198 Innate-enhanced chimeric adaptors (CAd): A newly-described approach for augmenting potency of γδ T cell immunotherapy

Background

γδ T cells are a clinically active cytotoxic effector subtype with intrinsic tumoricidal activity and are correlated to improved survival in solid and hematologic malignancies. γδ T cells target tumors through innate and adaptive mechanisms. Notably, the innate receptor NKG2D is highly expressed on γδ T cells and recognizes a family of target proteins commonly upregulated on tumors. NKG2D specifically associates with intracellular DAP10, a binding partner necessary for signal transduction and activation. Here we describe a novel form of cell engineering incorporating an enhanced intracellular DAP10 chimeric adaptor (CAd) protein, comprising DAP10 domain modifications and inclusion of 4–1BB and modified CD3ζ co-stimulation, designed to amplify potency for tumor targeting via endogenous NKG2D receptors.

Methods

Vδ1 T cells were expanded from donor PBMCs and transduced with enhanced DAP10 CAds. CAd expression and association with NKG2D were confirmed by western blot and blocking studies. In vitro characterization included co-culture assays, flow cytometric phenotyping, and cytokine production by multiplexed immunoassay. Anti-tumor potency of CAd Vδ1 T cells was evaluated in a panel of human tumor xenograft models. Xenograft and murine tissues were analyzed for Vδ1 homing and proliferation by flow cytometry.

Results

CAd-enhanced Vδ1 T cells showed robust expansion and transduction, routinely reaching >80% Vδ1 purity prior to depletion steps, while maintaining a primarily naïve-like phenotype. CAd-enhanced Vδ1 T cells displayed robust in vitro proliferation, cytokine production, and cytotoxic activity across a broad array of solid and heme tumor lines with significantly increased potency compared to unmodified Vδ1 T cells (figure 1). In vivo, CAd-enhanced Vδ1 T cells primarily accumulated and specifically proliferated in tumors, with a single dose demonstrating control of tumor burden (figure 2).

Conclusions

Innate-enhanced Vδ1 T cells engineered with a newly-described DAP10-based chimeric adaptor technology represents a potent and potentially broadly-applicable ‘off-the-shelf’ cell therapy with marked increase in cytolytic activity via endogenously expressed innate cytotoxicity receptors. These data support continued development and further investigation in the clinic across a range of hematologic and solid tumor indications.

Ethics Approval

All mouse experiments were performed in accordance with the Guide for the Care and Use of Laboratory Animals and followed all institutional and national guidelines with appropriate protocol review and approval.