Publications

Leucine zipper-based immunomagnetic purification of CAR T cells displaying multiple receptors

Scott James, Sophia Chen, Brandon Ng, Jacob Fischman, Lorenz Jahn, Alexander Boardman, Adhithi Rajagopalan, Harold Elias, Alyssa Massa, Dylan Manuele, Katherine Nichols, Amina Lazrak, Nicole Lee, Aoife Roche, Alexander McFarland, Angelina Petrichenko, John Everett, Frederic Bushman, Teng Fei, Anastasia Kousa, Andri Lemarquis, Susan DeWolf, Jonathan Peled, Santosha Vardhana, Christopher Klebanoff, Marcel van den Brink

Nat Biomed Eng. 2024 Dec;8(12):1592-1614.

Abstract

Resistance to chimaeric antigen receptor (CAR) T cell therapy develops through multiple mechanisms, most notably antigen loss and tumour-induced immune suppression. It has been suggested that T cells expressing multiple CARs may overcome the resistance of tumours and that T cells expressing receptors that switch inhibitory immune-checkpoint signals into costimulatory signals may enhance the activity of the T cells in the tumour microenvironment. However, engineering multiple features into a single T cell product is difficult because of the transgene-packaging constraints of current gene-delivery vectors. Here we describe a cell-sorting method that leverages leucine zippers for the selective single-step immunomagnetic purification of cells co-transduced with two vectors. Such ‘Zip sorting’ facilitated the generation of T cells simultaneously expressing up to four CARs and coexpressing up to three ‘switch’ receptors. In syngeneic mouse models, T cells with multiple CARs and multiple switch receptors eliminated antigenically heterogeneous populations of leukaemia cells coexpressing multiple inhibitory ligands. By combining diverse therapeutic strategies, Zip-sorted multi-CAR multi-switch-receptor T cells can overcome multiple mechanisms of CAR T cell resistance.