Targeting of aberrant αvβ6 integrin expression in solid tumors using chimeric antigen receptor-engineered T-cells

Lynsey M. Whilding, Ana C. Parente Pereira, Tomasz Zabinski, David M. Davies, Roseanna Petrovic, Vincent Kao, Shobhit A Saxena, Alex Romain, Jose A Costa-Guerra, Shelia Violette, Hiroaki Itamochi, Sadaf Ghaem-Maghami, Sabari Vallath, John F Marshall, John Maher

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Expression of the αvβ6 integrin is upregulated in several solid tumors. By contrast, physiologic expression of this epithelial-specific integrin is restricted to development and epithelial re-modeling. Here, we describe for the first time the development of a chimeric antigen receptor (CAR) that couples the recognition of this integrin to the delivery of potent therapeutic activity in a diverse repertoire of solid tumor models. Highly selective targeting of αvβ6 was achieved using a foot and mouth disease virus-derived A20 peptide, coupled to a fused CD28+CD3 endodomain. To achieve selective expansion of CAR T-cells ex vivo, an IL-4-responsive fusion gene (4αβ) was co-expressed which delivers a selective mitogenic signal to engineered T-cells only. In vivo efficacy was demonstrated in mice with established ovarian, breast and pancreatic tumor xenografts, all of which express αvβ6 at intermediate to high levels. SCID Beige mice were used for these studies since they are susceptible to cytokine release syndrome, unlike more immune compromised strains. Nonetheless, although the CAR also engages mouse αvβ6, mild and reversible toxicity was only observed when supra-therapeutic doses of CAR T-cells were administered parenterally. These data support the clinical evaluation of αvβ6 re-targeted CAR T-cell immunotherapy in solid tumors that express this integrin.
Original languageEnglish
Pages (from-to)259-273
JournalMolecular Therapy
Issue number1
Early online date4 Jan 2017
Publication statusPublished - 4 Jan 2017


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