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bioRxiv · 10.1101/2024.02.19.580939

Functional avidity of anti-B7H3 CAR-T constructs predicts antigen density thresholds for triggering effector function

Abstract

Chimeric Antigen receptor T cell (CAR-T) treatments for solid cancers have been compromised by limited expansion and survival in the tumor microenvironment following interaction with antigen-expressing target cells. Using B7H3 as a model antigen with broad clinical applicability, we evaluated the relationship between the antibody/antigen affinity of three clinical candidate binders and the three following functional characteristics: functional avidity, prolonged cytotoxicity in tumoroid re-stimulation assays, and in vivo anti-tumoral responses. BEHAV3D video-microscopy assessed distinct CAR-T cell behaviors at single cell resolution. T cell exhaustion did not dictate effector function. Rather, we demonstrated a threshold avidity of CAR-T / tumor cell interaction, characterized by longer cumulative CD8+ CAR-T / tumor target interaction times, and required for adequate CAR-T cell expansion to result in sustained tumor control upon re-challenge. These results provide new insights into design of CAR-T cells for antigen-dim cell targeting, and avoidance of antigen-dim tumor relapse.

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Barisa, M., Zappa, E., Muller, H., Shah, R., Buhl, J., Draper, B., Himsworth, C., Bowers, C., Munnings-Tomes, S., Nicolaidou, M., Morlando, S., Birley, K., Leboreiro-Babe, C., Vitali, A., Privitera, L., O'Sullivan, K., Greppi, A., Buschhaus, M., Barrera Roman, M., de Blank, S., van den Ham, F., van 't Veld, B. R., Ferry, G., Donovan, L. K., Chesler, L., Molenaar, J. J., Drost, J., Rios, A. C., Chester, K., Wienke, J., Anderson, J.. 2024-02-21. Functional avidity of anti-B7H3 CAR-T constructs predicts antigen density thresholds for triggering effector function. https://doi.org/10.1101/2024.02.19.580939

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