T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion

Background T cell receptor (TCR)-engineered cells can be powerful tools in the treatment of malignancies. However, tumor resistance by Human Leukocyte antigen (HLA) class I downregulation can negatively impact the success of any TCR-mediated cell therapy. Allogeneic natural killer (NK) cells have de...

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Main Authors: Miranda H Meeuwsen, Laura T Morton, Tassilo L A Wachsmann, Anne K Wouters, Dennis F G Remst, Marleen M van Loenen, J H Frederik Falkenburg, Mirjam H M Heemskerk
Format: Article
Language:English
Published: BMJ Publishing Group 2022-03-01
Series:Journal for ImmunoTherapy of Cancer
Online Access:https://jitc.bmj.com/content/10/3/e003715.full
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author Miranda H Meeuwsen
Laura T Morton
Tassilo L A Wachsmann
Anne K Wouters
Dennis F G Remst
Marleen M van Loenen
J H Frederik Falkenburg
Mirjam H M Heemskerk
author_facet Miranda H Meeuwsen
Laura T Morton
Tassilo L A Wachsmann
Anne K Wouters
Dennis F G Remst
Marleen M van Loenen
J H Frederik Falkenburg
Mirjam H M Heemskerk
author_sort Miranda H Meeuwsen
collection DOAJ
description Background T cell receptor (TCR)-engineered cells can be powerful tools in the treatment of malignancies. However, tumor resistance by Human Leukocyte antigen (HLA) class I downregulation can negatively impact the success of any TCR-mediated cell therapy. Allogeneic natural killer (NK) cells have demonstrated efficacy and safety against malignancies without inducing graft-versus-host-disease, highlighting the feasibility for an ‘off the shelf’ cellular therapeutic. Furthermore, primary NK cells can target tumors using a broad array of intrinsic activation mechanisms. In this study, we combined the antitumor effector functions of NK cells with TCR engineering (NK-TCR), creating a novel therapeutic strategy to avoid TCR-associated immune resistance.Methods BOB1, is a transcription factor highly expressed in all healthy and malignant B cell lineages, including multiple myeloma (MM). Expression of an HLA-B*07:02 restricted BOB1-specifc TCR in peripheral blood–derived NK cells was achieved following a two-step retroviral transduction protocol. NK-TCR was then compared with TCR-negative NK cells and CD8-T cells expressing the same TCR for effector function against HLA-B*07:02+ B-cell derived lymphoblastoid cell lines (B-LCL), B-cell acute lymphoblastic leukemia and MM cell lines in vitro and in vivo.Results Firstly, TCR could be reproducibly expressed in NK cells isolated from the peripheral blood of multiple healthy donors generating pure NK-TCR cell products. Secondly, NK-TCR demonstrated antigen-specific effector functions against malignancies which were previously resistant to NK-mediated lysis and enhanced NK efficacy in vivo using a preclinical xenograft model of MM. Moreover, antigen-specific cytotoxicity and cytokine production of NK-TCR was comparable to CD8 T cells expressing the same TCR. Finally, in a model of HLA-class I loss, tumor cells with B2M KO were lysed by NK-TCR in an NK-mediated manner but were resistant to T-cell based killing.Conclusion NK-TCR cell therapy enhances NK cell efficacy against tumors through additional TCR-mediated lysis. Furthermore, the dual efficacy of NK-TCR permits the specific targeting of tumors and the associated TCR-associated immune resistance, making NK-TCR a unique cellular therapeutic.
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spelling doaj-art-ee6aa46b6f7e4f30b82ef991256891492025-08-20T02:11:30ZengBMJ Publishing GroupJournal for ImmunoTherapy of Cancer2051-14262022-03-0110310.1136/jitc-2021-003715T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasionMiranda H Meeuwsen0Laura T Morton1Tassilo L A Wachsmann2Anne K Wouters3Dennis F G Remst4Marleen M van Loenen5J H Frederik Falkenburg6Mirjam H M Heemskerk7Department of Hematology, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands2 Department of Hematology, Leiden University Medical Centre, Leiden, The Netherlands2 Department of Hematology, Leiden University Medical Centre, Leiden, The Netherlands2 Department of Hematology, Leiden University Medical Centre, Leiden, The NetherlandsDepartment of Hematology, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Hematology, Leiden University Medical Center, Leiden, The NetherlandsDepartment of Hematology, Leiden University Medical Center, Leiden, The NetherlandsBackground T cell receptor (TCR)-engineered cells can be powerful tools in the treatment of malignancies. However, tumor resistance by Human Leukocyte antigen (HLA) class I downregulation can negatively impact the success of any TCR-mediated cell therapy. Allogeneic natural killer (NK) cells have demonstrated efficacy and safety against malignancies without inducing graft-versus-host-disease, highlighting the feasibility for an ‘off the shelf’ cellular therapeutic. Furthermore, primary NK cells can target tumors using a broad array of intrinsic activation mechanisms. In this study, we combined the antitumor effector functions of NK cells with TCR engineering (NK-TCR), creating a novel therapeutic strategy to avoid TCR-associated immune resistance.Methods BOB1, is a transcription factor highly expressed in all healthy and malignant B cell lineages, including multiple myeloma (MM). Expression of an HLA-B*07:02 restricted BOB1-specifc TCR in peripheral blood–derived NK cells was achieved following a two-step retroviral transduction protocol. NK-TCR was then compared with TCR-negative NK cells and CD8-T cells expressing the same TCR for effector function against HLA-B*07:02+ B-cell derived lymphoblastoid cell lines (B-LCL), B-cell acute lymphoblastic leukemia and MM cell lines in vitro and in vivo.Results Firstly, TCR could be reproducibly expressed in NK cells isolated from the peripheral blood of multiple healthy donors generating pure NK-TCR cell products. Secondly, NK-TCR demonstrated antigen-specific effector functions against malignancies which were previously resistant to NK-mediated lysis and enhanced NK efficacy in vivo using a preclinical xenograft model of MM. Moreover, antigen-specific cytotoxicity and cytokine production of NK-TCR was comparable to CD8 T cells expressing the same TCR. Finally, in a model of HLA-class I loss, tumor cells with B2M KO were lysed by NK-TCR in an NK-mediated manner but were resistant to T-cell based killing.Conclusion NK-TCR cell therapy enhances NK cell efficacy against tumors through additional TCR-mediated lysis. Furthermore, the dual efficacy of NK-TCR permits the specific targeting of tumors and the associated TCR-associated immune resistance, making NK-TCR a unique cellular therapeutic.https://jitc.bmj.com/content/10/3/e003715.full
spellingShingle Miranda H Meeuwsen
Laura T Morton
Tassilo L A Wachsmann
Anne K Wouters
Dennis F G Remst
Marleen M van Loenen
J H Frederik Falkenburg
Mirjam H M Heemskerk
T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
Journal for ImmunoTherapy of Cancer
title T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
title_full T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
title_fullStr T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
title_full_unstemmed T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
title_short T cell receptor engineering of primary NK cells to therapeutically target tumors and tumor immune evasion
title_sort t cell receptor engineering of primary nk cells to therapeutically target tumors and tumor immune evasion
url https://jitc.bmj.com/content/10/3/e003715.full
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