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4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors
by
Mackall, Crystal L
, Shern, Jack F
, Murgai, Meera
, Kaplan, Rosandra N
, Kohler, M Eric
, Patterson, George H
, Orentas, Rimas J
, Smith, Jillian P
, Venkateshwara, Vikas R
, Haso, Waleed M
, Long, Adrienne H
, Walker, Alec J
, Wanhainen, Kelsey M
, Fry, Terry J
, Ingaramo, Maria
in
13/1
/ 13/21
/ 13/31
/ 13/44
/ 14/63
/ 42/109
/ 59/5
/ 631/250/1619/554
/ 631/61/338/552
/ 631/67/1059/2325
/ 64/60
/ 82/80
/ Antigen receptors, T cell
/ Antigens, CD19 - immunology
/ Antigens, CD19 - metabolism
/ Biomedicine
/ Cancer
/ Cancer Research
/ CD28 Antigens - immunology
/ CD28 Antigens - metabolism
/ Cell Line, Tumor
/ Cellular biology
/ Clinical trials
/ Genetic aspects
/ Hematologic Neoplasms - immunology
/ Hematologic Neoplasms - pathology
/ Hematologic Neoplasms - therapy
/ Humans
/ Immune response
/ Immunotherapy, Adoptive
/ Infectious Diseases
/ Interleukin-2 - immunology
/ Lymphocyte Activation - immunology
/ Metabolic Diseases
/ Molecular Medicine
/ Neurosciences
/ Physiological aspects
/ Receptors
/ Receptors, Antigen - immunology
/ Receptors, Antigen - metabolism
/ T cells
/ T-Lymphocytes - immunology
/ T-Lymphocytes - pathology
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - biosynthesis
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - immunology
/ Tumors
2015
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4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors
by
Mackall, Crystal L
, Shern, Jack F
, Murgai, Meera
, Kaplan, Rosandra N
, Kohler, M Eric
, Patterson, George H
, Orentas, Rimas J
, Smith, Jillian P
, Venkateshwara, Vikas R
, Haso, Waleed M
, Long, Adrienne H
, Walker, Alec J
, Wanhainen, Kelsey M
, Fry, Terry J
, Ingaramo, Maria
in
13/1
/ 13/21
/ 13/31
/ 13/44
/ 14/63
/ 42/109
/ 59/5
/ 631/250/1619/554
/ 631/61/338/552
/ 631/67/1059/2325
/ 64/60
/ 82/80
/ Antigen receptors, T cell
/ Antigens, CD19 - immunology
/ Antigens, CD19 - metabolism
/ Biomedicine
/ Cancer
/ Cancer Research
/ CD28 Antigens - immunology
/ CD28 Antigens - metabolism
/ Cell Line, Tumor
/ Cellular biology
/ Clinical trials
/ Genetic aspects
/ Hematologic Neoplasms - immunology
/ Hematologic Neoplasms - pathology
/ Hematologic Neoplasms - therapy
/ Humans
/ Immune response
/ Immunotherapy, Adoptive
/ Infectious Diseases
/ Interleukin-2 - immunology
/ Lymphocyte Activation - immunology
/ Metabolic Diseases
/ Molecular Medicine
/ Neurosciences
/ Physiological aspects
/ Receptors
/ Receptors, Antigen - immunology
/ Receptors, Antigen - metabolism
/ T cells
/ T-Lymphocytes - immunology
/ T-Lymphocytes - pathology
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - biosynthesis
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - immunology
/ Tumors
2015
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4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors
by
Mackall, Crystal L
, Shern, Jack F
, Murgai, Meera
, Kaplan, Rosandra N
, Kohler, M Eric
, Patterson, George H
, Orentas, Rimas J
, Smith, Jillian P
, Venkateshwara, Vikas R
, Haso, Waleed M
, Long, Adrienne H
, Walker, Alec J
, Wanhainen, Kelsey M
, Fry, Terry J
, Ingaramo, Maria
in
13/1
/ 13/21
/ 13/31
/ 13/44
/ 14/63
/ 42/109
/ 59/5
/ 631/250/1619/554
/ 631/61/338/552
/ 631/67/1059/2325
/ 64/60
/ 82/80
/ Antigen receptors, T cell
/ Antigens, CD19 - immunology
/ Antigens, CD19 - metabolism
/ Biomedicine
/ Cancer
/ Cancer Research
/ CD28 Antigens - immunology
/ CD28 Antigens - metabolism
/ Cell Line, Tumor
/ Cellular biology
/ Clinical trials
/ Genetic aspects
/ Hematologic Neoplasms - immunology
/ Hematologic Neoplasms - pathology
/ Hematologic Neoplasms - therapy
/ Humans
/ Immune response
/ Immunotherapy, Adoptive
/ Infectious Diseases
/ Interleukin-2 - immunology
/ Lymphocyte Activation - immunology
/ Metabolic Diseases
/ Molecular Medicine
/ Neurosciences
/ Physiological aspects
/ Receptors
/ Receptors, Antigen - immunology
/ Receptors, Antigen - metabolism
/ T cells
/ T-Lymphocytes - immunology
/ T-Lymphocytes - pathology
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - biosynthesis
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - immunology
/ Tumors
2015
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4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors
Journal Article
4-1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors
2015
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Overview
Crystal Mackall and colleagues report that antigen-independent signaling of chimeric antigen receptors (CARs) causes T cell exhaustion and reduced therapeutic efficacy of CAR T cells that can be overcome by incorporating the 4-1BB costimulatory domain into the CAR.
Chimeric antigen receptors (CARs) targeting CD19 have mediated dramatic antitumor responses in hematologic malignancies, but tumor regression has rarely occurred using CARs targeting other antigens. It remains unknown whether the impressive effects of CD19 CARs relate to greater susceptibility of hematologic malignancies to CAR therapies, or superior functionality of the CD19 CAR itself. We show that tonic CAR CD3-ζ phosphorylation, triggered by antigen-independent clustering of CAR single-chain variable fragments, can induce early exhaustion of CAR T cells that limits antitumor efficacy. Such activation is present to varying degrees in all CARs studied, except the highly effective CD19 CAR. We further determine that CD28 costimulation augments, whereas 4-1BB costimulation reduces, exhaustion induced by persistent CAR signaling. Our results provide biological explanations for the antitumor effects of CD19 CARs and for the observations that CD19 CAR T cells incorporating the 4-1BB costimulatory domain are more persistent than those incorporating CD28 in clinical trials.
Publisher
Nature Publishing Group US,Nature Publishing Group
Subject
/ 13/21
/ 13/31
/ 13/44
/ 14/63
/ 42/109
/ 59/5
/ 64/60
/ 82/80
/ Cancer
/ Hematologic Neoplasms - immunology
/ Hematologic Neoplasms - pathology
/ Hematologic Neoplasms - therapy
/ Humans
/ Lymphocyte Activation - immunology
/ Receptors, Antigen - immunology
/ Receptors, Antigen - metabolism
/ T cells
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - biosynthesis
/ Tumor Necrosis Factor Receptor Superfamily, Member 9 - immunology
/ Tumors
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