[HTML][HTML] Leukemic extracellular vesicles induce chimeric antigen receptor T cell dysfunction in chronic lymphocytic leukemia

MJ Cox, F Lucien, R Sakemura, JC Boysen, Y Kim… - Molecular Therapy, 2021 - cell.com
MJ Cox, F Lucien, R Sakemura, JC Boysen, Y Kim, P Horvei, CM Roman, MJ Hansen…
Molecular Therapy, 2021cell.com
Chimeric antigen receptor (CAR) T cell therapy has yielded unprecedented outcomes in
some patients with hematological malignancies; however, inhibition by the tumor
microenvironment has prevented the broader success of CART cell therapy. We used
chronic lymphocytic leukemia (CLL) as a model to investigate the interactions between the
tumor microenvironment and CART cells. CLL is characterized by an immunosuppressive
microenvironment, an abundance of systemic extracellular vesicles (EVs), and a relatively …
Chimeric antigen receptor (CAR) T cell therapy has yielded unprecedented outcomes in some patients with hematological malignancies; however, inhibition by the tumor microenvironment has prevented the broader success of CART cell therapy. We used chronic lymphocytic leukemia (CLL) as a model to investigate the interactions between the tumor microenvironment and CART cells. CLL is characterized by an immunosuppressive microenvironment, an abundance of systemic extracellular vesicles (EVs), and a relatively lower durable response rate to CART cell therapy. In this study, we characterized plasma EVs from untreated CLL patients and identified their leukemic cell origin. CLL-derived EVs were able to induce a state of CART cell dysfunction characterized by phenotypical, functional, and transcriptional changes of exhaustion. We demonstrate that, specifically, PD-L1+ CLL-derived EVs induce CART cell exhaustion. In conclusion, we identify an important mechanism of CART cell exhaustion induced by EVs from CLL patients.
cell.com