A modular γδ TCR-T platform combining KRAS pMHC targeting with re-dosable mRNA engager redirection.
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Ramírez-Fernández Ángel, Bear Adham S, Kamali Elahe, Bartoszek Robert, Ho Matthew, Chen Gregory M, Dersh Devin, Córdoba-Espejo Laura, Liu Jiageng, Deng Mosha, Velasco-Sidro Miriam, Jain Ankita, Noll Julia Han, Hopkins Caitlin R, Koucky Owen, Minehart Janna, Dimitri Alexander J, Williams Erik, Lavorando Maya, Segura-Tudela Alejandro, Scholler John, Barber-Rotenberg Julie, Jadlowsky Julie K, Powell Daniel J, Chew Anne, Gonzalez Vanessa E, Siegel Donald L, Levine Bruce L, Lotze Michael T, June Carl H, Riley James L, Vonderheide Robert H, Herbst Friederike, Fraietta Joseph A
Аннотация
Solid tumors often evade TCR-engineered αβ T cells when antigen expression varies or when the restricting Human Leukocyte Antigen (HLA) allele is lost. γδ T cells, in contrast, detect cellular dysregulation through non-peptide/Major Histocompatibility Complex (MHC) cues, including phosphoantigens and stress ligands, and can be developed as allogeneic therapies. Although intratumoral γδ T cell signatures are associated with improved outcome across cancers, γδ recognition itself is broad and still selected within the thymus just as αβ T cell receptors (TCRs) are. It does not, however, anchor specificity to a defined driver-mutation pMHC epitope. We therefore asked whether a high-affinity, co-receptor-independent αβ TCR could graft oncogenic-driver specificity onto γδ T cells while leaving the endogenous γδ TCR intact. We knocked the KRASG12V/HLA-A*11:01 TCR A11v into primary human γδ T cells. Engineered cells co-expressed the transgenic αβ TCR and the endogenous γδ TCR and lysed KRASG12V/HLA-A*11:01+ tumor cells in vitro and in vivo. To cover potential resistance through loss of HLA-A*11:01, we delivered an mRNA lipid nanoparticle (LNP) encoding a secreted mesothelin×CD3 (M5) bispecific T cell engager (TCE). LNP-M5 produced circulating TCE that redirected γδ A11v T cells and polyclonal bystander T cells to kill mesothelin+ targets, accompanied by development of higher γδ A11v T cell counts in vivo. In humanized mice bearing mixed HLA-A*11:01+ and HLA-A*11:01 - KRASG12V tumors, γδ A11v T cells produced transient control, whereas adding LNP-M5 yielded complete responses and prolonged survival. Thus, this two-part therapy couples invariant driver targeting to tunable redirection and addresses loss of the restricting HLA allele, a central escape route for TCR-based therapy. It provides an off-the-shelf reagent to enable KRAS-anchored treatment with the ability to redeliver the reagent.