TCR-based therapy for multiple myeloma and other B-cell malignancies targeting intracellular transcription factor BOB1

L Jahn, P Hombrink, RS Hagedoorn… - Blood, The Journal …, 2017 - ashpublications.org
L Jahn, P Hombrink, RS Hagedoorn, MGD Kester, DM van der Steen, T Rodriguez…
Blood, The Journal of the American Society of Hematology, 2017ashpublications.org
Immunotherapy for hematological malignancies or solid tumors by administration of
monoclonal antibodies or T cells engineered to express chimeric antigen receptors or T-cell
receptors (TCRs) has demonstrated clinical efficacy. However, antigen-loss tumor escape
variants and the absence of currently targeted antigens on several malignancies hamper the
widespread application of immunotherapy. We have isolated a TCR targeting a peptide of
the intracellular B cell–specific transcription factor BOB1 presented in the context of HLA-B …
Abstract
Immunotherapy for hematological malignancies or solid tumors by administration of monoclonal antibodies or T cells engineered to express chimeric antigen receptors or T-cell receptors (TCRs) has demonstrated clinical efficacy. However, antigen-loss tumor escape variants and the absence of currently targeted antigens on several malignancies hamper the widespread application of immunotherapy. We have isolated a TCR targeting a peptide of the intracellular B cell–specific transcription factor BOB1 presented in the context of HLA-B*07:02. TCR gene transfer installed BOB1 specificity and reactivity onto recipient T cells. TCR-transduced T cells efficiently lysed primary B-cell leukemia, mantle cell lymphoma, and multiple myeloma in vitro. We also observed recognition and lysis of healthy BOB1-expressing B cells. In addition, strong BOB1-specific proliferation could be demonstrated for TCR-modified T cells upon antigen encounter. Furthermore, clear in vivo antitumor reactivity was observed of BOB1-specific TCR-engineered T cells in a xenograft mouse model of established multiple myeloma. Absence of reactivity toward a broad panel of BOB1 but HLA-B*07:02+ nonhematopoietic and hematopoietic cells indicated no off-target toxicity. Therefore, administration of BOB1-specific TCR-engineered T cells may provide novel cellular treatment options to patients with B-cell malignancies, including multiple myeloma.
ashpublications.org