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CXCR5 CAR-T cells simultaneously target B cell non-Hodgkin’s lymphoma and tumor-supportive follicular T helper cells

Author

Listed:
  • Mario Bunse

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

  • Janina Pfeilschifter

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

  • Julia Bluhm

    (Department of Translational Tumorimmunology)

  • Maria Zschummel

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

  • Jara J. Joedicke

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

  • Anthea Wirges

    (Department of Translational Tumorimmunology)

  • Helen Stark

    (Department of Translational Tumorimmunology)

  • Vivien Kretschmer

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

  • Markus Chmielewski

    (University Hospital Cologne)

  • Wolfgang Uckert

    (Department of Molecular Cell Biology and Gene Therapy)

  • Hinrich Abken

    (University Hospital Regensburg)

  • Jörg Westermann

    (Department of Hematology, Oncology and Tumorimmunology)

  • Armin Rehm

    (Department of Translational Tumorimmunology)

  • Uta E. Höpken

    (Department of Microenvironmental Regulation in Autoimmunity and Cancer)

Abstract

CAR-T cell therapy targeting CD19 demonstrated strong activity against advanced B cell leukemia, however shows less efficacy against lymphoma with nodal dissemination. To target both B cell Non-Hodgkin’s lymphoma (B-NHLs) and follicular T helper (Tfh) cells in the tumor microenvironment (TME), we apply here a chimeric antigen receptor (CAR) that recognizes human CXCR5 with high avidity. CXCR5, physiologically expressed on mature B and Tfh cells, is also highly expressed on nodal B-NHLs. Anti-CXCR5 CAR-T cells eradicate B-NHL cells and lymphoma-supportive Tfh cells more potently than CD19 CAR-T cells in vitro, and they efficiently inhibit lymphoma growth in a murine xenograft model. Administration of anti-murine CXCR5 CAR-T cells in syngeneic mice specifically depletes endogenous and malignant B and Tfh cells without unexpected on-target/off-tumor effects. Collectively, anti-CXCR5 CAR-T cells provide a promising treatment strategy for nodal B-NHLs through the simultaneous elimination of lymphoma B cells and Tfh cells of the tumor-supporting TME.

Suggested Citation

  • Mario Bunse & Janina Pfeilschifter & Julia Bluhm & Maria Zschummel & Jara J. Joedicke & Anthea Wirges & Helen Stark & Vivien Kretschmer & Markus Chmielewski & Wolfgang Uckert & Hinrich Abken & Jörg We, 2021. "CXCR5 CAR-T cells simultaneously target B cell non-Hodgkin’s lymphoma and tumor-supportive follicular T helper cells," Nature Communications, Nature, vol. 12(1), pages 1-19, December.
  • Handle: RePEc:nat:natcom:v:12:y:2021:i:1:d:10.1038_s41467-020-20488-3
    DOI: 10.1038/s41467-020-20488-3
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