Li et al. showed aberrant high expression of the B7-H3 Ig4 isoform by multiple solid human tumor types, and isolated nanobodies specific for major B7-H3 domains from camel VHH phage libraries. Human CAR T cells based on nanobodies specific for novel B7-H3 IgC epitopes showed the strongest antigen binding and lysis of B7-H3+ human neuroblastoma and PDAC cells in vitro. In mice, CAR T cells infiltrated and mediated strong antitumor activity against large and metastatic neuroblastoma and PDAC xenografts. CAR T cells collected from spleens showed antigen-specific upregulation of transcripts related to translation, protein synthesis, and T cell metabolism ex vivo.
Contributed by Paula Hochman
ABSTRACT: Rational design of chimeric antigen receptor T (CAR-T) cells based on the recognition of antigenic epitopes capable of evoking the most potent CAR activation is an important objective in optimizing immune therapy. In solid tumors, the B7-H3 transmembrane protein is an emerging target that harbours two distinct epitope motifs, IgC and IgV, in its ectodomain. Here, we generate dromedary camel nanobodies targeting B7-H3 and demonstrate that CAR-T cells, based on the nanobodies recognizing the IgC but not IgV domain, had potent antitumour activity against large tumors in female mice. These CAR-T cells are characterized by highly activated T cell signaling and significant tumor infiltration. Single-cell transcriptome RNA sequencing coupled with functional T-cell proteomics analysis uncovers the top-upregulated genes that might be critical for the persistence of polyfunctional CAR-T cells in mice. Our results highlight the importance of the specific target antigen epitope in governing optimal CAR-T activity and provide a nanobody-based B7-H3 CAR-T product for use in solid tumor therapy.