Chen et al. demonstrated that an enhanced synthetic phagocytosis receptor (eSPR), which integrated FcRγ-driven phagocytic chimeric antigen receptors (CARs) with built-in secreted CD47 blockers, activated both the innate and adaptive immune systems to mount effective antitumor immune response and overcome tumor antigen heterogeneity. The eSPR macrophages showed a proinflammatory phenotype, rejected tumor repolarization, instilled pro-inflammatory traits into the TIME, and cross-presented antigens to T cells to elicit durable tumor control. The eSPR system functionality was further validated in ex vivo-differentiated primary human macrophages.
Contributed by Shishir Pant
ABSTRACT: Macrophage-based cancer cellular therapy has gained substantial interest. However, the capability of engineered macrophages to target cancer heterogeneity and modulate adaptive immunity remains unclear. Here, exploiting the myeloid antibody-dependent cellular phagocytosis biology and phagocytosis checkpoint blockade, we report the enhanced synthetic phagocytosis receptor (eSPR) that integrate FcR_-driven phagocytic chimeric antigen receptors (CAR) with built-in secreted CD47 blockers. The eSPR engineering empowers macrophages to combat tumor antigen heterogeneity. Transduced by adenoviral vectors, eSPR macrophages are intrinsically pro-inflammatory imprinted and resist tumoral polarization. Transcriptomically and phenotypically, eSPR macrophages elicit a more favorable tumor immune landscape. Mechanistically, eSPR macrophages in situ stimulate CD8 T cells via phagocytosis-dependent antigen cross-presentation. We also validate the functionality of the eSPR system in human primary macrophages.