[HTML][HTML] CRISPR/Cas9 mediated deletion of the adenosine A2A receptor enhances CAR T cell efficacy

L Giuffrida, K Sek, MA Henderson, J Lai… - Nature …, 2021 - nature.com
L Giuffrida, K Sek, MA Henderson, J Lai, AXY Chen, D Meyran, KL Todd, EV Petley…
Nature communications, 2021nature.com
Adenosine is an immunosuppressive factor that limits anti-tumor immunity through the
suppression of multiple immune subsets including T cells via activation of the adenosine
A2A receptor (A2AR). Using both murine and human chimeric antigen receptor (CAR) T
cells, here we show that targeting A2AR with a clinically relevant CRISPR/Cas9 strategy
significantly enhances their in vivo efficacy, leading to improved survival of mice. Effects
evoked by CRISPR/Cas9 mediated gene deletion of A2AR are superior to shRNA mediated …
Abstract
Adenosine is an immunosuppressive factor that limits anti-tumor immunity through the suppression of multiple immune subsets including T cells via activation of the adenosine A2A receptor (A2AR). Using both murine and human chimeric antigen receptor (CAR) T cells, here we show that targeting A2AR with a clinically relevant CRISPR/Cas9 strategy significantly enhances their in vivo efficacy, leading to improved survival of mice. Effects evoked by CRISPR/Cas9 mediated gene deletion of A2AR are superior to shRNA mediated knockdown or pharmacological blockade of A2AR. Mechanistically, human A2AR-edited CAR T cells are significantly resistant to adenosine-mediated transcriptional changes, resulting in enhanced production of cytokines including IFNγ and TNF, and increased expression of JAK-STAT signaling pathway associated genes. A2AR deficient CAR T cells are well tolerated and do not induce overt pathologies in mice, supporting the use of CRISPR/Cas9 to target A2AR for the improvement of CAR T cell function in the clinic.
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