Combinatorial genetic engineering strategy for immune protection of stem cell-derived beta cells by chimeric antigen receptor regulatory T cells

Regenerative medicine is a rapidly expanding field harnessing human pluripotent stem cell (hPSC)-derived cells and tissues to treat many diseases, including type 1 diabetes. However, graft immune protection remains a key challenge. Chimeric antigen receptor (CAR) technology confers new specificities...

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Veröffentlicht in:Cell reports (Cambridge) 2024-11, Vol.43 (11), p.114994, Article 114994
Hauptverfasser: Barra, Jessie M., Robino, Rob A., Castro-Gutierrez, Roberto, Proia, James, Russ, Holger A., Ferreira, Leonardo M.R.
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container_issue 11
container_start_page 114994
container_title Cell reports (Cambridge)
container_volume 43
creator Barra, Jessie M.
Robino, Rob A.
Castro-Gutierrez, Roberto
Proia, James
Russ, Holger A.
Ferreira, Leonardo M.R.
description Regenerative medicine is a rapidly expanding field harnessing human pluripotent stem cell (hPSC)-derived cells and tissues to treat many diseases, including type 1 diabetes. However, graft immune protection remains a key challenge. Chimeric antigen receptor (CAR) technology confers new specificities to effector T cells and immunosuppressive regulatory T cells (Tregs). One challenge in CAR design is identifying target molecules unique to the cells of interest. Here, we employ combinatorial genetic engineering to confer CAR-Treg-mediated localized immune protection to stem cell-derived cells. We engineered hPSCs to express truncated epidermal growth factor receptor (EGFRt), a biologically inert and generalizable target for CAR-Treg homing and activation, and generated CAR-Tregs recognizing EGFRt. Strikingly, CAR-Tregs suppressed innate and adaptive immune responses in vitro and prevented EGFRt-hPSC-derived pancreatic beta-like cell (sBC [stem cell-derived beta cell]) graft immune destruction in vivo. Collectively, we provide proof of concept that hPSCs and Tregs can be co-engineered to protect hPSC-derived cells from immune rejection upon transplantation. [Display omitted] •Gene editing of human pluripotent stem cells (hPSCs) to express unique bait protein•Regulatory T cell engineering with bait-specific chimeric antigen receptor (CAR-Treg)•CAR-Tregs are suppressive in vitro when activated by bait-expressing cells•CAR-Tregs protect bait-expressing hPSC-derived beta cells from immune destruction in vivo Immune protection of human pluripotent stem cell (hPSC)-derived grafts remains a key hurdle in regenerative medicine. Barra and Robino et al. engineered hPSCs to express an inert bait protein and bait-specific immunosuppressive chimeric antigen receptor regulatory T cells (CAR-Tregs), accomplishing localized hPSC-derived beta cell immune protection in humanized mice.
doi_str_mv 10.1016/j.celrep.2024.114994
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However, graft immune protection remains a key challenge. Chimeric antigen receptor (CAR) technology confers new specificities to effector T cells and immunosuppressive regulatory T cells (Tregs). One challenge in CAR design is identifying target molecules unique to the cells of interest. Here, we employ combinatorial genetic engineering to confer CAR-Treg-mediated localized immune protection to stem cell-derived cells. We engineered hPSCs to express truncated epidermal growth factor receptor (EGFRt), a biologically inert and generalizable target for CAR-Treg homing and activation, and generated CAR-Tregs recognizing EGFRt. Strikingly, CAR-Tregs suppressed innate and adaptive immune responses in vitro and prevented EGFRt-hPSC-derived pancreatic beta-like cell (sBC [stem cell-derived beta cell]) graft immune destruction in vivo. Collectively, we provide proof of concept that hPSCs and Tregs can be co-engineered to protect hPSC-derived cells from immune rejection upon transplantation. [Display omitted] •Gene editing of human pluripotent stem cells (hPSCs) to express unique bait protein•Regulatory T cell engineering with bait-specific chimeric antigen receptor (CAR-Treg)•CAR-Tregs are suppressive in vitro when activated by bait-expressing cells•CAR-Tregs protect bait-expressing hPSC-derived beta cells from immune destruction in vivo Immune protection of human pluripotent stem cell (hPSC)-derived grafts remains a key hurdle in regenerative medicine. 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subjects Animals
autoimmunity
CAR-Treg
cell replacement therapy
chimeric antigen receptor
ErbB Receptors - metabolism
Genetic Engineering - methods
Humans
immune tolerance
Insulin-Secreting Cells - immunology
Insulin-Secreting Cells - metabolism
Mice
Mice, Inbred NOD
Pluripotent Stem Cells - cytology
Pluripotent Stem Cells - metabolism
Receptors, Chimeric Antigen - immunology
Receptors, Chimeric Antigen - metabolism
regenerative medicine
regulatory T cell
stem cell-derived beta cell
T-Lymphocytes, Regulatory - immunology
transplantation
type 1 diabetes
title Combinatorial genetic engineering strategy for immune protection of stem cell-derived beta cells by chimeric antigen receptor regulatory T cells
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