efficacy when compared with autologous alternatives. Engineering of hypoimmune cells may greatly improve their therapeutic benefit. We present a new class of agonistic immune checkpoint engagers that protect human leukocyte antigen (HLA)-depleted induced pluripotent stem cell-derived endothelial cells (iECs) from innate immune cells. Engagers with agonistic functionality to their inhibitory receptors TIM3 and SIRPalpha effectively protect engineered iECs from natural killer (NK) cell and macrophage killing. The SIRPalpha engager can be combined with truncated CD64 to generate fully immune evasive iECs capable of escaping allogeneic cellular and immunoglobulin G (IgG) antibody-mediated rejection. Synthetic immune checkpoint engagers have high target specificity and lack retrograde signaling in the engineered cells. This modular design allows for the exploitation of more inhibitory immune pathways for immune evasion and could contribute to the advancement of allogeneic cell therapeutics. CI - Copyright (c) 2023 The Author(s). Published by Elsevier Inc. All rights reserved. FAU - Gravina, Alessia AU - Gravina A AD - Transplant and Stem Cell Immunobiology (TSI)-Lab, Department of Surgery, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143, USA. FAU - Tediashvili, Grigol AU - Tediashvili G AD - Transplant and Stem Cell Immunobiology (TSI)-Lab, Department of Surgery, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143, USA. FAU - Zheng, Yueting AU - Zheng Y AD - Shinobi Therapeutics, 2 Tower Place, South San Francisco, CA 94080, USA. FAU - Iwabuchi, Kumiko A AU - Iwabuchi KA AD - Shinobi Therapeutics, 2 Tower Place, South San Francisco, CA 94080, USA. FAU - Peyrot, Sara M AU - Peyrot SM AD - Shinobi Therapeutics, 2 Tower Place, South San Francisco, CA 94080, USA. FAU - Roodsari, Susan Z AU - Roodsari SZ AD - Shinobi Therapeutics, 2 Tower Place, South San Francisco, CA 94080, USA. FAU - Gargiulo, Lauren AU - Gargiulo L AD - Shinobi Therapeutics, 2 Tower Place, South San Francisco, CA 94080, USA. FAU - Kaneko, Shin AU - Kaneko S AD - Laboratory of Regenerative Immunotherapy, Department of Cell Growth and Differentiation, Center for iPS cell Research, Kyoto University, Sakyo-ku, Kyoto, Japan. FAU - Osawa, Mitsujiro AU - Osawa M AD - Shinobi Therapeutics, Med-Pharm Collaboration Building 46-29, Yoshida-Shimo-Adachi-Cho, Sakyo-Ku, Kyoto, Japan. FAU - Schrepfer, Sonja AU - Schrepfer S AD - Transplant and Stem Cell Immunobiology (TSI)-Lab, Department of Surgery, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143, USA. FAU - Deuse, Tobias AU - Deuse T AD - Transplant and Stem Cell Immunobiology (TSI)-Lab, Department of Surgery, University of California, San Francisco, 513 Parnassus Avenue, San Francisco, CA 94143, USA. Electronic address: tobias.deuse@ucsf.edu. LA - eng PT - Journal Article PL - United States TA - Cell Stem Cell JT - Cell stem cell JID - 101311472 RN - 0 (HLA Antigens) SB - IM CIN - Cell Stem Cell. 2023 Nov 2;30(11):1393-1394. PMID: 37922874 MH - Humans MH - *Induced Pluripotent Stem Cells/metabolism MH - Endothelial Cells/metabolism MH - HLA Antigens MH - Killer Cells, Natural MH - Immunity, Innate OTO - NOTNLM OT - hypoimmune editing OT - immune checkpoints OT - immune evasion COIS- Declaration of interests UCSF has filed patent applications that cover inventions of this study. Y.Z., K.A.I., S.M.P., S.Z.R., L.G., and M.O. are employees of Shinobi Therapeutics and own stock; S.K. and T.D. are founders of Shinobi Therapeutics and own stock. S.S. is currently an employee of Sana Biotechnology, Inc. and S.S. and T.D. own stock in Sana Biotechnology, Inc. No materials or funding was received from Sana Biotechnology, Inc. for use in this study EDAT- 2023/11/06 03:54 MHDA- 2023/11/07 06:46 CRDT- 2023/11/03 19:25 PHST- 2022/12/19 00:00 [received] PHST- 2023/08/23 00:00 [revised] PHST- 2023/10/04 00:00 [accepted] PHST- 2023/11/07 06:46 [medline] PHST- 2023/11/06 03:54 [pubmed] PHST- 2023/11/03 19:25 [entrez] AID - S1934-5909(23)00365-X [pii] AID - 10.1016/j.stem.2023.10.003 [doi] PST - ppublish SO - Cell Stem Cell. 2023 Nov 2;30(11):1538-1548.e4. doi: 10.1016/j.stem.2023.10.003.