[HTML][HTML] Human CD83-targeted chimeric antigen receptor T cells prevent and treat graft-versus-host disease

B Shrestha, K Walton, J Reff… - The Journal of …, 2020 - Am Soc Clin Investig
B Shrestha, K Walton, J Reff, EM Sagatys, N Tu, J Boucher, G Li, T Ghafoor, M Felices…
The Journal of clinical investigation, 2020Am Soc Clin Investig
Graft-versus-host disease (GVHD) remains an important cause of morbidity and mortality
after allogeneic hematopoietic cell transplantation (allo-HCT). For decades, GVHD
prophylaxis has included calcineurin inhibitors, despite their incomplete efficacy and
impairment of graft-versus-leukemia (GVL). Distinct from pharmacologic immune
suppression, we have developed what we believe is a novel, human CD83-targeted
chimeric antigen receptor (CAR) T cell for GVHD prevention. CD83 is expressed on allo …
Graft-versus-host disease (GVHD) remains an important cause of morbidity and mortality after allogeneic hematopoietic cell transplantation (allo-HCT). For decades, GVHD prophylaxis has included calcineurin inhibitors, despite their incomplete efficacy and impairment of graft-versus-leukemia (GVL). Distinct from pharmacologic immune suppression, we have developed what we believe is a novel, human CD83-targeted chimeric antigen receptor (CAR) T cell for GVHD prevention. CD83 is expressed on allo-activated conventional CD4+ T cells (Tconvs) and proinflammatory dendritic cells (DCs), which are both implicated in GVHD pathogenesis. Human CD83 CAR T cells eradicate pathogenic CD83+ target cells, substantially increase the ratio of regulatory T cells (Tregs) to allo-activated Tconvs, and provide durable prevention of xenogeneic GVHD. CD83 CAR T cells are also capable of treating xenogeneic GVHD. We show that human acute myeloid leukemia (AML) expresses CD83 and that myeloid leukemia cell lines are readily killed by CD83 CAR T cells. Human CD83 CAR T cells are a promising cell-based approach to preventing 2 critical complications of allo-HCT — GVHD and relapse. Thus, the use of human CD83 CAR T cells for GVHD prevention and treatment, as well as for targeting CD83+ AML, warrants clinical investigation.
The Journal of Clinical Investigation