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Methods of treating t cell exhaustion by inhibiting or modulating t cell receptor signaling

a t cell receptor and signaling technology, applied in the field of methods, can solve the problems of inflammatory and other t cell-related disorders, poor function of t cells, etc., and achieve the effect of reducing tumors and clinical benefits

Pending Publication Date: 2020-04-02
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

The patent describes a method for preventing or reversing the exhaustion of T cells, which can lead to a reduction in their effectiveness in fighting cancer. The method involves using a specific type of molecular protein called a tyrosine kinase inhibitor, such as dasatinib or ponatinib, which can reduce the expression of markers associated with exhaustion and improve the formation of T cell memory. The patent also describes experiments that demonstrated the effectiveness of this method in reducing toxicity related to genetically engineered T cells in animals treated with this method, and in improving the tumor response and clinical benefit of combination therapies involving the use of these inhibitors and other anticancer drugs or radiation.

Problems solved by technology

Disturbance in TCR signaling can lead to inflammatory and other T cell-related disorders.
Such T cells function poorly as a result of T cell exhaustion, as evidenced by high levels of PD-1, TIM-3, LAG-3, diminished antigen induced cytokine production, and excessive programmed cell death.

Method used

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  • Methods of treating t cell exhaustion by inhibiting or modulating t cell receptor signaling
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  • Methods of treating t cell exhaustion by inhibiting or modulating t cell receptor signaling

Examples

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examples

[0114]The following examples are illustrative, but not limiting, of the compounds, compositions, and methods of the present invention. Other suitable modifications and adaptations of the variety of conditions and parameters normally encountered in clinical therapy and which are obvious to those skilled in the art are within the spirit and scope of the invention.

example i

of Preventing or Reversing T Cell Exhaustion by Inhibiting or Modulating TCR Signaling

Introduction

[0115]We previously reported that GD2-CAR expressing T cells develop functional exhaustion within 10 days in culture and are characterized by co-expression of inhibitory receptors, failure to secrete cytokines in response to tumor antigen, and aberrant metabolic function (Long et. al, Nat Med 2015). Control cultures included untransduced T cells (mock) and those expressing CD19-CAR, which does not manifest tonic signaling or develop exhaustion in vitro. Previous work also demonstrated that the zeta chain was required for exhaustion in this system, with CD28 signaling enhancing the potency of the signaling stimulus in inducing exhaustion. Using this model system, we have now optimized a robust, manipulatable, and reproducible in vitro human model of T cell exhaustion to evaluate approaches to prevent or reverse T cell exhaustion.

Results

[0116]We engineered a GD2.28z CAR fused to an FKBP12...

example ii

[0129]Chimeric antigen receptors (CARs) are synthetic receptors that combine an extracellular tumor-targeting domain with intracellular domains that mimic endogenous TCR signaling (e.g., 1-2 costimulatory domains, like CD28 or 4-1BB, and a CD3 zeta domain) (see, e.g., Lim & June. Cell 168, 724-740 (2017)). When CAR-expressing T cells encounter antigen-expressing tumor cells, CAR T cells form an immune synapse and initiate downstream signaling through the CAR, resulting in potent T cell activation, degranulation of cytotoxic soluble factors, cytokine release, and proliferation. While CAR T cell therapy has experienced unprecedented clinical success in many patients with hematological malignancies, there are several key challenges that must be addressed before this therapy can be expanded to other tumor types or offered as first-line therapy.

[0130]One challenge is CAR toxicity, which typically manifests in the form of cytokine release syndrome (CRS) or on-target off-tumor activity, bo...

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Abstract

Provided herein are compositions and methods for preventing or reversing T cell exhaustion. In particular, the present invention relates to methods of preventing or reversing T cell exhaustion by exposing T cells experiencing T cell exhaustion to particular tyrosine kinase inhibitors (e.g., dasatinib, ponatinib), or by expanding genetically engineered T cells in the presence of particular tyrosine kinase inhibitors (e.g., dasatinib, ponatinib).

Description

CROSS REFERENCE TO RELATED APPLICATIONS[0001]This application claims the benefit of U.S. provisional application Ser. No. 62 / 479,930, filed Mar. 31, 2017, which is incorporated herein by reference in its entirety.FIELD OF THE INVENTION[0002]Provided herein are compositions and methods for preventing or reversing T cell exhaustion. In particular, the present invention relates to methods of preventing or reversing T cell exhaustion by exposing T cells experiencing T cell exhaustion to particular tyrosine kinase inhibitors (e.g., dasatinib, ponatinib), or by expanding genetically engineered T cells in the presence of particular tyrosine kinase inhibitors (e.g., dasatinib, ponatinib).INTRODUCTION[0003]T cells are immune cells that become activated via T cell receptor (TCR) signaling following engagement with antigen. Physiologic activation through the T cell receptor renders T cells capable of mediating potent antitumor or anti-infective effects. During resolution of an acute inflammato...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K35/17A61K31/5025A61K31/506C07K16/30C12N5/0783
CPCC07K2319/33C12N2501/727A61K31/506C12N2510/00A61K31/5025C07K16/3084C12N5/0636C07K2317/622C07K2319/03A61K35/17A61K31/497A61P43/00A61K45/06A61P35/02C07K16/30C07K14/7051C07K14/70521C07K14/70578C07K14/70532A61K39/4632A61K2239/48A61K39/4631A61K39/464412A61K39/4611A61K2239/31A61K39/464471A61K2239/38A61P35/00C07K2319/02C12N9/90
Inventor LYNN, RACHELMACKALL, CRYSTALWEBER, EVANMALHOTRA, SANJAY
Owner THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIV
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