Marotte et al. used CAS9/sgRNA to generate single allele PD-1-knockout (KO), Melan-A-specific CTLs derived from patients with melanoma. Transcriptomic analysis of TCR-matched and functional avidity-matched WT and KO clones revealed that upon stimulation, KO clones downregulated genes related to proliferation, DNA replication, and IFNγ, and upregulated genes related to metabolism, cell signaling, T cell activation, cell adhesion, and TIGIT, while WT clones were symmetrically opposite. Adoptive transfer of KO clones into NSG mice bearing PD-L1+ human melanoma significantly delayed tumor growth, while WT clones were ineffective.

Contributed by Anna Scherer

BACKGROUND: Genome editing offers unique perspectives for optimizing the functional properties of T cells for adoptive cell transfer purposes. So far, PDCD1 editing has been successfully tested mainly in chimeric antigen receptor T (CAR-T) cells and human primary T cells. Nonetheless, for patients with solid tumors, the adoptive transfer of effector memory T cells specific for tumor antigens remains a relevant option, and the use of high avidity T cells deficient for programmed cell death-1 (PD-1) expression is susceptible to improve the therapeutic benefit of these treatments. METHODS: Here we used the transfection of CAS9/sgRNA ribonucleoproteic complexes to edit PDCD1 gene in human effector memory CD8(+) T cells specific for the melanoma antigen Melan-A. We cloned edited T cell populations and validated PDCD1 editing through sequencing and cytometry in each T cell clone, together with T-cell receptor (TCR) chain's sequencing. We also performed whole transcriptomic analyses on wild-type (WT) and edited T cell clones. Finally, we documented in vitro and in vivo through adoptive transfer in NOD scid gamma (NSG) mice, the antitumor properties of WT and PD-1KO T cell clones, expressing the same TCR. RESULTS: Here we demonstrated the feasibility to edit PDCD1 gene in human effector memory melanoma-specific T lymphocytes. We showed that PD-1 expression was dramatically reduced or totally absent on PDCD1-edited T cell clones. Extensive characterization of a panel of T cell clones expressing the same TCR and exhibiting similar functional avidity demonstrated superior antitumor reactivity against a PD-L1 expressing melanoma cell line. Transcriptomic analysis revealed a downregulation of genes involved in proliferation and DNA replication in PD-1-deficient T cell clones, whereas genes involved in metabolism and cell signaling were upregulated. Finally, we documented the superior ability of PD-1-deficient T cells to significantly delay the growth of a PD-L1 expressing human melanoma tumor in an NSG mouse model. CONCLUSION: The use of such lymphocytes for adoptive cell transfer purposes, associated with other approaches modulating the tumor microenvironment, would be a promising alternative to improve immunotherapy efficacy in solid tumors.

Author Info: (1) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (2) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France.

Author Info: (1) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (2) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (3) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (4) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (5) LabEx IGO, Universite de Nantes, Nantes, France. Universite de Nantes, Inserm, CRTI, F-44000 Nantes, France. (6) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (7) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. (8) NGS Assay Research & Development, Qiagen Sciences, Frederick, Maryland, United States. (9) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (10) LabEx IGO, Universite de Nantes, Nantes, France. Universite de Nantes, Inserm, CRTI, F-44000 Nantes, France. (11) NGS Assay Research & Development, Qiagen Sciences, Frederick, Maryland, United States. (12) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (13) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (14) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (15) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (16) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France. LabEx IGO, Universite de Nantes, Nantes, France. (17) Universite de Nantes, Inserm, CRTI, F-44000 Nantes, France. (18) Universite de Nantes, Inserm, CRCINA, F-44000 Nantes, France Nathalie.Labarriere@univ-nantes.fr. LabEx IGO, Universite de Nantes, Nantes, France.