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research article

Dual ON/OFF-switch chimeric antigen receptor controlled by two clinically approved drugs

Attianesea, Greta Maria Paola Giordano
•
Shui, Sailan  
•
Cribioli, Elisabetta
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October 29, 2024
Proceedings Of The National Academy Of Sciences Of The United States Of America (PNAS)

The ability to remotely control the activity of chimeric antigen receptors (CARs) with small molecules can improve the safety and efficacy of gene-modified T cells. Split ON- or OFF-switch CARs involve the dissociation of tumor–antigen binding from T cell activation (i.e., CD3ζ) on the receptor (R-) and signaling (S-) chains, respectively, that either associate or are disrupted in the presence of a small molecule. Here, we have developed an inducible (i)ON-CAR comprising the anti-apoptotic B cell lymphoma protein 2 protein in the ectodomain of both chains which associate in the presence of venetoclax. We showed that inducible ON (iON)-CAR T cells respond to target tumors cells in the presence of venetoclax or the BH3 mimetic navitoclax in a dose-dependent manner, while there is no impact of the drugs on equivalent second generation-CAR T cells. Within 48 h of venetoclax withdrawal, iON-CAR T cells lose the ability to respond to target tumor cells in vitro as evaluated by Interferon-gamma (IFNγ) production, and they are reliant upon the presence of venetoclax for in vivo activity. Finally, by fusing a degron sequence to the endodomain of the iON-CAR S-chain we generated an all-in-one ON/OFF-switch CAR, the iONØ-CAR, down-regulated by lenalidomide within 4 to 6 for functionally inactive T cells (no IFNγ production) within 24 h. We propose that our remote-control CAR designs can reduce toxicity in the clinic. Moreover, the periodic rest of iON and iONØ-CAR T cells may alleviate exhaustion and hence augment persistence and long-term tumor control in patients.

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Type
research article
DOI
10.1073/pnas.2405085121
Scopus ID

2-s2.0-85207738928

PubMed ID

39453747

Author(s)
Attianesea, Greta Maria Paola Giordano

Centre Hospitalier Universitaire Vaudois

Shui, Sailan  

École Polytechnique Fédérale de Lausanne

Cribioli, Elisabetta

Centre Hospitalier Universitaire Vaudois

Triboulet, Melanie

Centre Hospitalier Universitaire Vaudois

Scheller, Leo  

École Polytechnique Fédérale de Lausanne

Hafezi, Morteza

Centre Hospitalier Universitaire Vaudois

Reichenbach, Patrick

Centre Hospitalier Universitaire Vaudois

Gainza, Pablo

Centre Hospitalier Universitaire Vaudois

Georgeon, Sandrine  

École Polytechnique Fédérale de Lausanne

Correia, Bruno E.  

École Polytechnique Fédérale de Lausanne

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Date Issued

2024-10-29

Publisher

National Academy of Sciences

Published in
Proceedings Of The National Academy Of Sciences Of The United States Of America (PNAS)
Volume

121

Issue

44

Article Number

e2405085121

Subjects

cancer

•

chimeric antigen receptor

•

synthetic biology

•

T cell

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
LPDI  
FunderFunding(s)Grant NumberGrant URL

University of Lausanne

Ludwig Cancer Research

Prostate Cancer Foundation

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Available on Infoscience
January 25, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/244144
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