Cytosine Base Editing Enables Quadruple-Edited Allogeneic CAR-T Cells for T-ALL

التفاصيل البيبلوغرافية
العنوان: Cytosine Base Editing Enables Quadruple-Edited Allogeneic CAR-T Cells for T-ALL
المؤلفون: Diorio, Caroline, Murray, Ryan, Naniong, Mark, Barrera, Luis, Camblin, Adam, Chukinas, John, Coholan, Lindsey, Edwards, Aaron, Fuller, Tori, Gonzales, Claudia, Grupp, Stephan A., Ladd, Alden, Le, Melissa, Messana, Angelica, Musenge, Faith, Newman, Haley, Poh, Yeh-Chuin, Poulin, Henry, Ryan, Theresa, Shraim, Rawan, Tasian, Sarah K., Vincent, Tiffaney, Young, Lauren, Zhang, Yingying, Ciaramella, Giuseppe, Gehrke, Jason, Teachey, David T.
المصدر: Blood; 20220101, Issue: Preprints
مستخلص: Allogeneic chimeric antigen receptor T cell (CART) therapies require multiple gene edits to be clinically tractable. Most allogeneic CART have been created using gene editing techniques that induce DNA double-stranded breaks (DSBs), resulting in unintended on-target editing outcomes with potentially unforeseen consequences. Cytosine base editors (CBEs) install C•G to T•A point mutations in T cells with between 90-99% efficiency to silence gene expression without creating DSBs, greatly reducing or eliminating undesired editing outcomes following multiplexed editing as compared to CRISPR-Cas9. Using CBE, we developed 7CAR8, a CD7-directed allogeneic CART created using four simultaneous base edits. We show that CBE, unlike CRISPR-Cas9, does not impact T-cell proliferation, lead to aberrant DNA damage response pathway activation or result in karyotypic abnormalities following multiplexed editing. We demonstrate 7CAR8 to be highly efficacious against T-cell acute lymphoblastic leukemia (T-ALL) using multiple in vitroand in vivomodels. Thus, CBE is a promising technology for applications requiring multiplexed gene editing and can be used to manufacture quadruple-edited 7CAR8 cells with high potential for clinical translation for relapsed and refractory T-ALL.
قاعدة البيانات: Supplemental Index
الوصف
تدمد:00064971
15280020
DOI:10.1182/blood.2022015825