2022
DOI: 10.1038/s41467-022-31035-7
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Antigen glycosylation regulates efficacy of CAR T cells targeting CD19

Abstract: While chimeric antigen receptor (CAR) T cells targeting CD19 can cure a subset of patients with B cell malignancies, most patients treated will not achieve durable remission. Identification of the mechanisms leading to failure is essential to broadening the efficacy of this promising platform. Several studies have demonstrated that disruption of CD19 genes and transcripts can lead to disease relapse after initial response; however, few other tumor-intrinsic drivers of CAR T cell failure have been reported. Her… Show more

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Cited by 31 publications
(16 citation statements)
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“…Similarly, hyper-glycosylation of CD19 leads to antigen escape and CAR T-cell failure. 37 These two studies both suggest that suppressing aberrant glycosylation can improve CAR T-cell activity, and our approach that directly targets the glycome may ultimately be of complementary value, for example, in sequential or pulsed therapies that could overcome tumor glycome editing to escape one or other, but not both, of these therapeutic strategies.…”
Section: Discussionmentioning
confidence: 89%
“…Similarly, hyper-glycosylation of CD19 leads to antigen escape and CAR T-cell failure. 37 These two studies both suggest that suppressing aberrant glycosylation can improve CAR T-cell activity, and our approach that directly targets the glycome may ultimately be of complementary value, for example, in sequential or pulsed therapies that could overcome tumor glycome editing to escape one or other, but not both, of these therapeutic strategies.…”
Section: Discussionmentioning
confidence: 89%
“…It is known MGAT5 is a primary target of the Golgi-resident intramembrane protease Signal peptide peptidase-like 3 (SPPL3) 26 . Along the same line as described by Greco et al ., Heard and colleagues identified expression of SPPL3 in malignant B cells as a potent regulator of resistance to CAR therapy 27 .…”
Section: Discussionmentioning
confidence: 99%
“…SPPL3 has been noted in other screens for sensitivity to cytotoxic T cells. Loss of SPPL3 in the pre-B acute lymphoblastic leukemia (ALL) cell line NALM6 resulted in increased glycosylation of CD19 and a direct impairment of CAR T cell effector function and a reduction in their anti-tumor efficacy [31]. Another study reported that the response of CD8 T cells to HLA class I was impaired in SPPL3-KO cells through a different pathway, which involves an increase of glycosphingolipids in antigen-presenting cells.…”
Section: Discussionmentioning
confidence: 99%