A

T cells targeted to TdT kill leukemic lymphoblasts while sparing normal lymphocytes

Nature Biotechnology, vol. 40, pp. 488–498

Abstract

Unlike chimeric antigen receptors, T-cell receptors (TCRs) can recognize intracellular targets presented on human leukocyte antigen (HLA) molecules. Here we demonstrate that T cells expressing TCRs specific for peptides from the intracellular lymphoid-specific enzyme terminal deoxynucleotidyl transferase (TdT), presented in the context of HLA-A*02:01, specifically eliminate primary acute lymphoblastic leukemia (ALL) cells of T- and B-cell origin in vitro and in three mouse models of disseminated B-ALL. By contrast, the treatment spares normal peripheral T- and B-cell repertoires and normal myeloid cells in vitro, and in vivo in humanized mice. TdT is an attractive cancer target as it is highly and homogeneously expressed in 80-94% of B- and T-ALLs, but only transiently expressed during normal lymphoid differentiation, limiting on-target toxicity of TdT-specific T cells. TCR-modified T cells targeting TdT may be a promising immunotherapy for B-ALL and T-ALL that preserves normal lymphocytes.

Authors 33

  1. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  2. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  3. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  4. Karolinska Institutet

    Affiliation as printed

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

  5. Karolinska Institutet

    Affiliation as printed

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

  6. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  7. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  8. Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Charité - Universitätsmedizin Berlin, Institute of Immunology, Berlin, Germany

    Charité – Universitätsmedizin Berlin, Institute of Immunology, Berlin, Germany

  9. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  10. Howard Hughes Medical Institute · Parker Institute for Cancer Immunotherapy · Stanford Medicine · Stanford University

    Affiliation as printed

    Parker Institute for Cancer Immunotherapy, Howard Hughes Medical Institute, Departments of Molecular and Cellular Physiology and Structural Biology, Stanford University School of Medicine, Stanford, CA, USA

  11. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  12. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  13. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  14. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  15. The Netherlands Cancer Institute

    Affiliation as printed

    Division of Molecular Oncology & Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  16. Karolinska Institutet

    Affiliation as printed

    Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden

  17. Karolinska Institutet

    Affiliation as printed

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

  18. Leiden University Medical Center

    Affiliation as printed

    Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands

  19. Leiden University Medical Center

    Affiliation as printed

    Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands

  20. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Oncology, Oslo University Hospital Radiumhospitalet, Oslo, Norway

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  21. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Haematology, Oslo University Hospital and KG Jebsen Center for B cell malignancies, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  22. Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Medical Genetics, University of Oslo and Oslo University Hospital, Oslo, Norway

  23. Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Center, Leiden, the Netherlands

  24. Uppsala University Hospital · Karolinska Institutet

    Affiliation as printed

    Department of Medical Sciences, Uppsala University Hospital, Uppsala, Sweden

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

  25. Oslo University Hospital

    Affiliation as printed

    Department of Immunology, Oslo University Hospital, Oslo, Norway

  26. Oslo University Hospital

    Affiliation as printed

    Department of Pediatric Hematology and Oncology, Oslo University Hospital, Oslo, Norway

  27. Howard Hughes Medical Institute · Parker Institute for Cancer Immunotherapy · Stanford Medicine · Stanford University

    Affiliation as printed

    Parker Institute for Cancer Immunotherapy, Howard Hughes Medical Institute, Departments of Molecular and Cellular Physiology and Structural Biology, Stanford University School of Medicine, Stanford, CA, USA

  28. Leiden University Medical Center · The Netherlands Cancer Institute

    Affiliation as printed

    Department of Immunohematology and Bloodtransfusion, Leiden University Medical Center, Leiden, the Netherlands

    Division of Molecular Oncology & Immunology, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, the Netherlands

  29. Leiden University Medical Center

    Affiliation as printed

    Center for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, the Netherlands

  30. German Cancer Research Center · University of Chicago · Deutsches Konsortium für Translationale Krebsforschung · Charité - Universitätsmedizin Berlin

    Affiliation as printed

    Charité - Universitätsmedizin Berlin, Institute of Immunology, Berlin, Germany

    David and Etta Jonas Center for Cellular Therapy, The University of Chicago, Chicago, IL, USA

    German Cancer Consortium, partner site Berlin, Berlin, Germany

    German Cancer Research Center, Heidelberg, Germany

    Charité – Universitätsmedizin Berlin, Institute of Immunology, Berlin, Germany

  31. Karolinska University Hospital · Karolinska Institutet · University of Oxford · MRC Weatherall Institute of Molecular Medicine · MRC Molecular Haematology Unit

    Affiliation as printed

    Department of Cell and Molecular Biology, Karolinska Institutet, Stockholm, Sweden

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

    Karolinska University Hospital, Stockholm, Sweden

    MRC Molecular Haematology Unit, MRC Weatherall Institute of Molecular Medicine, University of Oxford, Oxford, UK

  32. Karolinska Institutet

    Affiliation as printed

    Department of Medicine, Huddinge Center for Hematology and Regenerative Medicine, Karolinska Institutet, Stockholm, Sweden

  33. Johanna Olweus corresponding

    Oslo University Hospital · University of Oslo

    Affiliation as printed

    Department of Cancer Immunology, Institute for Cancer Research, Oslo University Hospital Radiumhospitalet, Oslo, Norway. johanna.olweus@medisin.uio.no

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway. johanna.olweus@medisin.uio.no

    K.G. Jebsen Center for Cancer Immunotherapy, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

Cited by 37 stored of 36

References 61