CD62L+ NKT cells have superior <em>in vivo</em> persistence and anti-tumor activity — ASN Events

CD62L+ NKT cells have superior in vivo persistence and anti-tumor activity (#149)

Gengwen Tian 1 , Amy Courtney , Bipulendu Jena 2 , Andras Heczey , Daofeng Liu 3 , Ekaterina Marinova 3 , Linjie Guo 3 , Xin Xu 3 , Hiroki Torikai 2 , Gianpietro Dotti 4 , Laurence Cooper 2 , Leonid Metelitsa 3
  1. Immunology, Baylor College of Medicine, Houston, TX, United States
  2. Pediatrcs, MD Anderson Cancer Center, Houston, TX, United States
  3. Pediatrics, Baylor College of Medicine, Houston, TX, United States
  4. Medicine, Baylor College of Medicine, Houston, TX, United States

Va24-invariant NKT cells (NKTs) effectively localize to tumors and have natural antitumor properties that make them highly attractive as a carrier of chimeric antigen receptors (CARs) for redirected cancer immunotherapy. However, the mechanisms responsible for NKT-cell numeric expansion and in vivo persistence are unknown, impeding the clinical application of NKTs or CAR-NKTs. We show that antigen-induced in vitro expansion of primary NKTs is associated with the accumulation of a CD62L+ subset, while CD62L- cells undergo early exhaustion. Only CD62L+ NKTs survived and proliferated in response to secondary stimulation. After transfer to NSG mice, CD62L+ NKTs persisted 5 times longer than CD62L- NKTs and when transduced with a CD19-specific CAR had higher therapeutic efficacy in a Raji lymphoma model. Proliferating CD62L+ cells downregulated or maintained CD62L expression when they were activated via TCR alone or in combinations with co-stimulatory receptors, respectively. We then tested 161 clones of K562 cells genetically modified to express CD1d and co-stimulatory ligands. We found that the B-8-2 clone (HLAnullCD1dmedCD86high4-1BBLmedOX40Lhigh) induced the highest rate of NKT-cell expansion with the preservation of CD62L expression. Compared with CAR-NKTs expanded with autologous PBMC, B-8-2-expanded cells exhibited prolonged in vivo persistence and superior therapeutic activity in a Raji lymphoma model. Therefore, we have identified CD62L as a marker of a functionally distinct NKT-cell subset endowed with high proliferative potential and have developed artificial antigen-presenting cells for the generation of CD62L-enriched NKTs for effective cancer immunotherapy.