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Self-sufficient primary natural killer cells engineered to express T cell receptors and interleukin-15 exhibit improved effector function and persistence

Frontiers in Immunology, vol. 15, pp. 1368290

Abstract

Background NK cells can be genetically engineered to express a transgenic T-cell receptor (TCR). This approach offers an alternative strategy to target heterogenous tumors, as NK:TCR cells can eradicate both tumor cells with high expression of HLA class I and antigen of interest or HLA class I negative tumors. Expansion and survival of NK cells relies on the presence of IL-15. Therefore, autonomous production of IL-15 by NK:TCR cells might improve functional persistence of NK cells. Here we present an optimized NK:TCR product harnessed with a construct encoding for soluble IL-15 (NK:TCR/IL-15), to support their proliferation, persistence and cytotoxic capabilities. Methods Expression of tumor-specific TCRs in peripheral blood derived NK-cells was achieved following retroviral transduction. NK:TCR/IL-15 cells were compared with NK:TCR cells for autonomous cytokine production, proliferation and survival. NK:BOB1-TCR/IL-15 cells, expressing a HLA-B*07:02-restricted TCR against BOB1, a B-cell lineage specific transcription factor highly expressed in all B-cell malignancies, were compared with control NK:BOB1-TCR and NK:CMV-TCR/IL-15 cells for effector function against TCR antigen positive malignant B-cell lines in vitro and in vivo. Results Viral incorporation of the interleukin-15 gene into engineered NK:TCR cells was feasible and high expression of the TCR was maintained, resulting in pure NK:TCR/IL-15 cell products generated from peripheral blood of multiple donors. Self-sufficient secretion of IL-15 by NK:TCR cells enables engineered NK cells to proliferate in vitro without addition of extra cytokines. NK:TCR/IL-15 demonstrated a marked enhancement of TCR-mediated cytotoxicity as well as enhanced NK-mediated cytotoxicity resulting in improved persistence and performance of NK:BOB1-TCR/IL-15 cells in an orthotopic multiple myeloma mouse model. However, in contrast to prolonged anti-tumor reactivity by NK:BOB1-TCR/IL-15, we observed in one of the experiments an accumulation of NK:BOB1-TCR/IL-15 cells in several organs of treated mice, leading to unexpected death 30 days post-NK infusion. Conclusion This study showed that NK:TCR/IL-15 cells secrete low levels of IL-15 and can proliferate in an environment lacking cytokines. Repeated in vitro and in vivo experiments confirmed the effectiveness and target specificity of our product, in which addition of IL-15 supports TCR- and NK-mediated cytotoxicity.

Authors 7

  1. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

  2. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

  3. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

  4. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

  5. University of Antwerp

    Affiliation as printed

    Center for Oncological Research (CORE), Integrated Personalized and Precision Oncology Network (IPPON), Antwerp, Belgium

    Center for Oncological Research (CORE), Integrated Personalized and Precision Oncology Network (IPPON), Belgium

  6. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

  7. Leiden University · Leiden University Medical Center

    Affiliation as printed

    Department of Hematology, Leiden University Medical Centre (LUMC), Leiden, Netherlands

    Department of Hematology, Leiden University Medical Centre (LUMC), Netherlands

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References 42