Immunotherapy of acute leukemia by chimeric antigen receptor-modified lymphocytes using an improved Sleeping Beauty transposon platform.

Authors:
Magnani CF1, Turazzi N1, Benedicenti F2, Calabria A2, Tenderini E2, Tettamanti S1, Giordano Attianese GM1,3, Cooper LJ3, Aiuti A2, Montini E2, Biondi A1, Biagi E1.
In:
Source: OncoTarget
Publication Date: (2016)
Issue: 9: 7(32):
Research Area:
Cancer Research/Cell Biology
Immunotherapy / Hematology
Cells used in publication:
Cytokine induced killer, human (CIK)
Species: human
Tissue Origin: blood
Platform:
Nucleofector® I/II/2b
4D-Nucleofector® X-Unit
Experiment
Human PBMCs, obtained from HDs upon informed consent, were isolated over Ficoll-Hypaque gradients (Pharmacia LKB, Uppsala, Sweden) and electroporated by 4D-NucleofectorTM (Lonza) with 15 µg supercoiled DNA transposon plasmid coding for CARs or GFP (SB GFP, pT-MNDU3-eGFP) and 5 µg supercoiled DNA pCMVSB11 plasmid coding for SB11 transposase using Amaxa™ 4D-Nucleofector™ EO-115 protocol (program 1) or EF-115 (program 2) and amaxa P3 Primary Cell 4D-Nucleofector kit (Lonza).
Abstract
Chimeric antigen receptor (CAR)-modified T-cell adoptive immunotherapy is a remarkable therapeutic option proven effective in the treatment of hematological malignancies. In order to optimize cell manufacturing, we sought to develop a novel clinical-grade protocol to obtain CAR-modified cytokine-induced killer cells (CIKs) using the Sleeping Beauty (SB) transposon system. Administration of irradiated PBMCs overcame cell death of stimulating cells induced by non-viral transfection, enabling robust gene transfer together with efficient T-cell expansion. Upon single stimulation, we reached an average of 60% expression of CD123- and CD19- specific 3rd generation CARs (CD28/OX40/TCRzeta). Furthermore, modified cells displayed persistence of cell subsets with memory phenotype, specific and effective lytic activity against leukemic cell lines and primary blasts, cytokine secretion, and proliferation. Adoptive transfer of CD123.CAR or CD19.CAR lymphocytes led to a significant anti-tumor response against acute myelogenous leukemia (AML) and acute lymphoblastic leukemia (ALL) disseminated diseases in NSG mice. Notably, we found no evidence of integration enrichment near cancer genes and transposase expression at the end of the differentiation. Taken all together, our findings describe a novel donor-derived non-viral CAR approach that may widen the repertoire of available methods for T cell-based immunotherapy.