Journal Information
Vol. 42. Issue S2.
Pages 416-417 (November 2020)
Share
Share
Download PDF
More article options
Vol. 42. Issue S2.
Pages 416-417 (November 2020)
699
Open Access
DEVELOPMENT OF A PLATFORM FOR TRACKING CAR-T CELL PERSISTENCE USING QPCR AND MULTIPARAMETRIC FLOW CYTOMETRY FOR PRECLINICAL AND CLINICAL STUDIES
Visits
1805
L.C. Batista, H. Brand, D.M.C. Fantacini, D.T. Covas, L.E.B. Souza
Centro de Terapia Celular (CTC), Fundação Hemocentro de Ribeirão Preto, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil
This item has received

Under a Creative Commons license
Article information
Full Text

Adoptive transfer of T-cells expressing anti-CD19 chimeric antigen receptors (CAR) has shown > 80% complete remission rates in acute B cell leukemias. However, therapeutic efficacy is low or absent for some other hematological malignancies and solid tumors, mostly due to limited CAR-T cell persistence and functional exhaustion post transplantation. It has been reported that anti-CD19 CAR-T cells sustain complete remission of leukemia and normal B cell aplasia even when their numbers in circulation are below the limit of detection by flow cytometry (FC) and detectable only by quantitative PCR (qPCR). Thus, developing a monitoring strategy that combines high sensitivity and multiparametric immunophenotypic evaluation is essential to predict, understand and improve the clinical response to CAR-T cell therapies. In this work, we aimed at developing a platform for monitoring the persistence of CAR-T cells using multiparametric FC and qPCR. To facilitate CAR-T cell tracking by FC in preclinical models, we developed a new lentiviral vector by cloning the enhanced green fluorescent protein (EGFP) gene downstream the anti-CD19 CAR gene. Lentiviral particles carrying the new construct were used to transduce primary T cells for CAR-T cell generation. FC analysis after transduction demonstrated that 44.8% of cells expressed CAR on the surface and that all CAR+ cells were also EGFP+, confirming the functionality of the new vector. Notably, the median fluorescence intensity of EGFP was 3.8-fold higher than that of CAR stained with an Alexa 647-conjagated antibody, even though this fluorophore has a high brightness index of 4. Thus, through EGFP fluorescence, this new construct allows direct CAR-T cell tracking by FC with a higher sensitivity compared to antibody staining. We next assessed the cytotoxicity of CAR19/GFP cells by coculturing them with Deep Red stained tumor cell lines either CD19+ (RAJI) or CD19- (K562) at a 1:1 effector to target ratio. After 16h of co-culture, FC data showed that CAR19/GFP cells eradicated 47% of CD19+ tumoral cells while sparing CD19- tumor cells, demonstrating that the CAR codified by this new vector is functional and CD19-specific. Lastly, we developed a CAR detection protocol based on qPCR. To that end, we designed a pair of specific primers and a probe spanning the costimulatory 4-1BB and CD3ζ domains of our anti-CD19 CAR. This primer/probe set was used to successfully detect CAR copies by qPCR in a plasmid standard curve ranging from 1010 to 1 CAR copy. This high sensitivity was accompanied by a high linearity (R2=0.99) and amplification efficiency (99.7%). To simulate a molecular test for CAR-T cell detection, we added 100 ng of genomic DNA to each point of the standard curve. This led to a slight reduction of sensitivity, allowing detection of at least 103 CAR copies (R2=0.99; amplification efficiency = 106.8%). Combined, this data demonstrates the generation of a fully functional CAR/EGFP reporter vector and the establishment of a protocol for molecular detection of CAR-T cells with high sensitivity by qPCR. This CAR-T cell-monitoring platform will provide invaluable data in preclinical and clinical studies on CAR-T cell persistence, a parameter intrinsically linked to therapeutic efficacy. Support: FAPESP grants 2013/08135-2, 2019/18672-1 and 2019/18702-8.

Idiomas
Hematology, Transfusion and Cell Therapy
Article options
Tools