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Chimeric Antigen Receptor-modified T cells targeting EphA2 for the immunotherapy of paediatric bone tumours.

Abstract
Chimeric Antigen Receptor (CAR) T-cell therapy, as an approved treatment option for patients with B cell malignancies, demonstrates that genetic modification of autologous immune cells is an effective anti-cancer regimen. Erythropoietin-producing Hepatocellular receptor tyrosine kinase class A2 (EphA2) is a tumour associated antigen expressed on a range of sarcomas, including paediatric osteosarcoma (OS) and Ewing sarcoma (ES). We tested human EphA2 directed CAR T cells for their capacity to target and kill human OS and ES tumour cells using in vitro and in vivo assays, demonstrating that EphA2 CAR T cells have potent anti-tumour efficacy in vitro and can eliminate established OS and ES tumours in vivo in a dose and delivery route dependent manner. Next, in an aggressive metastatic OS model we demonstrated that systemically infused EphA2 CAR T cells can traffic to and eradicate tumour deposits in murine livers and lungs. These results support further pre-clinical evaluation of EphA2 CAR T cells to inform the design of early phase clinical trial protocols to test the feasibility and safety of this immune cell therapy in paediatric bone sarcoma patients.
AuthorsKenneth Hsu, Shiloh Middlemiss, Federica Saletta, Stephen Gottschalk, Geoffrey B McCowage, Belinda Kramer
JournalCancer gene therapy (Cancer Gene Ther) Vol. 28 Issue 3-4 Pg. 321-334 (04 2021) ISSN: 1476-5500 [Electronic] England
PMID32873870 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • EPHA2 protein, human
  • Receptor, EphA2
Topics
  • Animals
  • Bone Neoplasms (genetics, immunology, therapy)
  • Female
  • Humans
  • Immunotherapy, Adoptive (methods)
  • Mice
  • Mice, Inbred NOD
  • Molecular Targeted Therapy
  • Receptor, EphA2 (immunology)
  • T-Lymphocytes (immunology)

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