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ShRNA-mediated silencing of PD-1 augments the efficacy of chimeric antigen receptor T cells on subcutaneous prostate and leukemia xenograft.

Abstract
Chimeric antigen receptor T cells (CAR-T) immunotherapy has shown promising clinical results in the treatment of leukemia and lymphoma, but the effectiveness is limited for solid tumors. The PD-1/PD-L1 pathway is a key immunosuppressive mechanism for cancer cells to avoid eradication by CAR-T cells. In this study, the shRNA (short hair RNA) gene-silencing technique was used to construct the third-generation of CAR-T cells with PD-1 silencing which targeted CD19 antigen (CD19/△PD-1 CAR-T) and prostate stem cell antigen (PSCA/△PD-1 CAR-T), thereby blocking the PD-1/PD-L1 pathway in treatment of lymphoma and prostate subcutaneous xenograft and enhancing the anti-tumor effect of CAR-T cells. The cell experiments showed that PD-1 silencing in CAR-T cells effectively blocked the PD-1 / PD-L1 pathway. When the ratio of effector to target cell is 8:1, △PD-1 CAR-T cells exhibited higher killing ability and cytokine releasing ability than normal CAR-T cells did. The subcutaneous tumor models were constructed using human chronic myelogenous leukemia cells expressing CD19 (K562-CD19) and human prostate cancer cells expressing PSCA (PC3-PSCA), and treated with CD19/△PD-1 CAR-T and PSCA/△PD-1 CAR-T cells, respectively. The tumor volumes significantly reduced within one week, indicating the good tumor growth inhibitory effect of △PD-1 CAR-T cells. Mice injected with △PD-1 CAR-T cells showed a significantly prolonged survival time compared to those with normal CAR-T cells. This study proved that shRNA-mediated PD-1 silencing technology is an effective strategy for blocking the PD-1/PD-L1 immunosuppression pathway and enhancing the therapeutic effect of CAR-T cells on subcutaneous xenograft. SUMMARY: The effect of CAR-T in treating solid tumors has not been as successful as that in hematological malignancies. The key immunosuppressive mechanism is the expression of PD-1/PD-L1. We used gene silencing technique mediated by shRNA (short hair RNA) to block the PD-1/PD-L1 pathway in lymphoma and prostate tumors, thus enhancing the anti-tumor effect of CAR-T cells on subcutaneous xenograft.
AuthorsJing-E Zhou, Jing Yu, Yeying Wang, Hao Wang, Jing Wang, Yiting Wang, Lei Yu, Zhiqiang Yan
JournalBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie (Biomed Pharmacother) Vol. 137 Pg. 111339 (May 2021) ISSN: 1950-6007 [Electronic] France
PMID33550044 (Publication Type: Journal Article)
CopyrightCopyright © 2021 The Authors. Published by Elsevier Masson SAS.. All rights reserved.
Chemical References
  • Antigens, CD19
  • Programmed Cell Death 1 Receptor
  • RNA, Small Interfering
  • Receptors, Chimeric Antigen
Topics
  • Animals
  • Antigens, CD19 (metabolism)
  • Cell Line, Tumor
  • Gene Silencing (immunology)
  • Heterografts (drug effects)
  • Humans
  • Immunotherapy, Adoptive (methods)
  • Leukemia (drug therapy, immunology)
  • Male
  • Mice, Inbred NOD
  • Mice, SCID
  • Programmed Cell Death 1 Receptor (antagonists & inhibitors, genetics)
  • Prostatic Neoplasms (drug therapy, immunology)
  • RNA, Small Interfering (pharmacology)
  • Receptors, Chimeric Antigen (immunology)
  • T-Lymphocytes (immunology)
  • Xenograft Model Antitumor Assays
  • Mice

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