Invariant natural killer T cells (iNKT) are able to recognize and kill cells presenting the lipid agonist αGC on CD1d. To exploit iNKT cells in a CD1d-independent manner, Das et al. developed a soluble bispecific fusion protein linking the CD1d molecule to a CD19 scFv. When loaded with αGC, the fusion protein engaged iNKT cells in vitro, inducing activation, cytokine production, proliferation, and specific killing of CD19+CD1d- target cells, including EBV-immortalized B cells. Activated iNKT cells promoted DC maturation, driving the activation of a broader immune response. In vivo, the fusion protein controlled CD19+CD1d- tumor growth.
Invariant natural killer T (iNKT) cells comprise a unique lineage of CD1d-restricted lipid-reactive T lymphocytes that potently kill tumor cells and exhibit robust immunostimulatory functions. Optimal tumor-directed iNKT cell responses often require expression of the antigen-presenting molecule CD1d on tumors; however, many tumor cells downregulate CD1d and thus evade iNKT cell recognition. We generated a soluble bispecific fusion protein designed to direct iNKT cells to the site of B-cell cancers in a tumor antigen-specific but CD1d-independent manner. This fusion protein is composed of a human CD1d molecule joined to a single chain antibody FV fragment specific for CD19, an antigen widely expressed on B-cell cancers. The CD1d-CD19 fusion protein binds specifically to CD19-expressing, but not CD19-negative cells. Once loaded with the iNKT cell lipid agonist alpha-galactosyl ceramide (alphaGC), the CD1d-CD19 fusion induces robust in vitro activation of and cytokine production by human iNKT cells. iNKT cells stimulated by the alphaGC-loaded CD1d-CD19 fusion also strongly transactivate T-, B-, and NK-cell responses and promote dendritic cell maturation. Importantly, the alphaGC-loaded fusion induces robust lysis of CD19(+)CD1d(-) Epstein-Barr virus immortalized human B-lymphoblastoid cell lines that are otherwise resistant to iNKT cell killing. Consistent with these findings; administration of the alphaGC-loaded fusion protein controlled the growth of CD19(+)CD1d(-) tumors in vivo, suggesting that it can "link" iNKT cells and CD19(+)CD1d(-) targets in a therapeutically beneficial manner. Taken together, these preclinical studies demonstrate that this B cell-directed fusion protein can be used to effectively induce iNKT cell antitumor responses in vitro and in vivo.