[HTML][HTML] Development of a chimeric antigen receptor targeting C-type lectin-like molecule-1 for human acute myeloid leukemia

E Laborda, M Mazagova, S Shao, X Wang… - International journal of …, 2017 - mdpi.com
E Laborda, M Mazagova, S Shao, X Wang, H Quirino, AK Woods, EN Hampton, DT Rodgers
International journal of molecular sciences, 2017mdpi.com
The treatment of patients with acute myeloid leukemia (AML) with targeted immunotherapy is
challenged by the heterogeneity of the disease and a lack of tumor-exclusive antigens.
Conventional immunotherapy targets for AML such as CD33 and CD123 have been
proposed as targets for chimeric antigen receptor (CAR)-engineered T-cells (CAR-T-cells), a
therapy that has been highly successful in the treatment of B-cell leukemia and lymphoma.
However, CD33 and CD123 are present on hematopoietic stem cells, and targeting with …
The treatment of patients with acute myeloid leukemia (AML) with targeted immunotherapy is challenged by the heterogeneity of the disease and a lack of tumor-exclusive antigens. Conventional immunotherapy targets for AML such as CD33 and CD123 have been proposed as targets for chimeric antigen receptor (CAR)-engineered T-cells (CAR-T-cells), a therapy that has been highly successful in the treatment of B-cell leukemia and lymphoma. However, CD33 and CD123 are present on hematopoietic stem cells, and targeting with CAR-T-cells has the potential to elicit long-term myelosuppression. C-type lectin-like molecule-1 (CLL1 or CLEC12A) is a myeloid lineage antigen that is expressed by malignant cells in more than 90% of AML patients. CLL1 is not expressed by healthy Hematopoietic Stem Cells (HSCs), and is therefore a promising target for CAR-T-cell therapy. Here, we describe the development and optimization of an anti-CLL1 CAR-T-cell with potent activity on both AML cell lines and primary patient-derived AML blasts in vitro while sparing healthy HSCs. Furthermore, in a disseminated mouse xenograft model using the CLL1-positive HL60 cell line, these CAR-T-cells completely eradicated tumor, thus supporting CLL1 as a promising target for CAR-T-cells to treat AML while limiting myelosuppressive toxicity.
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