Preclinical Development of CAR T Cells with Antigen-Inducible IL18 Enforcement to Treat GD2-Positive Solid Cancers

Fischer-Riepe, Lena and Kailayangiri, Sareetha and Zimmermann, Katharina and Pfeifer, Rita and Aigner, Michael and Altvater, Bianca and Kretschmann, Sascha and Voelkl, Simon and Hartley, Jordan and Dreger, Celine and Petry, Katja and Bosio, Andreas and von Doellen, Angelika and Hartmann, Wolfgang and Lode, Holger and Goerlich, Dennis and Mackensen, Andreas and Jungblut, Melanie and Schambach, Axel and Abken, Hinrich and Rossig, Claudia (2024) Preclinical Development of CAR T Cells with Antigen-Inducible IL18 Enforcement to Treat GD2-Positive Solid Cancers. CLINICAL CANCER RESEARCH, 30 (16). pp. 3564-3577. ISSN 1078-0432, 1557-3265

Full text not available from this repository. (Request a copy)

Abstract

Purpose: Cytokine-engineering of chimeric antigen receptor-redirected T cells (CAR T cells) is a promising principle to overcome the limited activity of canonical CAR T cells against solid cancers.Experimental Design: We developed an investigational medicinal product, GD2IL18CART, consisting of CAR T cells directed against ganglioside GD2 with CAR-inducible IL18 to enhance their activation response and cytolytic effector functions in the tumor microenvironment. To allow stratification of patients according to tumor GD2 expression, we established and validated immunofluorescence detection of GD2 on paraffin-embedded tumor tissues.Results: Lentiviral all-in-one vector engineering of human T cells with the GD2-specific CAR with and without inducible IL18 resulted in cell products with comparable proportions of CAR-expressing central memory T cells. Production of IL18 strictly depends on GD2 antigen engagement. GD2IL18CART respond to interaction with GD2-positive tumor cells with higher IFN gamma and TNF alpha cytokine release and more effective target cytolysis compared with CAR T cells without inducible IL18. GD2IL18CART further have superior in vivo antitumor activity, with eradication of GD2-positive tumor xenografts. Finally, we established GMP-compliant manufacturing of GD2IL18CART and found it to be feasible and efficient at clinical scale.Conclusions: These results pave the way for clinical investigation of GD2IL18CART in pediatric and adult patients with neuroblastoma and other GD2-positive cancers (EU CT 2022- 501725-21-00). See related commentary by Locatelli and Quintarelli, p. 3361Conclusions: These results pave the way for clinical investigation of GD2IL18CART in pediatric and adult patients with neuroblastoma and other GD2-positive cancers (EU CT 2022- 501725-21-00). See related commentary by Locatelli and Quintarelli, p. 3361

Item Type: Article
Uncontrolled Keywords: ANTITUMOR-ACTIVITY; GD2 EXPRESSION; DOSE-ESCALATION; GANGLIOSIDE GD2; TUMOR-ANTIGEN; INTERLEUKIN-18; NEUROBLASTOMA; INHIBITION; RECEPTORS; THERAPY;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 Jan 2026 07:32
Last Modified: 15 Jan 2026 07:32
URI: https://pred.uni-regensburg.de/id/eprint/65193

Actions (login required)

View Item View Item