B-cell Maturation Antigen Is a Promising Target for Adoptive T-cell Therapy of Multiple Myeloma
B-cell Maturation Antigen Is a Promising Target for Adoptive T-cell Therapy of Multiple Myeloma
Abstract Purpose: Multiple myeloma is a usually incurable malignancy of plasma cells. New therapies are urgently needed for multiple myeloma. Adoptive transfer of chimeric antigen receptor (CAR)–expressing T cells is a promising new therapy for hematologic malignancies, but an ideal target antigen for CAR-expressing T-cell therapies for multiple myeloma has not been identified. B-cell maturation antigen (BCMA) is a protein that has been reported to be selectively expressed by B-lineage cells including multiple myeloma cells. Our goal was to determine if BCMA is a suitable target for CAR-expressing T cells. Experimental Design: We conducted an assessment of BCMA expression in normal human tissues and multiple myeloma cells by flow cytometry, quantitative PCR, and immunohistochemistry. We designed and tested novel anti-BCMA CARs. Results: BCMA had a restricted RNA expression pattern. Except for expression in plasma cells, BCMA protein was not detected in normal human tissues. BCMA was not detected on primary human CD34+ hematopoietic cells. We detected uniform BCMA cell-surface expression on primary multiple myeloma cells from five of five patients. We designed the first anti-BCMA CARs to be reported and we transduced T cells with lentiviral vectors encoding these CARs. The CARs gave T cells the ability to specifically recognize BCMA. The anti-BCMA-CAR–transduced T cells exhibited BCMA-specific functions including cytokine production, proliferation, cytotoxicity, and in vivo tumor eradication. Importantly, anti-BCMA-CAR–transduced T cells recognized and killed primary multiple myeloma cells. Conclusions: BCMA is a suitable target for CAR-expressing T cells, and adoptive transfer of anti-BCMA-CAR–expressing T cells is a promising new strategy for treating multiple myeloma. Clin Cancer Res; 19(8); 2048–60. ©2013 AACR.
- Duke University United States
- National Cancer Institute United States
Cytotoxicity, Immunologic, Mice, Knockout, Reverse Transcriptase Polymerase Chain Reaction, T-Lymphocytes, Receptors, Antigen, T-Cell, Mice, SCID, Immunohistochemistry, Immunotherapy, Adoptive, Xenograft Model Antitumor Assays, Gene Expression Regulation, Neoplastic, Mice, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, B-Cell Maturation Antigen, K562 Cells, Multiple Myeloma, Interleukin Receptor Common gamma Subunit
Cytotoxicity, Immunologic, Mice, Knockout, Reverse Transcriptase Polymerase Chain Reaction, T-Lymphocytes, Receptors, Antigen, T-Cell, Mice, SCID, Immunohistochemistry, Immunotherapy, Adoptive, Xenograft Model Antitumor Assays, Gene Expression Regulation, Neoplastic, Mice, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, B-Cell Maturation Antigen, K562 Cells, Multiple Myeloma, Interleukin Receptor Common gamma Subunit
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