NKT cells expressing a GD2-specific chimeric antigen receptor with CD28 endodomain and IL-15 undergo dramatic in vivo expansion and mediate long-term tumor control in a metastatic model of neuroblastoma — ASN Events

NKT cells expressing a GD2-specific chimeric antigen receptor with CD28 endodomain and IL-15 undergo dramatic in vivo expansion and mediate long-term tumor control in a metastatic model of neuroblastoma (#135)

Jingling Jin 1 , Wei Huang 1 , Daofeng Liu 1 , Linjie Guo 1 , Michael Wood 1 , Bin Liu 1 , Ekaterina Marinova 1 , Gianpietro Dotti 1 2 , Leonid Metelitsa 1
  1. Department of Pediatrics Center for Cell and Gene Therapy Texas Children’s Cancer Center, Baylor college of medicine, Houston, TX, United States
  2. Department of Microbiology and Immunology, Baylor College of Medicine, Houston, TX, United States

Vα24-invariant Natural Killer T cells (NKTs) preferentially localize to the tumor site in neuroblastoma and other types of cancer and have natural antitumor properties that make them attractive as a carrier of tumor-specific chimeric antigen receptors (CARs). We previously demonstrated that adoptively transferred NKTs expressing GD2-specific CARs (CAR.GD2) can effectively localize to the tumor site and mediate antitumor activity in a xenogenic model of neuroblastoma in NSG mice. In this study, we explored whether expression of IL-15, the main homeostatic cytokine for NKTs, within CAR.GD2 would further enhance NKT-cell in vivo persistence and therapeutic efficacy. So, we synthesized CAR.GD2 constructs with a costimulatory CD28 or 41BB endodomain with or without IL-15. NKTs that were transduced with CD28/IL-15 and 41BB/IL-15 CARs secreted similar levels of IL-15 and significantly improved NKT-cell in vitro expansion compared with IL-15-less CARs in response to repeated stimulation with neuroblastoma cells. After transfer to NSG mice with human neuroblastoma xenografts, NKTs expressing IL-15-containing CARs persisted significantly longer compared with those expressing IL-15-less CARs. NKTs expressing CD28/IL-15 CAR underwent a progressive in vivo expansion at the sites of neuroblastoma metastases. Indeed, the frequency of CD28/IL-15 CAR NKTs reached 30% of bone marrow cells two months after a single injection. Nonetheless, human NKTs did not accumulate in normal murine tissues and did not induce xeno-GvHD. Treatment with CD28/IL-15 CAR NKTs on day 7 after tumor injection resulted in the median survival of 70 days compared to the range of 42 - 53 days in untreated control and groups treated with unmodified NKTs or NKTs expressing other CAR.GD2 constructs (P < 0.001). Thus, a combined use of CD28 costimulatory endodomain and IL-15 in the CAR design enables potent in vivo expansion and anti-tumor activity of CAR.GD2 NKTs cells that should be considered for immunotherapy of neuroblastoma and other solid tumors.