Vaccine-boosted CAR T crosstalk with host immunity to reject tumors with antigen heterogeneity.
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Abstract | Chimeric antigen receptor (CAR) T cell therapy effectively treats human cancer, but the loss of the antigen recognized by the CAR poses a major obstacle. We found that in vivo vaccine boosting of CAR T cells triggers the engagement of the endogenous immune system to circumvent antigen-negative tumor escape. Vaccine-boosted CAR T promoted dendritic cell (DC) recruitment to tumors, increased tumor antigen uptake by DCs, and elicited the priming of endogenous anti-tumor T cells. This process was accompanied by shifts in CAR T metabolism toward oxidative phosphorylation (OXPHOS) and was critically dependent on CAR-T-derived ±õ¹ó±·-γ. Antigen spreading (AS) induced by vaccine-boosted CAR T enabled a proportion of complete responses even when the initial tumor was 50% CAR antigen negative, and heterogeneous tumor control was further enhanced by the genetic amplification of CAR T ±õ¹ó±·-γ expression. Thus, CAR-T-cell-derived ±õ¹ó±·-γ plays a critical role in promoting AS, and vaccine boosting provides a clinically translatable strategy to drive such responses against solid tumors. |
Year of Publication | 2023
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Journal | Cell
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Date Published | 06/2023
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ISSN | 1097-4172
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DOI | 10.1016/j.cell.2023.06.002
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PubMed ID | 37413990
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