PMID- 38327771 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240211 IS - 2589-0042 (Electronic) IS - 2589-0042 (Linking) VI - 27 IP - 2 DP - 2024 Feb 16 TI - Immune-restoring CAR-T cells display antitumor activity and reverse immunosuppressive TME in a humanized ccRCC mouse model. PG - 108879 LID - 10.1016/j.isci.2024.108879 [doi] LID - 108879 AB - One of the major barriers that have restricted successful use of chimeric antigen receptor (CAR) T cells in the treatment of solid tumors is an unfavorable tumor microenvironment (TME). We engineered CAR-T cells targeting carbonic anhydrase IX (CAIX) to secrete anti-PD-L1 monoclonal antibody (mAb), termed immune-restoring (IR) CAR G36-PDL1. We tested CAR-T cells in a humanized clear cell renal cell carcinoma (ccRCC) orthotopic mouse model with reconstituted human leukocyte antigen (HLA) partially matched human leukocytes derived from fetal CD34(+) hematopoietic stem cells (HSCs) and bearing human ccRCC skrc-59 cells under the kidney capsule. G36-PDL1 CAR-T cells, haploidentical to the tumor cells, had a potent antitumor effect compared to those without immune-restoring effect. Analysis of the TME revealed that G36-PDL1 CAR-T cells restored active antitumor immunity by promoting tumor-killing cytotoxicity, reducing immunosuppressive cell components such as M2 macrophages and exhausted CD8(+) T cells, and enhancing T follicular helper (Tfh)-B cell crosstalk. CI - (c) 2024. FAU - Wang, Yufei AU - Wang Y AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. AD - Harvard Medical School, Boston, MA 02215, USA. FAU - Cho, Jae-Won AU - Cho JW AD - Harvard Medical School, Boston, MA 02215, USA. AD - Gene Lay Institute of Immunology and Inflammation, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Kastrunes, Gabriella AU - Kastrunes G AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Buck, Alicia AU - Buck A AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Razimbaud, Cecile AU - Razimbaud C AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Culhane, Aedin C AU - Culhane AC AD - School of Medicine, University of Limerick, V94 T9PX Limerick, Ireland. FAU - Sun, Jiusong AU - Sun J AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Braun, David A AU - Braun DA AD - Harvard Medical School, Boston, MA 02215, USA. AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. AD - Center of Molecular and Cellular Oncology, Yale Cancer Center, Yale School of Medicine, New Haven, CT 06525, USA. FAU - Choueiri, Toni K AU - Choueiri TK AD - Harvard Medical School, Boston, MA 02215, USA. AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Wu, Catherine J AU - Wu CJ AD - Harvard Medical School, Boston, MA 02215, USA. AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Jones, Kristen AU - Jones K AD - Lurie Family Imaging Center, Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Nguyen, Quang-De AU - Nguyen QD AD - Lurie Family Imaging Center, Center for Biomedical Imaging in Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Zhu, Zhu AU - Zhu Z AD - Harvard Medical School, Boston, MA 02215, USA. AD - Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Wei, Kevin AU - Wei K AD - Harvard Medical School, Boston, MA 02215, USA. AD - Division of Rheumatology, Inflammation and Immunity, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Zhu, Quan AU - Zhu Q AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. AD - Harvard Medical School, Boston, MA 02215, USA. FAU - Signoretti, Sabina AU - Signoretti S AD - Harvard Medical School, Boston, MA 02215, USA. AD - Department of Oncologic Pathology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. AD - Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Freeman, Gordon J AU - Freeman GJ AD - Harvard Medical School, Boston, MA 02215, USA. AD - Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. FAU - Hemberg, Martin AU - Hemberg M AD - Harvard Medical School, Boston, MA 02215, USA. AD - Gene Lay Institute of Immunology and Inflammation, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Marasco, Wayne A AU - Marasco WA AD - Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, MA 02215, USA. AD - Harvard Medical School, Boston, MA 02215, USA. LA - eng GR - P30 CA006516/CA/NCI NIH HHS/United States GR - P50 CA101942/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20240115 PL - United States TA - iScience JT - iScience JID - 101724038 PMC - PMC10847687 OTO - NOTNLM OT - Cancer OT - Immunology OT - Transcriptomics COIS- W.A.M. has patents in the PD-1/PDL1 field. G.J.F. has patents/pending royalties on the PD-1/PD-L1 pathway from Roche, Merck MSD, Bristol-Myers-Squibb, Merck KGA, Boehringer-Ingelheim, AstraZeneca, Dako, Leica, Mayo Clinic, Eli Lilly, and Novartis. G.J.F. has served on advisory boards for Roche, Bristol-Myers-Squibb, Xios, Origimed, Triursus, iTeos, NextPoint, IgM, Jubilant, Trillium, IOME, GV20, Invaria, and Geode. G.J.F. has equity in NextPoint, Triursus, Xios, iTeos, IgM, GV20, Invaria, and Geode. M.H. is a co-founder of Neomer Diagnostics where he is also on the advisory board. K.W. received a sponsored-research agreement from Gilead Sciences. K.W. served as a consultant for Gilead Sciences and Horizon Therapeutics. D.A.B. reports nonfinancial support from Bristol Myers Squibb, honoraria from LM Education/Exchange Services, advisory board fees from Exelixis and AVEO, personal fees from Charles River Associates, Schlesinger Associates, Imprint Science, Insight Strategy, Trinity Group, Cancer Expert Now, Adnovate Strategies, MDedge, CancerNetwork, Catenion, OncLive, Cello Health BioConsulting, PWW Consulting, Haymarket Medical Network, Aptitude Health, ASCO Post/Harborside, Targeted Oncology, and AbbVie, and research support from Exelixis and AstraZeneca, outside of the submitted work. C.J.W. holds equity in BioNTech, Inc., and receives research funding from Pharmacyclics. S.S. reports receiving commercial research grants from Bristol-Myers Squibb, AstraZeneca, Exelixis, and Novartis; is a consultant/advisory board member for Merck, AstraZeneca, Bristol-Myers Squibb, CRISPR Therapeutics AG, AACR, and NCI; receives royalties from Biogenex; and mentored several non-US citizens on research projects with potential funding (in part) from non-US sources/Foreign Components. T.K.C. reports institutional and personal, paid and unpaid support for research, advisory boards, consultancy, and honoraria from AstraZeneca, Aravive, Aveo, Bayer, Bristol Myers-Squibb, Calithera, Circle Pharma, Eisai, EMD Serono, Exelixis, GlaxoSmithKline, IQVA, Infinity, Ipsen, Jansen, Kanaph, Lilly, Merck, Nikang, Nuscan, Novartis, Pfizer, Roche, Sanofi/Aventis, Surface Oncology, Takeda, Tempest, Up-To-Date, and CME events (Peerview, OncLive, MJH, and others), outside the submitted work. T.K.C. has institutional patents filed on molecular alterations and immunotherapy response/toxicity, and ctDNA. T.K.C. has equity in Tempest, Pionyr, Osel, and Precede Bio. T.K.C. has served on committees for NCCN, GU Steering Committee, ASCO/ESMO, ACCRU, and KidneyCan. T.K.C. has medical writing and editorial assistance support may have been funded by Communications companies in part. T.K.C. has mentored several non-US citizens on research projects with potential funding (in part) from non-US sources/Foreign Components. The institution (Dana-Farber Cancer Institute) may have received additional independent funding of drug companies or/and royalties potentially involved in research around the subject matter. EDAT- 2024/02/08 06:42 MHDA- 2024/02/08 06:43 PMCR- 2024/01/15 CRDT- 2024/02/08 04:10 PHST- 2023/10/12 00:00 [received] PHST- 2023/12/01 00:00 [revised] PHST- 2024/01/08 00:00 [accepted] PHST- 2024/02/08 06:43 [medline] PHST- 2024/02/08 06:42 [pubmed] PHST- 2024/02/08 04:10 [entrez] PHST- 2024/01/15 00:00 [pmc-release] AID - S2589-0042(24)00100-7 [pii] AID - 108879 [pii] AID - 10.1016/j.isci.2024.108879 [doi] PST - epublish SO - iScience. 2024 Jan 15;27(2):108879. doi: 10.1016/j.isci.2024.108879. eCollection 2024 Feb 16.