Thailand Hub of Talents in Cancer Immunotherapy (TTCI Thailand)

Exciting Breakthrough in CAR-T Cell Therapy Offers New Hope for Solid Tumor Treatment. In a groundbreaking study that could revolutionize cancer treatment, researchers have unveiled a new CAR-T cell therapy with enhanced efficacy against solid tumors, particularly glioblastoma, one of the most aggressive forms of brain cancer. This innovative approach overcomes previous limitations by targeting the B7 homolog 3 protein (B7H3) and incorporating a triple-signal activation framework in the T-cell design.

The newly developed CAR construct integrates three critical activation signals: CD3ζ, 41BB, and the interleukin 7 receptor alpha (IL7Rα) cytoplasmic domain, creating a more robust and persistent T-cell response. In a series of experiments, the researchers produced variants of B7H3 CAR-T cells with differing lengths of the IL7Rα domain—full length, intermediate, and short—with the shortest version, designated IL7R-S, showing superior performance.

In vitro and in vivo tests have demonstrated that B7H3-IL7Rα CAR-T cells maintain a less differentiated state, enhancing their longevity and functionality. Remarkably, the IL7R-S variant not only effectively eradicated B7H3-positive glioblastoma cells but also exhibited sustained activation of pSTAT5, a key factor in T-cell proliferation and survival. This version also showed reduced activation-induced cell death, a common challenge in CAR-T cell therapy.

Further analysis through RNA sequencing revealed that IL7R-S CAR-T cells display a genetic profile conducive to longevity and efficacy: downregulation of pro-apoptotic genes coupled with upregulation of genes promoting T-cell proliferation.

In animal models, these specialized CAR-T cells significantly suppressed tumor growth and extended survival rates, outperforming conventional CAR-T cell therapies. This promising development points to a new direction in the treatment of solid tumors, potentially offering a lifeline to patients with previously intractable forms of cancer.

This study not only highlights the therapeutic potential of integrating the IL7Rα domain into CAR-T cell therapy but also opens the door to new strategies for enhancing the effectiveness of treatments for solid tumors. As research progresses, the hope is that this innovative approach can be refined and expanded to benefit a broader range of patients, marking a significant step forward in the fight against cancer.

เงินทุน

This research project is supported by the Thailand Science Research and Innovation Fund Chulalongkorn University (CU_FRB65_hea (59) 068_33_12) and the Second Century Fund (C2F), Chulalongkorn University.

กระดาษต้นฉบับ

ชื่อบทความต้นฉบับ: Incorporating IL7 receptor alpha signaling in the endodomain of B7H3-targeting chimeric antigen receptor T cells mediates antitumor activity in glioblastoma
วารสาร: Cancer Immunol Immunother
ดอย: 10.1007/s00262-024-03685-7

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