T cells containing low affinity TCRs are not sufficiently activated for tumor elimination; however, when Schlenker et al. inserted a chimeric PD-1:28 receptor, effector function could be increased to levels of high avidity T cells. Th1 function could be restored in disabled TILs from human tumors, but improved tumor control in the mouse could not be demonstrated.

Inherent intermediate-to-low affinity T cell receptors (TCR) that develop during the natural course of immune responses may not allow sufficient activation for tumor elimination, making the majority of T cells suboptimal for adoptive T cell therapy (ATT). TCR affinity enhancement has been implemented to provide stronger T cell activity but carries the risk of creating undesired cross-reactivity leading to potential serious adverse effects in clinical application. We demonstrate here that engineering of low-avidity T cells recognizing a naturally processed and presented tumor-associated antigen with a chimeric PD-1:28 receptor increases effector function to levels seen with high-avidity T cells of identical specificity. Upgrading the function of low-avidity T cells without changing the TCR affinity will allow a large arsenal of low-avidity T cells previously thought to be therapeutically inefficient to be considered for ATT. PD-1:28 engineering re-instated Th1 function in tumor-infiltrating lymphocytes (TILs) that had been functionally disabled in the human renal cell carcinoma (RCC) environment without unleashing undesired Th2 cytokines or IL-10. Involved mechanisms may be correlated to restoration of ERK and AKT signaling pathways. In mouse tumor models of ATT, PD-1:28 engineering enabled low-avidity T cells to proliferate stronger and prevented PD-L1 upregulation and Th2 polarization in the tumor milieu. Engineered T cells combined with checkpoint blockade secreted significantly more IFN-gamma compared to T cells without PD-1:28, suggesting a beneficial combination with checkpoint blockade therapy or other therapeutic strategies. Altogether, the supportive effects of PD-1:28 engineering on T cell function makes it an attractive tool for ATT.

Author Info: (1) Institute of Molecular Immunology, Helmholtz Center Munich. (2) Institute of Molecular Immunology, Helmholtz Center Munich. (3) Institute of Immunology, Charite. (4) Institute

Author Info: (1) Institute of Molecular Immunology, Helmholtz Center Munich. (2) Institute of Molecular Immunology, Helmholtz Center Munich. (3) Institute of Immunology, Charite. (4) Institute of Molecular Immunology, Helmholtz Center Munich. (5) Institute of Molecular Immunology, Helmholtz Center Munich. (6) AG Klinische Biochemie, Medizinische Klinik und Poliklinik IV. (7) AG Klinische Biochemie, Medizinische Klinik und Poliklinik IV. (8) LMU Munich. (9) Department Bio II. (10) Engineered Lymphocyte Receptors, Medigene Immunotherapies GmbH. (11) CEO, Medigene Immunotherapies GmbH. (12) Molecular Cell Biology and Gene Therapy, Max Delbruck Center for Molecular Medicine. (13) Charite, CBF, Institute of Immunology. (14) Institute of Molecular Immunology, Helmholtz Center Munich noessner@helmholtz-muenchen.de.