Chimeric Antigen Receptor-T (CAR-T) cell immunotherapy has produced dramatic responses in hematologic malignancies. One of the challenges in the field is the lack of a simple assay for the detection of CARs on the surface of immune effector cells. In this study, we describe a novel luciferase-based assay, termed Topanga Assay, for the detection of CAR expression. The assay utilizes a recombinant fusion protein, called Topanga reagent, generated by joining the extra-cellular domain of a CAR-target in frame with one of the marine luciferases or their engineered derivatives. The assay involves incubation of CAR expressing cells with the Topanga reagent, a few washes and measurement of luminescence. The assay can detect CARs comprising either immunoglobulin- or non-immunoglobulin-based antigen binding domains. We further demonstrate that addition of epitope tags to the Topanga reagent not only allows its convenient one step purification but also extends its use for detection of CAR cells using flow cytometry. However, crude supernatant containing the secreted Topanga reagent can be directly used in both luminescence and flow-cytometry based assays without prior protein purification. Our results demonstrate that the Topanga assay is a highly sensitive, specific, convenient, economical and versatile assay for the detection of CARs.

Chimeric antigen receptor (CAR)-based cellular therapy is a revolutionary approach to treat cancer as witnessed by recent success in clinical trials for various hematological malignancies. Currently, flow cytometry based detection of fluorochrome-tagged antibodies or proteinL that binds to the Extra-Cellular Domain (ECD) of CAR molecule are the widely used methods for the detection of CARexpression. Here, we have developed a novel luciferase based assay for detecting the expression of CAR. Our assay is accurate, highly sensitive (10-5), and has a broad linearity by taking advantage of the extreme brightness of recently discovered marine luciferases (Gluc/Nluc/Tluc16/Mluc/Loluc/Paluc/Htluc). The assay is based on recombinant fusion protein technology by fusing the ECD of a CAR target in frame with one of the marine luciferases (for detection) along with several small peptide tags -Flag/ Strep -tag II/AcV5/His (for isolation). Initially, a fusion construct was made by cloning the ECD of CD19 fused in frame with Nluc. The fusion protein was produced using 293FT cells, and tested by a simple binding assay that involved 45 minutes incubation at 4oC followed by washing and detection of luminescence. More than 103 fold increases in luminescence was observed between FMC63-CARtransduced-T/NK cells and uninfected cells or a non-specific CAR transduced cells. Essentially, identical results were obtained by replacing Nluc with other marine luciferases or by using cells transduced with five distinct CARs targeting CD19. Similar strategy was successfully applied for the specific detection of CARs targeting CD20, CD30, CD33, CD123, CD138, BCMA, and SLAM7. We also show that the small peptide tags in the fusion protein can be used for the specific isolation of CAR+ve cells using anti-tag antibodies by FACS. Additionally, we purified ECD-fusion proteins for CD19 and CD33 using Strep -Tactin protein purification columns. Purified fusion proteins were fully active, as observed by successful and specific binding to respective CAR-T/NK cells. Furthermore, direct conjugation of purified ECD-fusion proteins with fluorochromes resulted in a single-step detection and/or isolation of CAR+vecells.

Introduction: Modificiation of T cells using CD19-specific chimeric antigen receptor (CAR) therapy has produced dramatic responses against a number of hematologic malignancies in multiple clinical trials. To date, most of the CARs studied in clinical trials are derived from mouse single chain fragment variable (scFv), which can elicit an immune response when infused into human patients and thereby can limit the persistency of CAR-T cells. Indeed, a subset of patients with limited persistency of infused CAR-Ts has been observed in clinical trials. However, this can be overcome by utilizing the humanized scFv in CAR design. Here, we constructed two new CD19-specific CARs, which are derived from the scFv of two distinct humanized CD19 antibody clones and compared them with the widely used CD19-CAR derived from a mouse scFv (FMC63).