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CD28/4-1BB CD123 CAR T cells in blastic plasmacytoid dendritic cell neoplasm

  • Elodie Bôle-Richard
  • , Maxime Fredon
  • , Sabeha Biichlé
  • , François Anna
  • , Jean Marie Certoux
  • , Florian Renosi
  • , Frédéric Tsé
  • , Chloé Molimard
  • , Séverine Valmary-Degano
  • , Alizée Jenvrin
  • , Walid Warda
  • , Jean René Pallandre
  • , Francis Bonnefoy
  • , Margaux Poussard
  • , Marina Deschamps
  • , Tony Petrella
  • , Christophe Roumier
  • , Elizabeth Macintyre
  • , Frédéric Féger
  • , Eolia Brissot
  • Mohamad Mohty, Kiave Yune HoWangYin, Pierre Langlade-Demoyen, Maria Loustau, Julien Caumartin, Yann Godet, Delphine Binda, Maïder Pagadoy, Eric Deconinck, Etienne Daguindau, Philippe Saas, Christophe Ferrand, Fanny Angelot-Delettre, Olivier Adotévi, Francine Garnache-Ottou*
*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

46 Citations (Scopus)

Abstract

Blastic plasmacytoid dendritic cell neoplasm (BPDCN) is associated with a remarkably poor prognosis and with no treatment consensus. The identification of relevant therapeutic targets is challenging. Here, we investigated the immune functions, antileukemia efficacy and safety of CD28/4-1BB CAR T cells targeting CD123 the interleukin (IL)-3 receptor alpha chain which is overexpressed on BPDCN. We demonstrated that both retroviral and lentiviral engineering CD28/4-1BB CD123 CAR T cells exhibit effector functions against BPDCN cells through CD123 antigen recognition and that they efficiently kill BPDCN cell lines and BPDCN-derived PDX cells. In vivo, CD28/4-1BB CD123 CAR T-cell therapy displayed strong efficacy by promoting a decrease of BPDCN blast burden. Furthermore we showed that T cells from BPDCN patient transduced with CD28/4-1BB CD123 CAR successfully eliminate autologous BPDCN blasts in vitro. Finally, we demonstrated in humanized mouse models that these effector CAR T cells exert low or no cytotoxicity against various subsets of normal cells with low CD123 expression, indicating a potentially low on-target/off-tumor toxicity effect. Collectively, our data support the further evaluation for clinical assessment of CD28/4-1BB CD123 CAR T cells in BPDCN neoplasm.

Original languageEnglish
Pages (from-to)3228-3241
Number of pages14
JournalLeukemia
Volume34
Issue number12
DOIs
Publication statusPublished - Dec 2020
Externally publishedYes

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