Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma

Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) signaling is involved in the growth of normal and cancer cells and is crucial for T cell activation. Previously, we have shown that AKT Inhibitor VIII, a selective AKT-1/2 inhibitor, during chimeric antigen receptor (CAR) T cell manufacturi...

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Main Authors: Hui-Ju Hsieh, Ryan Urak, Mary C. Clark, Larry W. Kwak, Stephen J. Forman, Xiuli Wang
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Molecular Therapy: Methods & Clinical Development
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Online Access:http://www.sciencedirect.com/science/article/pii/S2329050125000166
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author Hui-Ju Hsieh
Ryan Urak
Mary C. Clark
Larry W. Kwak
Stephen J. Forman
Xiuli Wang
author_facet Hui-Ju Hsieh
Ryan Urak
Mary C. Clark
Larry W. Kwak
Stephen J. Forman
Xiuli Wang
author_sort Hui-Ju Hsieh
collection DOAJ
description Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) signaling is involved in the growth of normal and cancer cells and is crucial for T cell activation. Previously, we have shown that AKT Inhibitor VIII, a selective AKT-1/2 inhibitor, during chimeric antigen receptor (CAR) T cell manufacturing, improves CAR T cell function in preclinical models. Although AKT Inhibitor VIII could enhance CAR T cell function, AKT Inhibitor VIII is not a clinical-grade compound. However, pan-AKT inhibitors have been applied against cancers with PIK3CA/AKT/PTEN alterations in clinical trials. We evaluated ex vivo and in vivo strategies of enhancing CAR T cell therapeutic effect using the pan-AKT inhibitor capivasertib. We found that ex vivo 0.25 μM capivasertib treatment during the period of T cell stimulation during manufacture enhanced the antitumor activity of CAR T cells in B cell lymphoma mouse models. Mechanistically, capivasertib changed gene and protein expression patterns related to the functions of memory and effector CAR T cells. Furthermore, in vivo combination therapy of capivasertib and CD19-specific CAR T cells led to improved early response to and persistence of functional CAR T cells in mice bearing PTEN-deficient lymphoma cells compared to CAR T cells alone. Capivasertib exerts a similar function to AKT Inhibitor VIII in modulating CAR T cells, and combining CAR T cell therapy with capivasertib both ex vivo and in vivo offers the potential to improve patient outcomes. Since PTEN deficiency is common in cancer and is the main mechanism for capivasertib function, combination therapy may provide an alternative solution for the challenges of CAR T cell therapy.
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spelling doaj-art-7f7d330e0f6e440d906b58e62c2168ab2025-02-09T05:00:34ZengElsevierMolecular Therapy: Methods & Clinical Development2329-05012025-03-01331101421Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphomaHui-Ju Hsieh0Ryan Urak1Mary C. Clark2Larry W. Kwak3Stephen J. Forman4Xiuli Wang5Department of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA 91010, USADepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA 91010, USADepartment of Clinical and Translational Project Development, City of Hope, Duarte, CA 91010, USAToni Stephenson Lymphoma Center, Department of Hematology and Hematopoietic Cell Transplantation, Beckman Research Institute of City of Hope, Duarte, CA 91010, USADepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA 91010, USADepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, CA 91010, USA; Corresponding author: Xiuli Wang, Department of Hematology and HCT, City of Hope National Medical Center, Duarte, CA 91010, USA.Phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT) signaling is involved in the growth of normal and cancer cells and is crucial for T cell activation. Previously, we have shown that AKT Inhibitor VIII, a selective AKT-1/2 inhibitor, during chimeric antigen receptor (CAR) T cell manufacturing, improves CAR T cell function in preclinical models. Although AKT Inhibitor VIII could enhance CAR T cell function, AKT Inhibitor VIII is not a clinical-grade compound. However, pan-AKT inhibitors have been applied against cancers with PIK3CA/AKT/PTEN alterations in clinical trials. We evaluated ex vivo and in vivo strategies of enhancing CAR T cell therapeutic effect using the pan-AKT inhibitor capivasertib. We found that ex vivo 0.25 μM capivasertib treatment during the period of T cell stimulation during manufacture enhanced the antitumor activity of CAR T cells in B cell lymphoma mouse models. Mechanistically, capivasertib changed gene and protein expression patterns related to the functions of memory and effector CAR T cells. Furthermore, in vivo combination therapy of capivasertib and CD19-specific CAR T cells led to improved early response to and persistence of functional CAR T cells in mice bearing PTEN-deficient lymphoma cells compared to CAR T cells alone. Capivasertib exerts a similar function to AKT Inhibitor VIII in modulating CAR T cells, and combining CAR T cell therapy with capivasertib both ex vivo and in vivo offers the potential to improve patient outcomes. Since PTEN deficiency is common in cancer and is the main mechanism for capivasertib function, combination therapy may provide an alternative solution for the challenges of CAR T cell therapy.http://www.sciencedirect.com/science/article/pii/S2329050125000166AKTcapivasertibCAR T cellPTENlymphoma
spellingShingle Hui-Ju Hsieh
Ryan Urak
Mary C. Clark
Larry W. Kwak
Stephen J. Forman
Xiuli Wang
Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
Molecular Therapy: Methods & Clinical Development
AKT
capivasertib
CAR T cell
PTEN
lymphoma
title Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
title_full Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
title_fullStr Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
title_full_unstemmed Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
title_short Capivasertib enhances chimeric antigen receptor T cell activity in preclinical models of B cell lymphoma
title_sort capivasertib enhances chimeric antigen receptor t cell activity in preclinical models of b cell lymphoma
topic AKT
capivasertib
CAR T cell
PTEN
lymphoma
url http://www.sciencedirect.com/science/article/pii/S2329050125000166
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