CD229 CAR T cells eliminate multiple myeloma and tumor propagating cells without fratricide

SV Radhakrishnan, T Luetkens, SD Scherer… - Nature …, 2020 - nature.com
Nature communications, 2020nature.com
Multiple myeloma (MM) is a plasma cell malignancy and most patients eventually succumb
to the disease. Chimeric antigen receptor (CAR) T cells targeting B-Cell Maturation Antigen
(BCMA) on MM cells have shown high-response rates, but limited durability. CD229/LY9 is a
cell surface receptor present on B and T lymphocytes that is universally and strongly
expressed on MM plasma cells. Here, we develop CD229 CAR T cells that are highly active
in vitro and in vivo against MM plasma cells, memory B cells, and MM-propagating cells. We …
Abstract
Multiple myeloma (MM) is a plasma cell malignancy and most patients eventually succumb to the disease. Chimeric antigen receptor (CAR) T cells targeting B-Cell Maturation Antigen (BCMA) on MM cells have shown high-response rates, but limited durability. CD229/LY9 is a cell surface receptor present on B and T lymphocytes that is universally and strongly expressed on MM plasma cells. Here, we develop CD229 CAR T cells that are highly active in vitro and in vivo against MM plasma cells, memory B cells, and MM-propagating cells. We do not observe fratricide during CD229 CAR T cell production, as CD229 is downregulated in T cells during activation. In addition, while CD229 CAR T cells target normal CD229high T cells, they spare functional CD229neg/low T cells. These findings indicate that CD229 CAR T cells may be an effective treatment for patients with MM.
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