Publications
Cell reports. MedicineJan 2025 |
101931
DOI:
10.1016/j.xcrm.2025.101931

CAR T cells, CAR NK cells, and CAR macrophages exhibit distinct traits in glioma models but are similarly enhanced when combined with cytokines

Look, Thomas; Sankowski, Roman; Bouzereau, Manon; Fazio, Serena; Sun, Miaomiao; Buck, Alicia; Binder, Niklas; Mastall, Maximilian; Prisco, Francesco; Seehusen, Frauke; Frei, Julia; Wyss, Conrad; Snijder, Berend; Nombela Arrieta, Cesar; Weller, Michael; Pascolo, Steve; Weiss, Tobias
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Abstract
Chimeric antigen receptor (CAR) T cell therapy is a promising immunotherapy against cancer. Although there is a growing interest in other cell types, a comparison of CAR immune effector cells in challenging solid tumor contexts is lacking. Here, we compare mouse and human NKG2D-CAR-expressing T cells, natural killer (NK) cells, and macrophages against glioblastoma, the most aggressive primary brain tumor. Invitro we show that T cell cancer killing is CAR dependent, whereas intrinsic cytotoxicity overrules CAR dependence for NK cells, and CAR macrophages reduce glioma cells in co-culture assays. In orthotopic immunocompetent glioma mouse models, systemically administered CAR T cells demonstrate superior accumulation in the tumor, and each immune cell type induces distinct changes in the tumor microenvironment. An otherwise low therapeutic efficacy is significantly enhanced by co-expression of pro-inflammatory cytokines in all CAR immune effector cells, underscoring the necessity for multifaceted cell engineering strategies to overcome the immunosuppressive solid tumor microenvironment.
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