Engineering CAR-T cells to activate small-molecule drugs in situ Journal Article


Authors: Gardner, T. J.; Lee, J. P.; Bourne, C. M.; Wijewarnasuriya, D.; Kinarivala, N.; Kurtz, K. G.; Corless, B. C.; Dacek, M. M.; Chang, A. Y.; Mo, G.; Nguyen, K. M.; Brentjens, R. J.; Tan, D. S.; Scheinberg, D. A.
Article Title: Engineering CAR-T cells to activate small-molecule drugs in situ
Abstract: Chimeric antigen receptor (CAR)-T cells represent a major breakthrough in cancer therapy, wherein a patient’s own T cells are engineered to recognize a tumor antigen, resulting in activation of a local cytotoxic immune response. However, CAR-T cell therapies are currently limited to the treatment of B cell cancers and their effectiveness is hindered by resistance from antigen-negative tumor cells, immunosuppression in the tumor microenvironment, eventual exhaustion of T cell immunologic functions and frequent severe toxicities. To overcome these problems, we have developed a novel class of CAR-T cells engineered to express an enzyme that activates a systemically administered small-molecule prodrug in situ at a tumor site. We show that these synthetic enzyme-armed killer (SEAKER) cells exhibit enhanced anticancer activity with small-molecule prodrugs, both in vitro and in vivo in mouse tumor models. This modular platform enables combined targeting of cellular and small-molecule therapies to treat cancers and potentially a variety of other diseases. [Figure not available: see fulltext.]. © 2021, The Author(s), under exclusive licence to Springer Nature America, Inc.
Keywords: antineoplastic agents; antineoplastic agent; neoplasm; neoplasms; t lymphocyte; t-lymphocytes; mouse; animal; animals; mice; drug screening; xenograft model antitumor assays; mice, inbred c57bl; c57bl mouse; drug delivery systems; chemistry; neoplasms, experimental; experimental neoplasm; drug delivery system; prodrug; prodrugs; tumor microenvironment; hek293 cells; humans; human; male; female; hek293 cell line; receptors, chimeric antigen
Journal Title: Nature Chemical Biology
Volume: 18
Issue: 2
ISSN: 1552-4450
Publisher: Nature Publishing Group  
Date Published: 2022-02-01
Start Page: 216
End Page: 225
Language: English
DOI: 10.1038/s41589-021-00932-1
PUBMED: 34969970
PROVIDER: scopus
PMCID: PMC9152922
DOI/URL:
Notes: Article -- Export Date: 1 March 2022 -- Source: Scopus
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MSK Authors
  1. Renier J Brentjens
    286 Brentjens
  2. Derek S Tan
    92 Tan
  3. Aaron   Chang
    15 Chang
  4. George   Mo
    4 Mo
  5. Megan Dacek
    17 Dacek
  6. Christopher Bourne
    13 Bourne
  7. Jonghan Peter Lee
    5 Lee
  8. Thomas J Gardner
    13 Gardner
  9. Keifer Gary Kurtz
    11 Kurtz
  10. Kha Nguyen
    1 Nguyen