Article
作者: Schürch, Patrick M. ; Bosse, Kristopher R ; Gil-de-Gómez, Luis ; Dimitrov, Dimiter S ; Pascual-Pasto, Guillem ; Dimitrov, Dimiter S. ; Bernt, Kathrin M ; Giudice, Anna M ; Hofmann, Ted J ; Bernt, Kathrin M. ; Wolpaw, Adam J. ; Mishra, Pamela ; Bosse, Kristopher R. ; McIntyre, Brendan ; Hofmann, Ted J. ; Schürch, Patrick M ; Alikarami, Fatemeh ; Spear, Timothy T. ; Wolpaw, Adam J ; Hoffmann, Jennifer ; Martinez, Daniel ; Garcia-Gerique, Laura ; Shraim, Rawan ; Li, Wei ; Yarmarkovich, Mark ; Lombardi, Simona ; Spear, Timothy T ; Hines, Margaret G. ; Matlaga, Stephanie ; Tsang, Matthew ; Giudice, Anna M. ; Hines, Margaret G
Novel chimeric antigen receptor (CAR) T-cell approaches are needed to improve therapeutic efficacy in solid tumors. High-risk neuroblastoma is an aggressive pediatric solid tumor that expresses cell-surface GPC2 and GD2 with a tumor microenvironment infiltrated by CD16a-expressing innate immune cells. Here we engineer T-cells to express a GPC2-directed CAR and simultaneously secrete a bispecific innate immune cell engager (BiCE) targeting both GD2 and CD16a. In vitro, GPC2.CAR-GD2.BiCE T-cells induce GPC2-dependent cytotoxicity and secrete GD2.BiCE that promotes GD2-dependent activation of antitumor innate immunity. In vivo, GPC2.CAR-GD2.BiCE T-cells locally deliver GD2.BiCE and increase intratumor retention of NK-cells. In mice bearing neuroblastoma patient-derived xenografts and reconstituted with human CD16a-expressing immune cells, GD2.BiCEs enhance GPC2.CAR antitumor efficacy. A CAR.BiCE strategy should be considered for tumor histologies where antigen escape limits CAR efficacy, especially for solid tumors like neuroblastoma that are infiltrated by innate immune cells.