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Enhanced CAR-T activity against established tumors by polarizing human T cells to secrete interleukin-9

Lintao Liu, Enguang Bi (), Xingzhe Ma, Wei Xiong, Jianfei Qian, Lingqun Ye, Pan Su, Qiang Wang, Liuling Xiao, Maojie Yang, Yong Lu and Qing Yi ()
Additional contact information
Lintao Liu: Houston Methodist
Enguang Bi: Houston Methodist
Xingzhe Ma: Houston Methodist
Wei Xiong: Houston Methodist
Jianfei Qian: Houston Methodist
Lingqun Ye: Houston Methodist
Pan Su: Houston Methodist
Qiang Wang: Houston Methodist
Liuling Xiao: Houston Methodist
Maojie Yang: Houston Methodist
Yong Lu: Wake Forest School of Medicine
Qing Yi: Houston Methodist

Nature Communications, 2020, vol. 11, issue 1, 1-14

Abstract: Abstract CAR-T cell therapy is effective for hematologic malignancies. However, considerable numbers of patients relapse after the treatment, partially due to poor expansion and limited persistence of CAR-T cells in vivo. Here, we demonstrate that human CAR-T cells polarized and expanded under a Th9-culture condition (T9 CAR-T) have an enhanced antitumor activity against established tumors. Compared to IL2-polarized (T1) cells, T9 CAR-T cells secrete IL9 but little IFN-γ, express central memory phenotype and lower levels of exhaustion markers, and display robust proliferative capacity. Consequently, T9 CAR-T cells mediate a greater antitumor activity than T1 CAR-T cells against established hematologic and solid tumors in vivo. After transfer, T9 CAR-T cells migrate effectively to tumors, differentiate to IFN-γ and granzyme-B secreting effector memory T cells but remain as long-lived and hyperproliferative T cells. Our findings are important for the improvement of CAR-T cell-based immunotherapy for human cancers.

Date: 2020
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DOI: 10.1038/s41467-020-19672-2

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