2021 Nov 16;2(11):100449. doi: 10.1016/j.xcrm.2021.100449.
Yan-Ruide Li 1, Yang Zhou 1, Yu Jeong Kim 1, Yanni Zhu 1, Feiyang Ma 2, Jiaji Yu 1, Yu-Chen Wang 1, Xianhui Chen 3, Zhe Li 1, Samuel Zeng 1, Xi Wang 1, Derek Lee 1, Josh Ku 1, Tasha Tsao 1, Christian Hardoy 1, Jie Huang 1, Donghui Cheng 4, Amélie Montel-Hagen 5, Christopher S Seet 4 6 7, Gay M Crooks 4 5 7 8, Sarah M Larson 9, Joshua P Sasine 4 7 10, Xiaoyan Wang 6, Matteo Pellegrini 2 4, Antoni Ribas 4 7 11 12, Donald B Kohn 1 4 10, Owen Witte 1 4 7 12 13, Pin Wang 3, Lili Yang 1 4 7 13
Cell-based immunotherapy has become the new-generation cancer medicine, and "off-the-shelf" cell products that can be manufactured at large scale and distributed readily to treat patients are necessary. Invariant natural killer T (iNKT) cells are ideal cell carriers for developing allogeneic cell therapy because they are powerful immune cells targeting cancers without graft-versus-host disease (GvHD) risk. However, healthy donor blood contains extremely low numbers of endogenous iNKT cells. Here, by combining hematopoietic stem cell (HSC) gene engineering and in vitro differentiation, we generate human allogeneic HSC-engineered iNKT (AlloHSC-iNKT) cells at high yield and purity; these cells closely resemble endogenous iNKT cells, effectively target tumor cells using multiple mechanisms, and exhibit high safety and low immunogenicity. These cells can be further engineered with chimeric antigen receptor (CAR) to enhance tumor targeting or/and gene edited to ablate surface human leukocyte antigen (HLA) molecules and further reduce immunogenicity. Collectively, these preclinical studies demonstrate the feasibility and cancer therapy potential of AlloHSC-iNKT cell products and lay a foundation for their translational and clinical development.
Keywords: CAR-engineered conventional αβ T cells; HLA-ablated universal HSC-iNKT cells; allogeneic HSC-engineered iNKT cells; allogeneic off-the-shelf cell therapy; allorejection; cancer immunotherapy; chimeric antigen receptor; graft-versus-host disease; hematopoietic stem cell; invariant natural killer T cells.
© 2021 The Authors.
Y.-R.L., Y.J.K., J.Y., P.W., Y. Zhu, G.M.C., A.M.-H., C.S.S., and L.Y. are inventors on patents relating to this study filed by UCLA. Y.J.K. is currently an employee of Nkarta. J.Y. and X.W. are currently employees of Appia Bio. X.C. is currently an employee of Atara Bio. Z.L. is currently an employee of Allogene. S.M.L. is a stockholder of 1200 Pharma and TORL BioTherapeutics. A.R. is a consultant for Amgen, Bristol-Meyers Squibb, Chugai, Genentech-Roche, Merck-MSD, Novartis, and Sanofi; a scientific advisory board member of and stockholder with Advaxis, Apricity, Arcus, Bioncotech, Compugen, CytomX, Five Prime, FLX-Bio, ImaginAb, Isoplexis, Kite-Gilead, Merus, Rgenix, and Appia Bio; and a co-founder and scientific advisory board member of Lutris, PACT Pharma, and Tango Therapeutics. J.S. is a consultant for Kite and on the speaker bureau for Kite and BMS. D.B.K. is a stockholder and scientific advisory board member of Allogene Therapeutics, Myogene Bio, ImmunoVec and Pluto Therapeutics. O.N.W. currently has consulting, equity, and/or board relationships with Trethera Corporation, Kronos Biosciences, Sofie Biosciences, Breakthrough Properties, Vida Ventures, Nammi Therapeutics, Two River, Iconovir, Appia BioSciences, Neogene Therapeutics, and Allogene Therapeutics. P.W. is a co-founder, stockholder, consultant, and advisory board member of HRain Biotechnology, TCRCure Biopharma, and Appia Bio. G.M.C., C.S.S., and A.M.-H. are cofounders and stockholders of Pluto Immunotherapeutics. L.Y. is a scientific advisor to AlzChem and Amberstone Biosciensec, and a co-founder, stockholder, and advisory board member of Appia Bio. None of the declared companies contributed to or directed any of the research reported in this article. The remaining authors declare no competing interests.
Graphical abstract
Figure 1
In vitro generation of allogenic…
Figure 2
Characterization and gene profiling of…
Figure 3
Tumor targeting of Allo HSC-iNKT…
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Tumor targeting of Allo HSC-iNKT…
Figure 5
Safety study of Allo HSC-iNKT…
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Immunogenicity study of Allo HSC-iNKT…
Figure 7
Development of HLA-ablated universal HSC-iNKT…
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