Lenalidomide enhances CD23.CAR T cell therapy in chronic lymphocytic leukemia.
Details
Serval ID
serval:BIB_D57D79AF5C08
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Lenalidomide enhances CD23.CAR T cell therapy in chronic lymphocytic leukemia.
Journal
Leukemia & lymphoma
ISSN
1029-2403 (Electronic)
ISSN-L
1026-8022
Publication state
Published
Issued date
07/2022
Peer-reviewed
Oui
Volume
63
Number
7
Pages
1566-1579
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Chimeric antigen receptors (CAR)-modified T cells are an emerging therapeutic tool for chronic lymphocytic leukemia (CLL). However, in patients with CLL, well-known T-cell defects and the inhibitory properties of the tumor microenvironment (TME) hinder the efficacy of CAR T cells. We explored a novel approach combining CARs with lenalidomide, an immunomodulatory drug that tempers the immunosuppressive activity of the CLL TME. T cells from patients with CLL were engineered to express a CAR specific for CD23, a promising target antigen. Lenalidomide maintained the in vitro effector functions of CD23.CAR <sup>+</sup> T cells effector functions in terms of antigen-specific cytotoxicity, cytokine release and proliferation. Overall, lenalidomide preserved functional CAR T-CLL cell immune synapses. In a Rag2 <sup>-/-</sup> γ <sub>c</sub> <sup>-/-</sup> -based xenograft model of CLL, we demonstrated that, when combined with low-dose lenalidomide, CD23.CAR <sup>+</sup> T cells efficiently migrated to leukemic sites and delayed disease progression when compared to CD23.CAR <sup>+</sup> T cells given with rhIL-2. These observations underline the therapeutic potential of this novel CAR-based combination strategy in CLL.
Keywords
Humans, Immunotherapy, Adoptive, Interleukin Receptor Common gamma Subunit, Lenalidomide/pharmacology, Lenalidomide/therapeutic use, Leukemia, Lymphocytic, Chronic, B-Cell/drug therapy, Leukemia, Lymphocytic, Chronic, B-Cell/therapy, T-Lymphocytes, Tumor Microenvironment, CAR T cells, CD23, Chronic lymphocytic leukemia, immunomodulation, immunotherapy, lenalidomide
Pubmed
Web of science
Create date
14/03/2022 9:23
Last modification date
02/11/2022 7:41