Naturally occurring T cell mutations enhance engineered T cell therapies

Naturally occurring T cell mutations enhance engineered T cell therapies

2024 February ; 626(7999): 626–634. doi:10.1038/s41586-024-07018-7. | Julie Garcia, Jay Daniels, Yujin Lee, Iowis Zhu, Kathleen Cheng, Qing Liu, Daniel Goodman, Cassandra Burnett, Calvin Law, Chloë Thienpont, Josef Alavi, Camillia Azimi, Garrett Montgomery, Kole T. Roybal, Jaehyuk Choi
The study explores the potential of naturally occurring mutations in T cells to enhance the efficacy of adoptive T cell therapies. By screening 71 mutations from T cell neoplasms, the researchers identified a gene fusion, CARD11–PIK3R3, which significantly improves T cell signaling, cytokine production, and in vivo persistence in tumors. This fusion enhances the CARD11–BCL10–MALT1 (CBM) complex signaling, leading to increased NF-κB and AP-1 transcriptional activity and MALT1 proteolytic activity. In vitro and in vivo experiments demonstrated that CARD11–PIK3R3-expressing T cells show enhanced anti-tumor activity, reduced T cell dose requirements, and improved persistence without evidence of malignant transformation. The findings suggest that exploiting naturally occurring mutations could be a promising approach to improve T cell therapies for cancer.The study explores the potential of naturally occurring mutations in T cells to enhance the efficacy of adoptive T cell therapies. By screening 71 mutations from T cell neoplasms, the researchers identified a gene fusion, CARD11–PIK3R3, which significantly improves T cell signaling, cytokine production, and in vivo persistence in tumors. This fusion enhances the CARD11–BCL10–MALT1 (CBM) complex signaling, leading to increased NF-κB and AP-1 transcriptional activity and MALT1 proteolytic activity. In vitro and in vivo experiments demonstrated that CARD11–PIK3R3-expressing T cells show enhanced anti-tumor activity, reduced T cell dose requirements, and improved persistence without evidence of malignant transformation. The findings suggest that exploiting naturally occurring mutations could be a promising approach to improve T cell therapies for cancer.
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