Manufacturing NKG2D CAR-T cells with piggyBac transposon vectors and K562 artificial antigen-presenting cells

Authors:
Tay JCK, Wang J, Du Z, Ng YY, Li Z, Ren Y, Zhang C, Zhu J, Xu XH, Wang S
In:
Source: Mol Ther Methods Clin Dev.
Publication Date: (2020)
Issue: 21: 107-120
Research Area:
Cancer Research/Cell Biology
Immunotherapy / Hematology
Basic Research
Molecular Biology
Regenerative medicine
Platform:
4D-Nucleofector® X-Unit
Experiment

Cancer cell culture

Human cancer cell lines CAOV3 and HCT-116 were cultured in DMEM (Lonza, Basel, Switzerland) supplemented with 10% fetal bovine serum (FBS) (Thermo Fisher Scientific, Waltham, MA, USA). All human cell cultures were maintained at 5% CO2 in a humidified 37°C incubator. 

Preparation and expansion of CAR-T cells
PBMCs were isolated from buffy coat samples from healthy donors (National University of Singapore, NUS-IRB B-14-133E) or blood samples from patients with ovarian cancer (Cancer Hospital of the University of Chinese Academy of Sciences, IRB-2020-15) with Ficoll- Paque-based density gradient centrifugation. For optimization
of T cell activation, PBMCs were activated with soluble OKT3 anti- CD3 monoclonal antibody (eBioscience, San Diego, CA, USA) at either 100 ng/mL or 500 ng/mL and cultured in AIM-V (Invitrogen, Carlsbad, CA, USA) supplemented with 5% AB serum (Gemini Bio, West Sacramento, CA, USA) and 300 IU/mL IL-2 (Miltenyi Biotec, Germany) for 2 or 3 days. OKT3-activated PBMCs were then harvested and washed thrice with OptiMEM (Invitrogen) before resuspension in P3 Primary Cell Nucleofector Solution (Lonza) at a cell density of 1 x 10^8 cells/mL. For each electroporation reaction with 100 µL of cell suspension, 5 µg of piggyBac (PB) transposase plasmid and one of the following transposon donor plasmids were added at the indicated amounts: 10 µg of aCD22bp, 10 µg of NKG2D, or 30 µg of NKG2D-CD20.37 Cells and DNA mixtures were transferred to a 100-µL single Nucleocuvette (Lonza) and electroporated with the EO-115 program of the 4D-Nucleofector system (Lonza).

Abstract

Non-viral platforms can be applied rapidly and cost-effectively for chimeric antigen receptor (CAR)-T cell manufacturing. In the present paper, we describe in detail a clinically relevant manufacturing process for NKG2D CAR-T cells through electroporation of CAR-encoding piggyBac transposon plasmids and in vitro expansion with K562 artificial antigen-presenting cells. With an optimized protocol, we generated the final cell therapy products with 89.2% ± 10.2% NKG2D CAR-positive cells and achieved the corresponding antigen-dependent expansion between 50,000 and 60,000 folds within 4 weeks. To facilitate repeated CAR-T cell infusions, we evaluated the practicality of cryopreservation followed by post-thaw expansion and an extended manufacturing process for up to 9 rounds of weekly K562 cell stimulation. We found that neither compromised the in vitro anti-tumor activity of NKG2D CAR-T cells. Interestingly, the expression of T cell exhaustion markers TIGIT, TIM3, and LAG3 was reduced with extended manufacturing. To enhance the safety profile of the NKG2D CAR-T cells, we incorporated a full-length CD20 transgene in tandem with the CAR construct and demonstrated that autologous NK cells could mediate efficient antibody-dependent cell-mediated cytotoxicity to remove these CAR-T cells. Collectively, our study illustrates a protocol that generates large numbers of efficacious NKG2D CAR-T cells suitable for multiple rounds of infusions.