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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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
References
Basar R, Daher M, Rezvani K (2020) Next-generation cell therapies: the emerging role of CAR-NK cells. Hematology 2020:570–578. https://doi.org/10.1182/hematology.2020002547
Bashiri Dezfouli A, Yazdi M, Pockley AG et al (2021) NK cells armed with chimeric antigen receptors (CAR): roadblocks to successful development. Cells 10:3390. https://doi.org/10.3390/cells10123390
Colamartino ABL, Lemieux W, Bifsha P et al (2019) Efficient and robust NK-cell transduction with baboon envelope pseudotyped lentivector. Front Immunol 10:1–7. https://doi.org/10.3389/fimmu.2019.02873
Daher M, Melo Garcia L, Li Y, Rezvani K (2021) CAR-NK cells: the next wave of cellular therapy for cancer. Clin Transl Immunol 10:1–16. https://doi.org/10.1002/cti2.1274
Daher M, Rezvani K (2021) Outlook for new CAR-based therapies with a focus on CAR NK cells: what lies beyond CAR-engineered T cells in the race against cancer. Cancer Discov 11:45–58. https://doi.org/10.1158/2159-8290.CD-20-0556
Fujiwara K, Masutani M, Tachibana M, Okada N (2020) Impact of scFv structure in chimeric antigen receptor on receptor expression efficiency and antigen recognition properties. Biochem Biophys Res Commun 527:350–357. https://doi.org/10.1016/j.bbrc.2020.03.071
Gheidari F, Arefian E, Adegani FJ et al (2021) The miR-142 suppresses U-87 glioblastoma cell growth by targeting EGFR oncogenic signaling pathway. Iran J Pharm Res 20:202–212. https://doi.org/10.22037/ijpr.2021.115089.15193
Gheidari F, Arefian E, Saadatpour F et al (2022) The miR-429 suppresses proliferation and migration in glioblastoma cells and induces cell-cycle arrest and apoptosis via modulating several target genes of ERBB signaling pathway. Mol Biol Rep 49:11855–11866. https://doi.org/10.1007/s11033-022-07903-2
Grote S, Mittelstaet J, Baden C et al (2020) Adapter chimeric antigen receptor (AdCAR)-engineered NK-92 cells: an off-the-shelf cellular therapeutic for universal tumor targeting. Oncoimmunology 9:1–11. https://doi.org/10.1080/2162402X.2020.1825177
Guo Z, Tu S, Yu S et al (2021) Preclinical and clinical advances in dual-target chimeric antigen receptor therapy for hematological malignancies. Cancer Sci 112:1357–1368. https://doi.org/10.1111/cas.14799
Han C, Jiang Y, Wang Z, Wang H (2019) Natural killer cells involved in tumour immune escape of hepatocellular carcinomar. Int Immunopharmacol 73:10–16. https://doi.org/10.1016/j.intimp.2019.04.057
Haso W, Lee DW, Shah NN et al (2013) Anti-CD22-chimeric antigen receptors targeting B-cell precursor acute lymphoblastic leukemia. Blood 121:1165–1171. https://doi.org/10.1182/blood-2012-06-438002
Heipertz EL, Zynda ER, Stav-Noraas TE et al (2021) Current perspectives on “off-the-shelf” allogeneic NK and CAR-NK cell therapies. Front Immunol 12:. https://doi.org/10.3389/fimmu.2021.732135
Herrera L, Juan M, Eguizabal C (2020) Purification, culture, and CD19-CAR lentiviral transduction of adult and umbilical cord blood NK cells. Curr Protoc Immunol 131:2–13. https://doi.org/10.1002/cpim.108
Kalos M, Levine BL, Porter DL et al (2011) T cells with chimeric antigen receptors have potent antitumor effects and can establish memory in patients with advanced leukemia. Sci Transl Med 3:. https://doi.org/10.1126/scitranslmed.3002842
Kawalekar OU, O’Connor RS, Fraietta JA et al (2016) Distinct signaling of coreceptors regulates specific metabolism pathways and impacts memory development in CAR T cells. Immunity 44:380–390. https://doi.org/10.1016/j.immuni.2016.01.021
Khawar MB, Sun H (2021) CAR-NK cells: from natural basis to design for kill. Front Immunol 12:1–22. https://doi.org/10.3389/fimmu.2021.707542
Klingemann H (2014) Are natural killer cells superior CAR drivers? Oncoimmunology 3:37–41. https://doi.org/10.4161/onci.28147
Konjević GM, Vuletić AM, Mirjačić Martinović KM et al (2019) The role of cytokines in the regulation of NK cells in the tumor environment. Cytokine 117:30–40. https://doi.org/10.1016/j.cyto.2019.02.001
Kotzur R, Duev-Cohen A, Kol I et al (2022) NK-92 cells retain vitality and functionality when grown in standard cell culture conditions. PLoS One 17:1–13. https://doi.org/10.1371/journal.pone.0264897
Lee DW, Gardner R, Porter DL et al (2014) Current concepts in the diagnosis and management of cytokine release syndrome. Blood 124:188–195. https://doi.org/10.1182/blood-2014-05-552729
Liu S, Deng B, Yin Z et al (2021) Combination of CD19 and CD22 CAR-T cell therapy in relapsed B-cell acute lymphoblastic leukemia after allogeneic transplantation. Am J Hematol 96:671–679. https://doi.org/10.1002/ajh.26160
Long AH, Haso WM, Shern JF et al (2015) 4–1BB costimulation ameliorates T cell exhaustion induced by tonic signaling of chimeric antigen receptors. Nat Med 21:581–590. https://doi.org/10.1038/nm.3838
Milone MC, Fish JD, Carpenito C et al (2009) Chimeric receptors containing CD137 signal transduction domains mediate enhanced survival of T cells and increased antileukemic efficacy in vivo. Mol Ther 17:1453–1464. https://doi.org/10.1038/mt.2009.83
Müller S, Bexte T, Gebel V et al (2020) High cytotoxic efficiency of lentivirally and alpharetrovirally engineered CD19-specific chimeric antigen receptor natural killer cells against acute lymphoblastic leukemia. Front Immunol 10:1–16. https://doi.org/10.3389/fimmu.2019.03123
Nitschke L (2009) CD22 and Siglec-G: B-cell inhibitory receptors with distinct functions. Immunol Rev 230:128–143. https://doi.org/10.1111/j.1600-065X.2009.00801.x
Overview E (2019) Natural killer cells for cancer immunotherapy: a new CAR is catching up. EBioMedicine 39:1–2. https://doi.org/10.1016/j.ebiom.2019.01.018
Quintarelli C, Sivori S, Caruso S et al (2018) CD19 redirected CAR NK cells are equally effective but less toxic than CAR T cells. Blood 132:3491–3491. https://doi.org/10.1182/blood-2018-99-118005
Rafiq S, Hackett CS, Brentjens RJ (2020) Engineering strategies to overcome the current roadblocks in CAR T cell therapy. Nat Rev Clin Oncol 17:147–167. https://doi.org/10.1038/s41571-019-0297-y
Rassaei N, Dibavar MA, Soleimani M et al (2023) The effect of microvesicles derived from K562 cells on proliferation and apoptosis of human bone marrow mesenchymal stem cells. Iran J Basic Med Sci 26:295–300. https://doi.org/10.22038/IJBMS.2023.66903.14675
Roex G, Campillo-Davo D, Flumens D et al (2022) Two for one: targeting BCMA and CD19 in B-cell malignancies with off-the-shelf dual-CAR NK-92 cells. J Transl Med 20:1–13. https://doi.org/10.1186/s12967-022-03326-6
Romanski A, Uherek C, Bug G et al (2016) CD19-CAR engineered NK-92 cells are sufficient to overcome NK cell resistance in B-cell malignancies. J Cell Mol Med 20:1287–1294. https://doi.org/10.1111/jcmm.12810
Savani M, Oluwole O, Dholaria B (2021) New targets for CAR T therapy in hematologic malignancies. Best Pract Res Clin Haematol 34:. https://doi.org/10.1016/j.beha.2021.101277
Schönfeld K, Sahm C, Zhang C et al (2015) Selective inhibition of tumor growth by clonal NK cells expressing an ErbB2/HER2-specific chimeric antigen receptor. Mol Ther 23:330–338. https://doi.org/10.1038/mt.2014.219
Shah NN, Stevenson MS, Yuan CM et al (2015) Characterization of CD22 expression in acute lymphoblastic leukemia. Pediatr Blood Cancer 62:964–969. https://doi.org/10.1002/pbc.25410
Spiegel JY, Patel S, Muffly L et al (2021) CAR T cells with dual targeting of CD19 and CD22 in adult patients with recurrent or refractory B cell malignancies: a phase 1 trial. Nat Med 27:1419–1431. https://doi.org/10.1038/s41591-021-01436-0
Suck G, Linn YC, Tonn T (2016) Natural killer cells for therapy of leukemia. Transfus Med Hemotherapy 43:89–95. https://doi.org/10.1159/000445325
Tanaka J (2021) Recent advances in cellular therapy for malignant lymphoma. Cytotherapy 23:662–671. https://doi.org/10.1016/j.jcyt.2020.12.007
Wang L, Qin W, Huo YJ et al (2020) Advances in targeted therapy for malignant lymphoma. Signal Transduct Target Ther 5:. https://doi.org/10.1038/s41392-020-0113-2
Wang WN, Zhou GY, Zhang WL (2017) NK-92 cell, another ideal carrier for chimeric antigen receptor. Immunotherapy 9:753–765. https://doi.org/10.2217/imt-2017-0022
**a J, Minamino S, Kuwabara K (2020) CAR-expressing NK cells for cancer therapy: a new hope. Biosci Trends 14:354–359. https://doi.org/10.5582/bst.2020.03308
**ao X, Ho M, Zhu Z et al (2009) Identification and characterization of fully human anti-CD22 monoclonal antibodies. Mabs 1:297–303. https://doi.org/10.4161/mabs.1.3.8113
Xu D, ** G, Chai D et al (2018) The development of CAR design for tumor CAR-T cell therapy. Oncotarget 9:13991–14004. https://doi.org/10.18632/oncotarget.24179
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We would like to acknowledge our colleagues for their helpful assistance in this study.
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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.
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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).
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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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DOI: https://doi.org/10.1007/s11626-024-00895-2