To enable TCR activation-dependent cytokine signaling and improve therapeutic T cell functionality without systemic toxicity, Kim et al. modified NY-ESO-1 TCR-transgenic T cells with CRISPR/Cas9 for site-specific insertion of IL-12, replacing PD-1, in the PDCD1 locus. The engineered cells demonstrated antigen-specific IL-12 secretion, loss of PD-1, and tighter control of gene expression than with an NFAT promoter. The IL-12 knock-in improved in vitro T cell cytotoxicity and proliferative capacity after repetitive antigen stimulation, as well as in vivo tumor infiltration and efficacy, over NY-ESO-1 T cell controls or with those with PD-1 knockout alone.
Contributed by Alex Najibi
Reprogramming of IL-12 secretion in the PDCD1 locus improves the anti-tumor activity of NY-ESO-1 TCR-T cells Spotlight
(1) Kim S (2) Park CI (3) Lee S (4) Choi HR (5) Kim CH
To enable TCR activation-dependent cytokine signaling and improve therapeutic T cell functionality without systemic toxicity, Kim et al. modified NY-ESO-1 TCR-transgenic T cells with CRISPR/Cas9 for site-specific insertion of IL-12, replacing PD-1, in the PDCD1 locus. The engineered cells demonstrated antigen-specific IL-12 secretion, loss of PD-1, and tighter control of gene expression than with an NFAT promoter. The IL-12 knock-in improved in vitro T cell cytotoxicity and proliferative capacity after repetitive antigen stimulation, as well as in vivo tumor infiltration and efficacy, over NY-ESO-1 T cell controls or with those with PD-1 knockout alone.
Contributed by Alex Najibi
INTRODUCTION: Although the engineering of T cells to co-express immunostimulatory cytokines has been shown to enhance the therapeutic efficacy of adoptive T cell therapy, the uncontrolled systemic release of potent cytokines can lead to severe adverse effects. To address this, we site-specifically inserted the interleukin-12 (IL-12) gene into the PDCD1 locus in T cells using clustered regularly interspaced short palindromic repeats (CRISPR)/CRISPR-associated protein 9 (Cas9)-based genome editing to achieve T-cell activation-dependent expression of IL-12 while ablating the expression of inhibitory PD-1. METHODS: New York esophageal squamous cell carcinoma 1(NY-ESO-1)-specific TCR-T cells was investigated as a model system. We generated _PD-1-IL-12 -edited NY-ESO-1 TCR-T cells by sequential lentiviral transduction and CRISPR knock-in into activated human primary T cells. RESULTS: We showed that the endogenous PDCD1 regulatory elements can tightly control the secretion of recombinant IL-12 in a target cell-dependent manner, at an expression level that is more moderate than that obtained using a synthetic NFAT-responsive promoter. The inducible expression of IL-12 from the PDCD1 locus was sufficient to enhance the effector function of NY-ESO-1 TCR-T cells, as determined by upregulation of effector molecules, increased cytotoxic activity, and enhanced expansion upon repeated antigen stimulation in vitro. Mouse xenograft studies also revealed that PD-1-edited IL-12-secreting NY-ESO-1 TCR-T cells could eliminate established tumors and showed significantly greater in vivo expansion capacity than control TCR-T cells. DISCUSSION: Our approach may provide a way to safely harness the therapeutic potential of potent immunostimulatory cytokines for the development of effective adoptive T cell therapies against solid tumors.