Gene-Edited Immune Cells for Reduced AICD and Host Rejection
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Solution Overview
Problem
Poor persistence and susceptibility to host-versus-graft responses, activation-induced cell death (AICD), and graft-versus-host-disease (GvHD) limit the effectiveness of allogeneic CAR-T and CAR-NK cells in immunotherapy, while NK cell activation and recognition mechanisms pose additional challenges.
Innovation Solution
Genetic modification of immune cells to reduce or eliminate the expression and function of proteins such as SPPL3, FADD, FAS, CASP8, ARID1A, BAK1, BID, ETS1, IKZF2, and HIST1H1B, combined with engineered receptors like CARs, to enhance persistence and reduce AICD and HvG responses, using CRISPR/Cas9 and iBAR systems for targeted editing.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Adaptability or versatility
If allogeneic immune cells are used for therapy, then off-the-shelf products can be provided suitable for many patients, but the cells are rejected by the host immune system due to HLA recognition
Solution Approach 1:
The patent extracts and removes the problematic HLA class I molecules from the allogeneic immune cells by knocking out the B2M gene, which is essential for HLA class I expression. This extraction of the immunogenic component allows the cells to evade host immune recognition while maintaining their therapeutic function
Solution Approach 2:
The patent converts the harmful effect of HLA expression (immune rejection) into a benefit by using CRISPR/Cas9 to deliberately knock out B2M, thereby creating HLA class I-deficient cells that are resistant to host-versus-graft rejection. The harm of immune recognition is transformed into protection against rejection
2Reliability
If HLA class I expression is reduced to prevent host T cell recognition, then allogeneic T cell rejection is reduced, but the cells become targeted by host NK cells
Solution Approach 1:
The patent introduces an intermediary mechanism by knocking out multiple genes (B2M, FAS, FADD, CASP8) that collectively mediate resistance to both T cell and NK cell attacks. This multi-gene knockout strategy creates a composite protective phenotype that balances evasion of HLA-restricted T cells while reducing susceptibility to NK cell recognition
3Productivity
If immune cells are activated to perform therapeutic function, then they can kill tumor cells effectively, but they undergo activation-induced cell death
Solution Approach 1:
The patent converts the harmful effect of activation-induced cell death into a benefit by knocking out the Fas-FasL apoptosis pathway genes (FAS, FADD, CASP8). This allows the immune cells to remain activated and functional for extended periods without undergoing AICD, thereby maintaining both high productivity and long persistence
Solution Approach 2:
The patent changes the biological parameters of the immune cells by modifying the expression levels of key apoptosis pathway components through gene knockout. This parameter change (reducing Fas pathway activity) shifts the cell fate from activation-induced death to sustained survival, enabling long-term persistence while maintaining activation state
4Reliability
If multiple genes are knocked out to achieve comprehensive protection, then resistance to rejection and AICD is improved, but the complexity of genetic modification increases
Solution Approach 1:
The patent segments the complex genetic modification process into multiple independent CRISPR/Cas9 targeting steps, each focusing on a specific gene (B2M, FAS, FADD, CASP8). This segmentation allows systematic optimization of each gene knockout while maintaining overall process manageability and enabling modular implementation
Data Source
AI summary
It relates to immune cells (e.g., T cells such as CAR-T cells, NK cells such as CAR-NK cells) modified to have no or reduced expression and/or function of one or more target proteins selected from the group consisting of: Signal Peptide Peptidase Like 3 (SPPL3), FADD, FAS, CASP8, ARID1A, BAK1, BID, ETS1, IKZF2, and HIST1H1B (such as SPPL3), uses thereof, and methods for generating thereof. Also provided are uses of the one or more target proteins (e.g., SPPL3) as a biomarker.


