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High yield killing of lymphoma cells by anti-CD22 CAR-NK cell therapy

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Abstract

Chimeric antigen receptors (CARs) offer a promising new approach for targeting B cell malignancies through the immune system. Despite the proven effectiveness of CAR T cells targeting CD19 and CD22 in hematological malignancies, it is imperative to note that their production remains a highly complex process. Unlike T cells, NK cells eliminate targets in a non-antigen-specific manner while avoiding graft vs. host disease (GvHD). CAR-NK cells are considered safer than CAR-T cells because they have a shorter lifespan and produce less toxic cytokines. Due to their unlimited ability to proliferate in vitro, NK-92 cells can be used as a source for CAR-engineered NK cells. We found that CARs created from the m971 anti-CD22 mAb, which specifically targets a proximal CD22 epitope, were more effective at anti-leukemic activity compared to those made with other binding domains. To further enhance the anti-leukemic capacity of NK cells, we used lentiviral transduction to generate the m971-CD28-CD3ζ NK-92. CD22 is highly expressed in B cell lymphoma. To evaluate the potential of targeting CD22, Raji cells were selected as CD22-positive cells. Our study aimed to investigate CD22 as a potential target for CAR-NK-92 therapy in the treatment of B cell lymphoma. We first generated m971-CD28-CD3ζ NK-92 that expressed a CAR for binding CD22 in vitro. Flow cytometric analysis was used to evaluate the expression of CAR. The 7AAD determined the cytotoxicity of the m971-CD28-CD3ζ NK-92 towards target lymphoma cell lines by flow cytometry assay. The ELISA assay evaluated cytokine production in CAR NK-92 cells in response to target cells. The m971-CD28-CD3ζ NK-92 cells have successfully expressed the CD22-specific CAR. m971-CD28-CD3ζ NK-92 cells efficiently lysed CD22-expressing lymphoma cell lines and produced large amounts of cytokines such as IFN-γ and GM-CSF but a lower level of IL-6 after coculturing with target cells. Based on our results, it is evident that transferring m971-CD28-CD3ζ NK-92 cells could be a promising immunotherapy for B cell lymphoma.

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Data availability

All data generated or analyzed during this study are included in this published article.

Abbreviations

CARs :

Chimeric antigen receptors

GvHD :

Graft vs. host disease

scFv :

Single-chain variable fragment

NK :

Natural killer

CRS :

Cytokine release syndrome

GM-CSF :

Granulocyte-macrophage colony-stimulating factor

NCBI :

National Cell Bank of Iran

HEK293T :

Human embryonic kidney cells

IBRC :

Iranian Biological Resource Center

DMEM :

Dulbeccoʼs modified Eagleʼs medium

FBS :

Fetal bovine serum

PCR :

Polymerase chain reaction

MOI :

Multiplicity of infection

ELISA :

Enzyme-linked immunosorbent assay

TH-1 :

 T helper-1

TNFα :

Tumor necrosis factor α

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Acknowledgements

We would like to acknowledge our colleagues for their helpful assistance in this study.

Author information

Authors and Affiliations

Authors

Contributions

MS and MHM designed and contributed to the concept of the experiments; MAD performed experiments and collected data; MSZ discussed the results and strategy and interpretation of data; MS and MHM supervised, directed, and managed the study; All authors read and approved the final manuscript.

Corresponding authors

Correspondence to Masoud Soleimani or Mohammad Hossein Mohammadi.

Ethics declarations

Ethics approval and consent to participate

This project was approved by Ethical Committee of Shahid Beheshti University of Medical Sciences (IR.SBMU.RETECH.REC.1402.158) (Approval date: 11/06/2023).

Consent for publication

Not applicable.

Conflict of interest

The authors declare that there is no conflict of interest regarding the publication of this article.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 Fig. S1: Morphology of cultured HEK293T cells (40x). (TIF 21942 KB)

11626_2024_895_MOESM2_ESM.tif

Supplementary file2 Fig. S2: the effect of CD22-CAR NK-92 cells on the CFSE-labeled target cells by a fluorescence microscope. A: the left one showed CFSE-labeled Raji cells alone. The right one showed CFSE-labeled Raji cells were co-incubated with CD22-CAR NK-92 cells for 24 h at E: T ratios of 10:1. B: the left one showed CFSE-labeled K562 cells alone. The right one showed CFSE-labeled K562 cells were co-incubated with CD22-CAR NK-92 cells for 24 h at E: T ratios of 10:1. (TIF 8566 KB)

11626_2024_895_MOESM3_ESM.tif

Supplementary file3 Fig. S3: Flow cytometry plots showing the gating strategy used in cytotoxicity experiments. A: the cytotoxic activity of untransduced NK-92 cells against Raji. Each row showed different E: T ratios of 1:2, 1:1, 2:1, 5:1, and 10:1 respectively. B: CD22-CAR NK-92 -transduced cells against Raji. Each row showed different E: T ratios of 1:2, 1:1, 2:1, 5:1, and 10:1 respectively. (TIF 4010 KB)

11626_2024_895_MOESM4_ESM.tif

Supplementary file4 Fig. S4: Flow cytometry plot showing the gating strategy used in cytotoxicity experiments. A: the cytotoxic activity of untransduced NK-92 cells against K562. Each row showed different E: T ratios of 1:2, 1:1, 2:1, 5:1, and 10:1 respectively. B: CD22-CAR NK-92 -transduced cells against K562. Each row showed different E: T ratios of 1:2, 1:1, 2:1, 5:1, and 10:1 respectively. (TIF 3859 KB)

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Abbaszade Dibavar, M., Soleimani, M., Mohammadi, M.H. et al. High yield killing of lymphoma cells by anti-CD22 CAR-NK cell therapy. In Vitro Cell.Dev.Biol.-Animal 60, 321–332 (2024). https://doi.org/10.1007/s11626-024-00895-2

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