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Published: Sep 5, 2019 DOI: 10.21769/BioProtoc.3358 Views: 3890
Edited by: Alka Mehra Reviewed by: Vemika Chandra
Abstract
Cancer recognition by chimeric antigen receptor T (CAR-T) cell is prerequisite for cancer killing to occur. Anomalies in the binding specificity of scFv in the CAR construct may prevent successful eradication of these cancer cells. In some cases, these anomalies (i.e., altered specificity) may cause deleterious effects such as on-target off-tumor toxicity or on-set CAR-T cell activation that may lead to life-threatening complications. We describe in this assay an easy, flexible and cheap way of analyzing target specificity of CAR-engineered cells toward cancer in the context of cell-to-cell interaction that can be used to screen other antigen-specific CARs. We are coining this test as cellular retention assay.
Keywords: Cell-to-cell interaction assayBackground
The encouraging clinical outcome endowed by CD19-directed chimeric antigen receptor T (CAR-T) cells in treating CD19+ hematologic malignancies motivated the development of more CAR-T platforms for therapeutic application in wide variety of cancer types including solid tumors and other types of liquid cancers (Newick et al., 2016; Park et al., 2016). Chimeric antigen receptors (CARs) are composed of 1) an antigen-specific scFv (single chain variable fragment) moiety found at the extracellular matrix and 2) T cell activating intracellular domain. CARs are constructed by fusing a cancer antigen-specific scFv of an antibody molecule with T cell-associated activation domain such as CD3 zeta only or in combination with certain co-stimulatory molecules such as CD137 (4-1BB), CD28 and/or in the presence of inducible cytokines (Figure 4A). While the intracellular region facilitates T cell-mediated cancer killing, the scFv domain of CAR performs the crucial role in the “search and attack” operation mounted by engineered T cells against cancer. Majority of pre-clinal workflow in CAR-T development relies heavily on characterizing the binding of scFv in unfused, CAR-independent context (such as in phage/ yeast display or produced from hybridoma technology) using several immuno-assays. Once the scFv is constructed and fused with the rest of the CAR expression cassette followed by T cell transduction or transfection, cytotoxicity and cancer killing in an in vitro co-culture challenge or xenogeneic mouse models are immediately performed without verifying the retained binding specificity of scFv in the CAR-fused form (Wang and Rivière, 2016; Levine et al., 2017; Vormittag et al., 2018).
Cancer cell recognition by CAR-T cell is a fundamental prerequisite for cancer killing to occur. Anomalies and defects in the binding specificity of scFv in the CAR-fused form may prevent the efficient anti-cancer activity of these engineered cells and may instead cause detrimental side effects which include on-target off-tumor cytotoxicity and on-set CAR-T activation. Due to the complexity of CAR cloning and construction, along with the intricate and complicated antigen recognition mechanisms contributed by cancer pro-survival strategies, the poor and expensive structural elucidation within cellular environment and the unpredicted high toxicity rate of CAR-T therapy contributed by undesirable scFv characteristics (De los Santos and Bernal, 2018), the analysis of retained antigen specificity of scFv in the CAR-fused form is very crucial in the pre-clinal workflow of CAR-T development.
In this assay, we demonstrate the retainment of target specificity of CAR-engineered cell with cancer antigen in a cell-to-cell interaction assay (cellular retention assay). HEK293 cells are engineered to express the CD19-specific CAR (serving as CAR-engineered cells). An in-house established leukemic cell line established from cancer blood biopsy (Cayrefourcq et al., 2015), AMLK cells, was used as a cancer target model, bearing the CD19 antigen at the current passage. This cellular retention assay measures the ability of cell-to-cell mediated substrate-anchorage retention as a measure of CAR scFv binding to target cancer antigen as illustrated in Figure 1 below.
Figure 1. Cellular retention assay model to determine cell-to-cell mediated recognition of CD19 CAR engineered cells with CD19+ leukemic AMLK cells
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Category
Cancer Biology > Tumor immunology > Cancer therapy > Cell transfer therapy
Cancer Biology > Oncogenesis > Leukemogenesis
Cell Biology > Cell-based analysis > Cell-to-cell interaction
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