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Systematic testing and specificity mapping of alloantigen-specific chimeric antigen receptors in regulatory T cells
Nicholas A.J. Dawson, Caroline Lamarche, Romy E. Hoeppli, Peter Bergqvist, Vivian C.W. Fung, Emma McIver, Qing Huang, Jana Gillies, Madeleine Speck, Paul C. Orban, Jonathan W. Bush, Majid Mojibian, Megan K. Levings
Nicholas A.J. Dawson, Caroline Lamarche, Romy E. Hoeppli, Peter Bergqvist, Vivian C.W. Fung, Emma McIver, Qing Huang, Jana Gillies, Madeleine Speck, Paul C. Orban, Jonathan W. Bush, Majid Mojibian, Megan K. Levings
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Research Article Immunology Transplantation

Systematic testing and specificity mapping of alloantigen-specific chimeric antigen receptors in regulatory T cells

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Abstract

Chimeric antigen receptor (CAR) technology can be used to engineer the antigen specificity of regulatory T cells (Tregs) and improve their potency as an adoptive cell therapy in multiple disease models. As synthetic receptors, CARs carry the risk of immunogenicity, particularly when derived from nonhuman antibodies. Using an HLA-A*02:01–specific CAR (A2-CAR) encoding a single-chain variable fragment (Fv) derived from a mouse antibody, we developed a panel of 20 humanized A2-CARs (hA2-CARs). Systematic testing demonstrated variations in expression, and ability to bind HLA-A*02:01 and stimulate human Treg suppression in vitro. In addition, we developed a new method to comprehensively map the alloantigen specificity of CARs, revealing that humanization reduced HLA-A cross-reactivity. In vivo bioluminescence imaging showed rapid trafficking and persistence of hA2-CAR Tregs in A2-expressing allografts, with eventual migration to draining lymph nodes. Adoptive transfer of hA2-CAR Tregs suppressed HLA-A2+ cell–mediated xenogeneic graft-versus-host disease and diminished rejection of human HLA-A2+ skin allografts. These data provide a platform for systematic development and specificity testing of humanized alloantigen-specific CARs that can be used to engineer specificity and homing of therapeutic Tregs.

Authors

Nicholas A.J. Dawson, Caroline Lamarche, Romy E. Hoeppli, Peter Bergqvist, Vivian C.W. Fung, Emma McIver, Qing Huang, Jana Gillies, Madeleine Speck, Paul C. Orban, Jonathan W. Bush, Majid Mojibian, Megan K. Levings

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Figure 7

hA2-CAR Tregs diminish human skin allograft rejection.

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hA2-CAR Tregs diminish human skin allograft rejection.
NSG mice were tra...
NSG mice were transplanted with HLA-A*02:01+ human skin and injected 6 weeks later with either PBS (n = 3), or HLA-A*02:01neg PBMCs alone (n = 4) or with a 2:1 ratio of autologous H1k2 hA2-CAR Tregs (H1k2, n = 6) or ΔNGFR Tregs (n = 6). PBMCs/hA2-CAR Tregs were from 2 individual donors, tested in one experiment. Mice were monitored 3 times weekly and sacrificed 28 days after cell injection for mRNA and histology assessment. (A) Body weight was monitored 3 times weekly, and (B) the proportion of human CD45+ cells in the blood (left) and spleen (right) was measured on day 28. (C) Cumulative histological score of transplanted skin sections as determined by H&E staining. (D) Transplanted skin grafts were immunostained at experiment end point to quantify the amount of involucrin expression and proportion of Ki-67+ cells in the epidermis. Scale bars: 100 μm (top row), 20 μm (bottom row). (E) mRNA expression of the indicated genes within transplanted skin sections was determined by qPCR. (F) Transplanted skin grafts harvested at the experiment endpoint were immunostained to quantify the proportion of FOXP3+ cells within human CD45+ cells. Scale bars: 50 μm (top row), 20 μm (bottom row). (G) Transplanted skin grafts, intestine, lung, and liver sections were immunostained at the experiment end point to show the proportion of FOXP3+ cells within human CD45+ cells in each tissue. Scale bars: 100 μm. Each data point represents 1 mouse. Box-and-whisker plots show mean ± range. Statistical significance determined by 1-way ANOVA comparing PBMCs with PBMCs + NGFR or H1k2. For immunofluorescence quantifications in D and F, each data point represents the average cell number counted in 18–27 fields of view from 1 section/mouse. *P < 0.05.

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