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IL-6 trans-signaling promotes the expansion and anti-tumor activity of CAR T cells

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机构: [1]Key Laboratory of Regenerative Biology South China Institute forStem Cell Biology and Regenerative Medicine, GuangzhouInstitutes of Biomedicine and Health, Chinese Academy ofSciences, Guangzhou, China [2]Guangdong Provincial Key Laboratory of Stem Cell andRegenerative Medicine South China Institute for Stem CellBiology and Regenerative Medicine, Guangzhou Institutes ofBiomedicine and Health, Chinese Academy of Sciences,Guangzhou, China [3]University of Chinese Academy of Sciences, Beijing, China [4]Huangpu Hospital of Guangdong Second Traditional ChineseMedicine Hospital, Guangzhou, China [5]Guangdong Zhaotai Invivo Biomedicine Ltd., Guangzhou, China [6]Department of Hematology, Nanfang Hospital, Southern MedicalUniversity, Guangzhou, China [7]Institute of Hematology, Medical College, Jinan University,Guangzhou, China [8]Guangdong Women and Children Hospital, 521-523 Xing NanRoad, Guangzhou, China [9]Guangdong Cord Blood Bank, Guangzhou, Guangdong, China [10]Department of Hematology, Guangdong General Hospital,Guangzhou, China [11]Affiliated Cancer Hospital & Institute of Guangzhou MedicalUniversity, Guangzhou, China [12]Cancer Immunotherapy Programme, Malaghan Institute ofMedical Research, Wellington, New Zealand [13]School of Biomedical Sciences, Li Ka Shing Faculty of Medicine,Stem Cell and Regenerative Medicine Centre, University of HongKong, Hong Kong, China [14]Bioland Laboratory (Guangzhou Regenerative Medicine andHealth Guangdong Laboratory), Guangzhou, China
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Chimeric antigen receptor (CAR) T cell therapies lead to high clinical response rates in B cell malignancies, and are under investigation for treatment of solid tumors. While high systemic interleukin- (IL-) 6 levels are associated with clinical cytokine release syndrome (CRS), the role of IL-6 trans-signaling within CAR T-cells has not been reported. We generated CAR T cells that constitutively express hyper IL-6 (HIL-6), a designer cytokine that activates the trans-signaling pathway. HIL-6-expressing CAR T-cells exhibited enhanced proliferation and antitumor efficacy in vitro and in xenograft models. However, HIL-6 CAR T cells caused severe graft-versus-host disease (GVHD). Transcriptomic profiling revealed that HIL-6 stimulation of CAR T cells upregulated genes associated with T cell migration, early memory differentiation, and IL-6/GP130/STAT3 signaling. Since IL-6 trans-signaling acts via surface GP130, we generated CAR T cells expressing a constitutively-active form of GP130 and found these retained improved antitumor activity without signs of GVHD in preclinical models of B-cell leukemia and solid tumors. Taken together, these results show that IL-6 trans-signaling can enhance expansion and antitumor activity of CAR T cells via the GP130/STAT3 pathway, and suggest that expression of GP130 within CAR T cells could lead to improved antitumor efficacy without systemic IL-6 trans-signaling.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 1 区 血液学 2 区 肿瘤学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 血液学 2 区 肿瘤学
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出版当年[2019]版:
Q1 ONCOLOGY Q1 HEMATOLOGY
最新[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY

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第一作者机构: [1]Key Laboratory of Regenerative Biology South China Institute forStem Cell Biology and Regenerative Medicine, GuangzhouInstitutes of Biomedicine and Health, Chinese Academy ofSciences, Guangzhou, China [2]Guangdong Provincial Key Laboratory of Stem Cell andRegenerative Medicine South China Institute for Stem CellBiology and Regenerative Medicine, Guangzhou Institutes ofBiomedicine and Health, Chinese Academy of Sciences,Guangzhou, China
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通讯机构: [1]Key Laboratory of Regenerative Biology South China Institute forStem Cell Biology and Regenerative Medicine, GuangzhouInstitutes of Biomedicine and Health, Chinese Academy ofSciences, Guangzhou, China [2]Guangdong Provincial Key Laboratory of Stem Cell andRegenerative Medicine South China Institute for Stem CellBiology and Regenerative Medicine, Guangzhou Institutes ofBiomedicine and Health, Chinese Academy of Sciences,Guangzhou, China [14]Bioland Laboratory (Guangzhou Regenerative Medicine andHealth Guangdong Laboratory), Guangzhou, China
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