Patent Grant
11382963
This application is a National Stage application of PCT/EP2016/050326, filed Jan. 11, 2016, which claims priority from European application EP 15000047.9, filed Jan. 12, 2015.
T-cells transduced with artificial chimeric antigen receptors (CARs), also called CAR-T cells, are being deployed for the treatment of cancer (Shi et al. 2014). The CAR-T approach has provided positive clinical results in hematologic cancers such as acute lymphoblastic leukemia (ALL) and chronic lymphocytic leukemia (CLL). In a recent trial, for example, 30 patients with relapsed or refractory ALL were infused with autologous T cells transduced with the CD19-directed chimeric antigen receptor CTL019 (formerly called CART-19). Of these, 27 patients (90%) achieved complete remission (Maude et al. 2014). Sustained remission was achieved with a 6-month event-free survival rate of 67% and an overall survival rate of 78%.
CARs are transmembrane proteins stably anchored in the T-cell plasma membrane. A CAR is an artificial fusion of multiple parts: the extracellular part consists of a recognition domain binding to a cancer cell target; the intracellular part contains the signaling domain(s) of one or more (co-)stimulatory immunoreceptors; and the two are fused via a linker- and transmembrane domain. In the case of CTL019, for example, the recognition domain is an antibody single chain fragment (scFv) specific for CD19, the linker- and transmembrane regions are grafted from the membrane protein CD8, and the intracellular signaling part consists of the complete intracellular domains of CD137 and CD3zeta fused in tandem. When a T-cell transduced with this construct encounters a CD19-positive target cell, the chimeric antigen receptor is clustered, which results in activation of the signaling pathways downstream of CD3zeta and of the costimulatory receptor CD137, in turn leading to activation of T-cell proliferation, cytokine secretion, survival and the capacity to kill.
With this design, CTL019 is an example for a “second generation” CAR, identified by the presence of two immunostimulatory domains. In contrast, “first generation” CARs contain only a single immunostimulatory domain—usually that of CD3zeta—while in “third generation” CARs, overall three intracellular immunostimulatory domains are fused in tandem, for example those of CD3zeta, CD28 and CD137. First generation CARs have failed to show efficacy in the clinic—potentially due to the lack of activity and long-term persistence of the CAR-T cells in patients (Kershaw et al. 2006)—while third generation CARs have yet to show their utility in a clinical setting.
To date, the extracellular recognition domains of CARs are almost exclusively scFv's (with the few exceptions instead utilizing the extracellular domains of ligands or receptors), which is due to the fact that a single-chain functional protein (or monomer) is required to facilitate a straightforward fusion design. Accordingly, a tetrameric mAb or even a dimeric Fab would present severe challenges as an extracellular recognition domain.
Although successes have been demonstrated with various scFv approaches, that construct is an artificial fusion protein of the variable regions of the heavy (VH) and light chains (VL) of an antibody, connected with a short linker peptide of ten to about 25 amino acids. This artificial design leads to scFv-specific problems that are well known in the art. Indeed, scFv's typically display poor biophysical and developability behavior, such as low stability, bad expression yields (Haisma et al. 1998a; Haisma et al. 1998b, Peipp et al. 2004), the potential failure to be efficiently secreted in mammalian cells (Brocks et al. 1997) and, importantly, an oftentimes strong tendency to aggregate (see e.g. Ewert et al. 2003a; Ewert et al. 2003b; Schaefer et al. 2012).
When an scFv is used for the construction of a CAR, these properties can be deleterious at multiple stages. First, the generation of a well-behaved scFv is difficult, and may require extensive optimization and engineering. Second, in the scFv-containing CAR, poor biophysical behavior can lead to poor and potentially unpredictable cell surface expression, reducing the number of CARs available to bind to a target antigen. Third, the tendency of an scFv to aggregate may lead to an undesired clustering of CARs on the T-cell surface, consequently leading to an undesired spurious activation of the T-cell in the absence of any specific target-bearing cell. The latter two issues can be a serious threat to the efficacy and safety of any given CAR, presenting clear challenges to obtain a predictable and well-behaved CAR-T system.
The use of a polypeptide that employs a naturally occurring secondary and tertiary structure could provide pronounced benefits to an scFv approach. A mutein of a lipocalin that binds to a desired tumor target is an example of a suitable alternative. A lipocalin mutein, or Anticalin®, is an engineered binding protein based on a lipocalin (preferably of human origin) such as Tear Lipocalin (TLc) or NGAL. Unlike an antibody, an Anticalin is a single-domain protein; and unlike an scFv, an Anticalin is single-domain by nature, therefore per se a well-behaved monomer from a biophysical property standpoint. Apart from exhibiting superior biophysical properties, Anticalins provide tunable affinities from nanomolar to low picomolar range, while having a demonstrated ability to engage targets across a broad spectrum, including immune checkpoints.
Another application of a CAR-T involves engineering these cells with the capacity to secrete proinflammatory cytokines. In this vein, the engineered CAR-T can lead to accumulation of a proinflammatory cytokine in the tumor micronenvironment where the CAR-T traffics. A proinflammatory cytokine may be desired to facilitate recruiting a second wave of immune cells in a locally restricted fashion to initiate a more complete and potentially target-independent attack of the cells of the tumor. This approach, as recently reviewed (Chmielewski et al. 2014), has been described in particular utilizing an engineered single-chain variant of Interleukin 12, thereafter called scIL-12. Here, secretion of scIL-12 can either be constitutive or be coupled to activation of the T-cell via the CAR. The latter approach has in some instances been termed TRUCK (“T-cells redirected for universal cytokine killing”), which is why in the following the approach and related approaches are termed “TRUCK-like”.
A TRUCK-like approach with constitutive scIL-12 expression has already been brought to the clinic in two separate trials, which currently are suspended (NCT01236573) or terminated (NCT01457131), respectively. Potentially, constitutive expression of scIL-12 was not sufficiently localized to lead to the desired effects, or led to intolerable toxicity.
To improve localized scIL-12 secretion, CAR-T cells have been transduced with the scIL-12 construct expressed under control of the nuclear-factor of the activated T-cell (NFAT)-derived minimal promoter to initiate IL-12 transcription upon signaling of the TCR/CD3 pathway (Chmielewski et al. 2011b; Zhang et al. 2011). Other promoters sensitive to signals of the same pathway, like the IL-2 promoter (Jaalouk et al. 2006) may also be feasible and could allow tuning the produced amount and the selectivity of cytokine production.
Using inducible scIL-12 expression, improved tumor reduction was observed compared to unmodified CAR-T cells in preclinical models (Chmielewski et al. 2011b; Zhang et al. 2011; Pegram et al. 2012; Pegram et al. 2014). Other cytokines, such as IL15, IL-18, IL-23, IL-27 and IFN-gamma, and other producer cells, such as NK cells, have been proposed for the approach. (Chmielewski et al. 2014).
The ability to engineer a T-Cell to secrete yet other types of therapeutic proteins upon T-Cell activation would be desirable, further expanding the repertoire to therapeutic modalities available in the tumor microenvironment. Particularly desirable would be specific binding proteins, e.g. a monoclonal antibody, that could bind to an immunomodulatory target, such as an immune checkpoint like CTLA4 or PD1, or to a costimulatory target such as CD137 or OX40. There are at least two drawbacks to using an antibody in this setting, however. First, antibodies are extremely large, tetrameric proteins, limiting the ability of a T-Cell to produce and secrete a functional antibody. Second, antibodies typically have a half-life in man of two to three weeks, which limits their application in an immunomodulatory approach, given potential safety concerns.
A smaller, more stable monomeric polypeptide having a shorter half-life could overcome these two shortcomings of antibodies. An example for such a molecule would be a mutein of a lipocalin that is specific for an immunomodulatory target and is monomeric, stable and has a half-life tunable from hours to days in man and a molecular weight as low as 18 kilodalton.
In one aspect, the disclosure provides a CAR that contains a polypeptide defining a naturally occurring monomeric motif (e.g. a lipocalin mutein) specific to a predetermined antigen (e.g., a target differentially expressed on the surface of a tumor cell) that is transduced into a T cell membrane to serve as an antigen receptor, offering benefits over conventionally deployed antibody-derived protein moieties such as a single chain variable fragment (scFv). Benefits include a more stable structure, leading to superior target engagement, for example. As used herein, a “naturally occurring motif” is hereby defined as a motif that can be found endogenously in a reference species, such as human; for example, a lipocalin is a naturally occurring motif (as is a lipocalin mutein that maintains the supersecondary or tertiary structure of a lipocalin), whereas a polypeptide such as a scFv is not a naturally occurring motif. Accordingly, “motif” when used herein in the context of a “naturally occurring motif” is preferably a naturally-occurring structure, preferably a polypeptide. Said structure preferably exists endogenously in a reference species. The skilled worker is able to readily determine whether an engineered polypeptide defines such a naturally occurring motif.
In a preferred embodiment a polypeptide defining a naturally occurring monomeric motif is not a scFv. However, that being so, a polypeptide defining a naturally occurring monomeric motif may comprise a scFv, however, in addition to a further monomeric polypeptide which is not a scFv. For example, a polypeptide defining a naturally occurring monomeric motif may comprise a scFv and a lipocalin, e.g. fused by a spacer, such as a linker amino acid sequence. Both the scFv and the further monomeric polypeptide which is not a scFV, may be specific to the same predetermined antigen or may be specific for different predetermined targets. This means that the scFv binds to a predetermined target that is different from the predetermined target to which the further monomeric polypeptide which, however, is not a scFv, binds to.
When referred to herein a “polypeptide that defines a naturally occurring motif” includes that such a polypeptide may be modified (engineered) to be able to bind to a target associated with a tumor. For example, a lipocalin, that is within the context of the present invention a polypeptide that defines a naturally occurring motif, binds to its natural target such as lysozyme in case of tear lipocalin (TLC) or iron in case of LCN2/NGAL. However, such lipocalins can be modified such that they bind to a target other than their natural target. Hence, the term “naturally occurring motif” includes, that a polypeptide defining such a naturally occurring motif that can be found endogenously in a reference species, can preferably be modified or engineered to bind to a target associated with a tumor. Yet, the modification is preferably not a modification resulting in the generation of a scFv.
The skilled worker will appreciate that the following elements are to be considered when designing a CAR:
Several designs are possible for such a CAR, with the following to be regarded as a non-limiting example. The tumor-targeting moiety of a CAR-T may comprise a mutein of a polypeptide that, endogenously, defines a monomeric polypeptide, such as a lipocalin. The target to which such mutein (e.g., an Anticalin) may bind includes CAIX, CD19, CD20, CD22, CD30, CD33, CD44v7/8, CEA, EGP-2, EGP-40, FBP, Fetal acetylcholine receptor, GD2, GD3, Her2/neu, IL-13R-a2, KDR, k-light chain, L1 cell adhesion molecule, LeY, MAGE-A1, Mesothelin, MUC1, NKG2D ligands, Oncofetal antigen (h5T4), PSCA, PSMA, TAG-72, VEGF-R2, the α-Folate receptor and others. Other tumor-associated targets that might be considered of interest in this context include EGFR, EPHA2, melanoma 30 associated chondroitin sulfate proteoglycan, IGFR1, fibroblast-activating protein alpha, c-MET, EpCAM, and GPC-3. Further, targets not directly expressed on the tumor cell surface, but associated with the tumor stroma, such as VEGF-A or Ang2, are suitable.
The linker region and transmembrane domain have the function of stably anchoring the CAR in the cell membrane, while providing for a certain distance between the membrane and the binding element to allow for an effective and activatory formation of the CAR/target complex upon an encounter of the T-cell and the target cell. Typical linker regions described in published examples lead to dimerization of the CAR. When such linker domains are used, the cytoplasmic tail of the dimeric CAR therefore contains two copies of the respective intracellular signaling regions, copying what is found in nature for the T-cell receptor (2 copies of CD3zeta) and the homodimeric receptor CD28. SEQ ID NO: 4 represents the amino acid sequence of one such example, based on a linker region and the transmembrane domain of CD8 alpha (cf. WO2014011988 A2; for all SEQ ID NO's of this application, one of the possible DNA sequences encoding the respective amino acid sequence is provided below as detailed in Table 1).
As described to date, a CAR may contain up to three intracellular signaling domains in tandem, one of which being a full intracellular signaling domain of CD3zeta (SEQ ID NO: 5) and located at the C-terminus. In second-generation CARs, an additional costimulatory signaling domain is inserted between the transmembrane domain and the CD3zeta intracellular domain; for example, the full intracellular domain of CD28 (SEQ ID NO: 6) or that of CD137 (SEQ ID NO: 7). Alternatively, the intracellular signaling domain of ICOS or of other costimulatory receptors from the TNFR family, including but not limited to Ox-40, CD27 or CD40, may also be employed. In third-generation CARs, three of these costimulatory domains can be combined, with a typical example consisting of the combination CD137, CD28 and CD3zeta. A mutein of a polypeptide that, endogenously, defines a monomeric polypeptide (such as a lipocalin) can be employed in a first, second, third or future generation CAR.
The tumor-binding moiety may, for example, be an Anticalin specific for a target selected from the group consisting of c-Met and GPC-3. The sequence of such an Anticalin binding c-Met is provided by SEQ ID NO: 1, while the sequence of an Anticalin binding GPC-3 is provided by SEQ ID NO: 2. As the linker and transmembrane region, the CD8 linker and transmembrane region (SEQ ID NO: 4) may be utilized. For intracellular signalling, the intracellular signaling domain of CD3zeta (SEQ ID NO: 5), either in tandem with CD28 (SEQ ID NO: 6) or CD137 (SEQ ID NO: 7), can be employed. The resulting four constructs, accordingly, could be: c-Met-CD28-CD3zeta (SEQ ID NO: 8), c-Met-CD137-CD3zeta (SEQ ID NO: 9), GPC3-CD28-CD3zeta (SEQ ID NO: 10) and GPC3-CD137-CD3zeta (SEQ ID NO: 11).
A number of methods have been devised to genetically modify lymphocytes ex vivo to overexpress CARs. Retroviral vectors are established and currently widely used, allowing for permanent and heritable CAR expression due to their integration into genomic DNA. For example, retroviral vectors derived from gamma-retrovirus have been utilized for lymphocyte gene transfer in clinical applications since 1990 (Rosenberg et al. 1990). As an alternative, an HIV-based lentiviral vector may provide advantages such as higher and more stable expression of the transgene, and potentially increased safety compared to gamma-retroviral vectors. Other possible methods for gene transfer include electroporation of mRNA constructs, if CAR expression is desired to be transient only (Birkholz et al. 2009); (Zhao et al. 2006), and transposon-based systems such as “piggybac” and “sleeping beauty” (Maiti et al. 2013). A retrovirus-based system based on the vector pBULLET, as described in Willemsen et al. 2000, is utilized in this application to express SEQ ID NOs: 8-11. Alternatively, pSTITCH (Weijtens et al. 1998) also may be employed.
One or more in vitro assays can be employed to test the functionality of a CAR, using standard methods that serve to demonstrate the activation of T-cells. Investigations include the responses of T-cells to activation, namely proliferation and prolonged survival, the production of cytokines such as IL-2 and IFN-gamma, and the capacity to kill target cells. The latter can be determined, e.g., by direct observation of target cell killing, but also by indirect methods that show for example the release of intracellular components of the target cell or the generation of cytotoxic molecules by the T-cells.
To investigate the functionality of a given CAR-design in vivo, mouse models may be employed.
Examples for both in-vitro and in-vivo assays are provided in the literature, cf. for example Hombach et al. 2010; Chmielewski et al. 2011a; Chmielewski et al. 2011b; Kofler et al. 2011; Chmielewski et al. 2012; Maliar et al. 2012; Pegram et al. 2012; Chmielewski et al. 2013a; Chmielewski et al. 2013b; Hombach et al. 2013; Pegram et al. 2014; and Textor et al. 2014.
The skilled worker also will appreciate that beyond a lipocalin mutein, other monomeric or single domain polypeptides can be employed, including but not limited to a DARPin, a Fynomer, and a Kunitz domain peptide.
In another aspect, the disclosure provides a CAR that secretes a polypeptide, which may or may not define a naturally occurring monomeric motif (e.g. a lipocalin mutein) specific to a predetermined antigen (e.g. an immunomodulatory target such as an immune checkpoint or costimulatory molecule) that is transduced into a T cell for secretion thereby, bringing an added therapeutic benefit. In this vein, the secreted polypeptide preferably is monomeric; further, the secreted polypeptide preferably is specific for an immunomodulatory target.
This construct can be based on T-cells with a defined specificity (either without genetic manipulation or by transduction with a CAR or a recombinant TCR) that are equipped with the capacity to secrete therapeutically relevant biologics. In contrast to TRUCK-like approaches, which are based on the secretion of proinflammatory cytokines, the present disclosure provides for a T cell that secretes a specific binding polypeptide that can be antagonistic or agonistic vis-à-vis its target. In the context of oncology indications, tumor-specific T cells that secrete biologics that are antagonistic inhibitors of the interaction of co-inhibitory immune receptors with their ligands (also known as “checkpoint inhibitors”) may be employed. Specific, non-limiting target examples include PD-1 and CTLA-4. Alternatively, constructs that allow the agonistic activation of stimulatory and/or costimulatory immune receptors can be utilized, with examples for the respective targets being CD3 and CD137. Further, antagonists to anti-inflammatory cytokines such as IL-10 or TGF-also can be employed. This approach can be termed T-cell activation-induced localized secretion (TAILS).
The skilled worker will appreciate that this approach can also be based on other cell types, such as NK cells or B-cells. Further, an analogous approach can be applied to auto-inflammatory conditions; however, in this case antagonists to stimulatory receptors or proinflammatory cytokines or agonists of coinhibitory immune receptors may be applied, and vehicle cells that have no cytotoxic capacity may be employed.
TAILS can be viewed as an extension of the CAR-T/Recombinant TCR approaches with an improved efficiency. On the other hand, TAILS can also be viewed as an alternative to traditional biologics, where production of the therapeutic occurs in vivo. This firstly provides the advantage of highly localized (ant-)agonism with concomitant minimal unwanted systemic toxicity, in particular if biologics with a low systemic half-life are employed, and secondly facilitates efficient delivery of biologics to any site of action within the human body, including tissues which would otherwise not be reachable by biologics drugs that are systemically applied, such as the brain. Furthermore, local delivery of biologic therapeutics has the potential to not only have a more benign toxicity profile, but also to display an improved efficacy as it is well known that local and systemic effects of agonists or antagonists can be profoundly different.
The skilled worker will appreciate that the following elements are to be considered when designing the components of a TAILS system according to the foregoing principles:
Several designs are possible for the biologic used as a secreted (ant-)agonist, with the following to be regarded as a non-limiting example. In theory, both TRUCK-like or TAILS approaches can be implemented using proteins consisting of multiple subunits (i.e. multiple polypeptide chains); for example, a heterodimeric cytokine such as IL-12 consisting of the IL-12p40 and the IL-12p35 subunits, or an IgG antibody consisting of two heavy chains and two light chains, as such multimeric proteins might be assembled within a vehicle cell that is transduced with all the subunits endcoded on suitable vectors. However, a complex multimeric protein may incorrectly inefficiently assemble, leading either to secretion of an undesired product with concomitant undesired effects (for example an IL-12p40 dimer), or insufficient generation and secretion of the multimer (for example an antibody). Therefore, biologics used for TAILS should preferably define a monomer, with examples including but not limited to Affibody molecules, Affilins, Affimers, Affitins, Anticalins, Avimers, DARPins, Fynomers, Kunitz domain peptides, Monobodies or single-chain variants of Antibodies such as scFv and their derivatives, camelid single-chain Antibodies, nanobodies or domain Antibodies.
The targets recognized by the T-cell, either by the physiological (T-cell) receptor, a CAR or recombinant TCR, include, but are not limited to the targets described above. Here, it is of note that targets that are tumor-associated but not necessarily tumor cell-associated (such as VEGF-A, Ang2 and others) may be particularly suited to provide local release of a checkpoint inhibitor or an immune receptor agonist without inducing cell killing of specific cells. If a CAR is employed in the approach, the overall design will follow the principles described herein for the Anticalin-based CAR.
Potential targets of the secreted biologic include coinhibitory receptors or their ligands such as CTLA-4, B7-1, PD-1, PD-L1, LAG3, BTLA, TIM3, TIGIT, CD160 or LAIR1. (Chen et al. 2013) Here, the secreted biologic must be capable of interfering with the ligand/receptor interaction or must otherwise block downstream signaling. Alternatively, constructs that allow the agonistic activation of stimulatory and/or costimulatory immune receptors can be utilized, with examples for receptors being the TCR (e.g. via CD3), CD28, ICOS, CD137, Ox40, GITR, HVEM, CD27, CD30, DR3, SLAM, CD2 or CD226. (Chen et al. 2013) Depending on the target, such agonists can for example be obtained by dimerisation or multimerisation of a single receptor binder.
For this purpose, mobile cells that have the capacity to strongly proliferate upon activation, and that are capable of secreting sufficient amounts of a given biologic are required. T-, B- and NK cells, and, where applicable, their subtypes are in principle amenable to this task. How this would be done in practice is well known in the art for T-cells (cf. CAR-T approach), and could analogously be implemented for the other cell types.
Methods for cell transduction of a CAR or TCR can be followed as described herein. Vectors suitable for T-cell activation driven secretion are described in the literature, cf. e.g. Chmielewski et al. 2011b; Zhang et al. 2011; Pegram et al. 2012 and Pegram et al. 2014.
The assays used to characterize engineered lymphocytes capable of TAILS can be essentially the same as the ones described for CAR- or TCR-transduced T-cells above. Additionally, assays can be used to measure successful secretion of the therapeutic produced by the cells, with ELISA assays being a straightforward possibility.
A representative example, below, is based on a CAR-T cell generated by transduction of T-cells with the construct GPC3-CD137-CD3zeta (SEQ ID NO: 11) described herein. The T-cell may be co-transduced with a suitable vector encoding the secreted biologic; for this purpose, an Anticalin-based CTLA-4 antagonist (SEQ ID NO: 3), which binds both human and mouse CTLA-4, can be employed.
Also provided by the present invention is a pharmaceutical composition comprising a T cell as described herein and optionally a pharmaceutically acceptable carrier.
Furthermore, the present invention provides a T cell as described herein for use in a method of treatment of cancer.
Similarly, the present invention provides a method of treatment of cancer comprising administering to a subject in need thereof a pharmaceutically efficient amount or numbers of T cells as described herein.
The treatment of cancer includes the treatment of a tumor. The subject is preferably a mammal, more preferably a human. A pharmaceutically acceptable carrier also includes a pharmaceutically acceptable excipient.
A. CAR-Transduced T Cell Containing an Anticalin as CAR Moiety
Generation of CAR-Transduced T-Cells
As a first step, the coding DNA corresponding to the SEQ ID NOs: 8-11 is generated by gene synthesis. For that purpose, a set of codons that is compatible with mammalian expression needs to be employed. The DNA stretches encoding the CARs are equipped with suitable restriction sites at the N- and C-termini to allow cloning into the retroviral expression vector pBullet (Willemsen et al. 2000), or, alternatively, pSTITCH (Weijtens et al. 1998). The gene synthesis is straightforwardly performed using a commercial provider, and the resulting DNA is cloned into pBullet using standard molecular biology methods.
To obtain retroviral particles suitable for peripheral blood T-cell transduction we proceed as described (Weijtens et al. 1998). In short, DNA of the respective retroviral vector (pBullet or pSTITCH) containing the Anticalin-based CAR (6 mg DNA) is co-transfected into 293T cells by calcium phosphate co-precipitation with the retroviral helper plasmid DNA pHIT60 and pCOLT (each 6 mg DNA) encoding the MuLV gag and pol genes (pHIT60) and the GALV envelope gene (pCOLT), respectively, under control of the CMV promotor/enhancer (Weijtens et al. 1998). This procedure results in transient production of high titers of infectious retrovirus. Peripheral blood lymphocytes from healthy donors are isolated by density centrifugation and cultured for 48 h in RPMI-1640 medium supplemented with 10% FCS in the presence of IL-2 (400 U/ml) and OKT3 MAb (100 ng/ml). Cells are harvested, washed, resuspended in medium with IL-2 (400 U/ml), and co-cultured for 48 h with 293T cells that are transiently transfected as described above and therefore produce and excrete the retroviral transducing particles into the medium. In the final step, T cells are harvested and subsequently tested for successful CAR expression and functional assays as described further below.
Characterisation of CAR-Transduced T-Cells—FACS
Successful cell-surface expression of the chimeric antigen receptor on transduced T-cells is demonstrated by multicolor immunofluorescence, using the fluorescence-labeled, soluble extracellular domains of the respective targets human c-Met and human GPC-3, or alternatively, an anti-CD8 antibody detected by a suitable fluorescence-labeled secondary antibody. Immunofluorescence is analyzed using a suitable FACS instrument. Transduced cells labeled in this manner show a clear fluorescence signal in FACS compared to a non-transduced T-cell control.
Characterisation of CAR-Transduced T-Cells—T-Cell Activation on Coated Plates
To investigate whether signaling via the CAR leads to T-cell activation, we can conduct two experiments with coated protein to cluster the CAR on the transduced T-cells. This is either accomplished by plastic-coating an anti-CD8 antibody on a microtiter plate or by coating the target protein of the CAR (either c-Met or GPC-3 depending on the construct). A non-binding IgG1 Antibody serves as the negative control. The microtiter plates are coated with 1-50 μg/ml of the anti-CD8 antibody, c-Met, GPC-3 or control IgG1. Transduced and non-transduced peripheral blood T cells (1-3 105 cells/well) are incubated for 48 h at 37° C. in the coated microtiter plates. After 48 h, culture supernatants are analyzed for IFN-g by ELISA using a suitable commercial kit.
The supernatant of CAR-expressing T-cells incubated in plastic well coated with either an anti-CD8-antibody or with the targets c-Met or GPC3, respectively, contains significantly more IFN-gamma than that of the controls. The latter are either T-cells not expressing a CAR, or CAR-transduced T-cells incubated in wells coated with the control IgG1.
Characterisation of CAR-Transduced T-Cells—T-Cell Activation by Coculture with Target-Expressing Mammalian Cells
In a second step, which is more akin to the desired situation in-vivo, different amounts of receptor-grafted T cells (1.25 to 10×104 cells/well) are co-cultured for 48 h with GPC-3+ or c-Met+ immortal tumor cell lines. Target-positive cell lines that can be used are HepG2 (GPC-3) and H441 (c-Met), and examples for GPC-3/c-Met-negative control cells are SK-HEP-1 (GPC-3) and A2870 (c-Met). As a further control for T-cell CAR specificity, we co-incubate non-transduced T-cells with GPC-3+ or c-Met+ cells. In all cases, cells are coincubated for 48 h, and supernatants are subsequently analysed for IFN-gamma expression.
We find that the supernatant of CAR-transduced T-cells cocultured with the target-matched immortal cell lines contains significantly more IFN-gamma than the controls, clearly showing CAR-specific T-cell activation.
Characterisation of CAR-Transduced T-Cells—Measurement of Cytotoxicity of T-Cells Cocultured with Target-Expressing Mammalian Cells
Specific cytotoxicity of receptor-grafted T cells to target cells is measured by lactate dehydrogenase (LDH) release. Briefly, receptor-grafted and non-transduced T cells (L25-10×104 cells/well) are co-cultured for 12 hr with 1-3×104 cells/well of either GPC3+, c-Met+, GPC3− or c-Met-cells, respectively, in round-bottomed microtiter plates. Effector-to-target ratios range from 10 to 1. To determine spontaneous, baseline LDH release, T cells are cultured without target cells. LDH in culture supernatants (100 ml/well) is determined utilizing a suitable commercial kit. The percentage of specific cytotoxicity is calculated by correcting for spontaneous release and normalizing to the maximum LDH release determined after addition of 1% (v/v) Nonidet P-40.
We find that the specific cytotoxicity of the Anticalin-CAR based T-cells is significantly higher in the presence of the matched, target-positive tumor cell lines than in the presence of the target-negative tumor cell lines. Additionally, non-transduced T-cell preparations show a much reduced specific cytotoxicity compared to the transduced T-cells.
In-Vivo Characterization of CAR-Transduced T-Cells
The following experiment is performed in analogous fashion to Chmielewski et al. 2011b. In brief, human T cells are isolated from peripheral blood by magnetic activated cell sorting, using human CD3+ beads. The transduction-competent retroviri encoding the c-Met- and GPC3-specific CARs are generated and used for transduction of human T-cells as described above. For the mouse studies, we use the NIH-III mouse (Charles River), which is deficient in NK cells, B cells, and T cells. MC38 cells stably transfected with human GPC-3 or c-Met (9×105 cells/mouse) are s.c. coinjected together with the engineered, specificity matched T cells (2×105 T cells/mouse) into NIH-Ill mice (6-7 mice per group). Alternatively, tumors are induced by s.c. injection of MC38 cells stably transfected with human GPC-3 or c-Met and matched CAR-T cells are applied by i.v. injection at day 6. The respective experiment using CAR-T cells and the mismatched transfected tumor cell line serves as a negative control. Tumor growth is monitored daily by external measurement with a digital caliper.
In the experiments, we find a significant delay in tumor outgrowth when target-positive cells and target-specific CAR-T cells are injected into the same mouse compared to negative controls.
B. CAR-Transduced T Cell Containing an Anticalin as TAILS Moiety
Generation of CAR-Transduced T-Cells Capable of TAILS (CAR/TAILS-T)
The construct GPC3-CD137-CD3zeta (SEQ ID NO: 11) is generated and cloned into a suitable retroviral vector as described above. Retroviral particles suitable for peripheral blood T-cell transduction are obtained by co-transfection with retroviral helper particles into 293T cells, also as described above.
A vector suitable to facilitate retroviral expression of the T-cell activation inducible Anticalin-based CTLA4-antagonist (“αCTLA-4”) is obtained by exchanging the mature IL-12 sequence in pSIN-(NFAT)6-IL-12 (Chmielewski et al. 2011b) by the Anticalin sequence (SEQ ID NO: 3) using standard molecular biology methods, to obtain pSIN-(NFAT)6-αCTLA-4. Note that the leader sequence of IL-12 remains in the construct to serve as a secretion signal.
In a 2-step transduction procedure, T cells are retrovirally transduced with the αCTLA-4 expression cassette and positively selected in the presence of 0.5 mg/mL Geneticin (G418) and IL-2 (500 IU/mL) on plates precoated with anti-CD3 mAb OKT-3 and anti-CD28 mAb 15E8 as previously described (Chmielewski et al. 2011b). Geneticin-resistant clones are transduced with the GPC-3-specific CAR GPC3-CD137-CD3zeta.
Characterization of CAR/TAILS T-Cells
Successful cell-surface expression of the chimeric antigen receptor on the doubly transduced CAR/TAILS T-cells is performed as described above: we employ multicolor immunofluorescence, using the fluorescence-labeled, soluble extracellular domain of human GPC-3, or alternatively, an anti-CD8 antibody detected by a suitable fluorescence-labeled secondary antibody. Immunofluorescence is analyzed using a suitable FACS instrument. Transduced cells labeled in this manner show a clear fluorescence signal in FACS compared to a non-transduced T-cell control.
Characterisation of CAR/TAILS-T-Cells—T-Cell Activation on Coated Plates and CTLA-4 Secretion
To investigate whether signaling via the CAR leads to T-cell activation in the CAR/TAILS T-cell, we conduct two experiments with coated protein to cluster the CAR on the transduced T-cells, in analogy to the experiment described above. This is either accomplished by plastic-coating an anti-CD8 antibody on a microtiter plate, or, alternatively, by coating GPC-3. A non-binding IgG1 Antibody serves as the negative control. The microtiter plates are coated with 1-50 μg/ml of the anti-CD8 antibody, GPC-3 or control IgG1. Transduced and non-transduced peripheral blood T cells (1-3 105 cells/well) are incubated for 48 h at 37° C. in the coated microtiter plates. After 48 h, culture supernatants are analyzed for IFN-gamma by ELISA using a suitable commercial kit. Further, supernatants are analyzed for the presence of the Anticalin-based CTLA-4 antagonist by a suitable ELISA setup.
The supernatant of CAR-expressing T-cells incubated in plastic well coated with either an anti-CD8-antibody or with GPC3, respectively, contains significantly more IFN-gamma and Anticalin-based CTLA-4 antagonist than that of the controls. The latter are either T-cells not expressing a CAR, but transduced with αCTLA-4 only (SEQ ID NO: 3), or doubly transduced CAR/TAILS T-cells incubated in wells coated with the control IgG1.
Characterization of CAR/TAILS-T-Cells—T-Cell Activation by Coculture with Target-Expressing Mammalian Cells
In a second step, which is more akin to the desired situation in-vivo, different amounts of receptor-grafted T cells (1.25 to 10×104 cells/well) are co-cultured for 48 h with GPC-3+ immortal tumor cell lines. The GPC3-positive cell line used is HepG2, and the GPC-3-negative control cell line is SK-HEP-1. As a further control for T-cell CAR specificity, we co-incubate with GPC-3+ cells with T-cells not expressing a CAR, but transduced with αCTLA-4 (SEQ ID NO: 3) only. In all cases, cells are coincubated for 48 h, and supernatants are subsequently analysed for IFN-γ expression and the expression of the anti-CTLA-4 Anticalin.
We find that the supernatant of CAR-transduced T-cells co-cultured with the target-matched immortal cell lines contains significantly more IFN-γ and anti-CTLA-4 Anticalin than the controls, clearly showing CAR-specific T-cell activation and T-cell activation induced secretion of the CTLA-4 antagonist.
Characterisation of CAR/TAILS-T-Cells—Measurement of Cytotoxicity of T-Cells Cocultured with Target-Expressing Mammalian Cells
Specific cytotoxicity of receptor-grafted T cells to target cells is measured by lactate dehydrogenase (LDH) release as described above. Briefly, doubly transduced CAR/TAILS T-cells, CAR-transduced-cells or non-transduced T cells (1.25-10×104 cells/well) are co-cultured for 12 hr with 1-3×104 cells/well of either GPC3+, or GPC3− cells, respectively, in round-bottomed microtiter plates. Effector-to-target ratios range from 10 to 1. To determine spontaneous, baseline LDH release, T cells are cultured without target cells. LDH in culture supernatants (100 ml/well) is determined utilizing a suitable commercial kit. The percentage of specific cytotoxicity is calculated by correcting for spontaneous release and normalizing to the maximum LDH release determined after addition of 1% (v/v) Nonidet P-40.
We find that the specific cytotoxicity of the doubly transduced CAR/TAILS T-cells is at least retained compared to the CAR-only based T-cells, and significantly higher in the presence of the matched, target-positive tumor cell lines than in the presence of the target-negative tumor cell lines. Additionally, non-transduced T-cell preparations show a much reduced specific cytotoxicity compared to the transduced T-cells.
Characterisation of CAR/TAILS-T-Cells—In-Vivo Experiment
The following experiment is performed in analogy to Chmielewski et al. 2011b and above, but utilizing a different tumor cell line. In brief, human T cells are isolated from peripheral blood by magnetic activated cell sorting, using human CD3+ beads. The GPC-3-specific and αCTLA-4-Anticalin secreting CAR/TAILS-T cells are generated as described herein. For the mouse studies, we use the NIH-III mouse (Charles River), which is deficient in NK cells, B cells, and T cells. AT3 cells stably transfected with human GPC-3 (9×105 cells/mouse) are s.c. coinjected together with the engineered CAR/TAILS-T cells (2×105 T cells/mouse) into NIH-III mice (6-7 mice per group). Alternatively, tumors are induced by s.c. injection of AT3 cells stably transfected with human GPC-3 and CAR/TAILS-T cells are applied by i.v. injection at day 6. Negative controls include a vehicle injection control, the respective experiment using CAR/TAILS-T and mock-transfected AT3 cells, and the respective experiment utilizing CAR-T cells that do not secrete α-CTLA-4 Anticalin. Tumor growth is monitored daily by external measurement with a digital caliper.
In the experiments, we find a significant delay in tumor outgrowth when target-positive cells and target-specific CAR/TAILS-T cells are injected into the same mouse compared to the controls.
A vector suitable to facilitate retroviral expression of the T-cell activation inducible Anticalin-based CTLA4-antagonist (“αCTLA-4”) was obtained by replacing the IL-12 sequence in pSIN-(NFAT)6-IL-12 (Chmielewski et al. 2011b) by the Anticalin sequence (SEQ ID NO: 3) with a Strep-tag II (SEQ ID NO: 27) using standard molecular biology methods, to obtain pSIN-(NFAT)6-αCTLA-4. The leader sequence of the mouse immunoglobulin kappa light chain (GenBank Acc #CAB46127.1) instead of the IL-12 leader was employed in the construct to serve as a secretion signal. The final amino acid sequence corresponds to SEQ ID NO: 23, encoded by the DNA sequence SEQ ID NO: 24.
To obtain retroviral particles suitable for peripheral blood T-cell transduction we proceeded as described (Weijtens et al. 1998; Cheadle et al., 2012). In short, DNA of pSIN-(NFAT)6-αCTLA-4 (6 mg DNA) was co-transfected into 293T cells by calcium phosphate co-precipitation with the retroviral helper plasmid DNA pHIT60 and pCOLT (each 6 mg DNA) encoding the MuLV gag and pol genes (pHIT60) and the GALV envelope gene (pCOLT), respectively, under control of the CMV promotor/enhancer (Weijtens et al. 1998). This procedure resulted in the production of high titers of infectious retrovirus.
In order to obtain T cells transduced with pSIN-(NFAT)6-αCTLA-4, peripheral blood lymphocytes from healthy donors were isolated by density centrifugation in a Ficoll-Paque (GE Healthcare) density gradient and cultured for 48 h in RPMI1640 medium supplemented with 10% (v/v) FCS in the presence of IL-2 (400 U/ml) and OKT3 mAb (100 ng/ml). Cells were harvested, washed, resuspended in medium with IL-2 (400 U/ml), and co-cultured for 48 h with 293T cells that were transiently transfected as described above and therefore released the retrovirus particles into the medium. In the final step, T cells were harvested. The same procedure was also carried out using mock-transduction, i.e. transducing the gag, pol and env genes of the retrovirus without the expression cassette.
To investigate whether activation of the transduced T cells induced the secretion of SEQ ID NO: 28 (the mature processed form of SEQ ID NO:24), 5×106 cells peripheral blood T cells in 10 mL medium—transduced or mock-transduced—were incubated for 48 h at 37° C. on Nunc™ OmniTray™ plates precoated with anti-CD3 mAb OKT-3 and anti-CD28 mAb 15E8 as previously described (Chmielewski et al. 2011b). To determine both successful expression of the anti-CTLA-4 Anticalin (SEQ ID NO: 28) on the transduced TAILS T-cells and the fraction of cells that was successfully transduced, we employed multicolor immunofluorescence using a FITC-labeled anti-CD3 antibody (anti-human CD3, clone OKT3 (ATCC)), and a polyclonal anti-NGAL rabbit antibody, followed by secondary staining with an anti-rabbit antibody labeled with the fluorescent dye Dylight594. The detailed protocol was as follows, performing all incubation steps protected from light: Transduced T cells were stained for CD3 using the FITC-labeled anti-CD3 antibody for 30 minutes at 4° C., followed by fixation and permeabilization by resuspending in 250 μl BD Cytofix/Cytoperm solution and incubating for 20 minutes at 4° C., followed by washing twice in a buffer containing the cell permeabilizing agent saponin (BD Perm/Wash™ buffer, Cat. 554723). Intracellular staining of SEQ ID NO: 28 was then achieved by thoroughly resuspending the fixed and permeabilized cells in 50 μL of a saponin-containing buffer (BD Perm/Wash™ buffer) containing 0.5 μg anti-NGAL mAb per 1 million cells, washing twice with saponin-containing BD Perm/Wash™ buffer, and incubation for 30 minutes at 4° C. with 1 μg of the Dylight594-conjugated anti-rabbit IgG antibody per 1 million cells. Finally, cells were washed twice with PBS buffer and immunofluorescence was analyzed using a BD FACS Canto II instrument. In the FACS analysis, transduced cells labeled in this manner showed a clearly positive anti-NGAL reactivity (
Supernatants were analyzed for the presence of functionally active Anticalin-based CTLA-4 antagonist by ELISA as described in the following: Recombinant human CTLA-4 at a concentration of 5 μg/mL in PBS was added to each well of a 384 well ELISA plate and incubated over night at 4° C. All following steps were performed with 1 h incubation time and repeated washing with PBS/0.05% (w/v) Tween20 (PBS-T). In the first step, plates were blocked (BSA 2% (w/v) in PBS-T/0.1% (w/v) Tween 20) and 20 μL of culture supernatants were added. Subsequently, rabbit anti-NGAL polyclonal antibody at a concentration of 1 μg/mL in PBS/0.1% (w/v) Tween20/2% (w/v) BSA was added, and bound antibody was detected using goat anti-rabbit IgG-HRP in a dilution of 1:5,000 in PBS/0.1% (w/v) Tween20/2% (w/v) BSA. Chromogenic 3,3′,5,5;-tetramethylbenzidine (TMB) substrate was used as a detection agent according to the manufacturer's instructions (Life Technologies). Fluorescence signals in RFU (relative fluorescence units) were measured using a plate fluorescence reader.
We found a clear anti-CTLA-4 reactivity in supernatants of pSIN-(NFAT)6-αCTLA-4-transduced and activated T cells compared to the supernatants of mock-transfected cells (
The experiment of this example was carried out in analogy to Example 1, but using the Jurkat T cell line instead of primary T cells. In short, Jurkat T cells were transduced with pSIN-(NFAT)6-αCTLA-4 as described in Example 1, and incubated in medium on plates precoated with anti-CD3 mAb OKT-3 and anti-CD28 mAb 15E8 as previously described (Chmielewski et al. 2011b).
The culture supernatant containing the anti-CTLA-4 Anticalin (SEQ ID NO: 28) was obtained from the Jurkat cells by centrifugation and added to Chinese Hamster Ovary cells stably transfected with CTLA-4 (CHO::CTLA-4). As a control, CHO::CTLA-4 were incubated with an isotype control antibody. Cell-bound SEQ ID NO: 28 was detected using anti-NGAL rabbit polyclonal antibody followed by staining with anti-rabbit antibody labeled with the fluorescent dye Dylight594. In the FACS fluorescence histogram (
The experiments described here were performed in full analogy to Example 1, but utilizing SEQ ID NO: 25, which is a fusion of the Anticalin-based CTLA-4 Antagonist (SEQ ID NO: 23) to the Fc fragment of a human IgG1 antibody. The DNA sequence encoding SEQ ID NO: 25 is provided by SEQ ID NO: 26. The corresponding inducible expression vector pSIN-(NFAT)6-αCTLA-4-Fc was generated by standard molecular biology methods.
Generation of retroviral particles suitable for peripheral blood T-cell transduction, as well as T cell preparation and transduction with pSIN-(NFAT)6-αCTLA-4-Fc, were performed as described in Example 1. Mock-transduction was used as a control. To investigate whether activation of the transduced T cells lead to secretion of SEQ ID NO: 29 (the mature processed form of SEQ ID NO:25), we proceeded with multicolor FACS staining of the targets CD3 and SEQ ID NO: 29 as described in Example 1. In the FACS analysis, transduced and fluorescence-labeled cells showed a clearly positive anti-NGAL reactivity (
Supernatants were analyzed for the presence of functionally active Anticalin-based CTLA-4 antagonist αCTLA-4-Fc (SEQ ID NO: 29) by ELISA as described in Example 1. In the ELISA, we found a clear anti-CTLA-4 reactivity for T cells transduced with pSIN-(NFAT)6-αCTLA-4-Fc and cultured under activatory conditions, compared to the mock-transfected cells (
| Number | Date | Country | Kind |
|---|---|---|---|
| 15000047 | Jan 2015 | EP | regional |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2016/050326 | 1/11/2016 | WO | 00 |
| Publishing Document | Publishing Date | Country | Kind |
|---|---|---|---|
| WO2016/113203 | 7/21/2016 | WO | A |
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| Number | Date | Country | |
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| 20180021418 A1 | Jan 2018 | US |
