2019
DOI: 10.1038/s41586-019-1805-z
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c-Jun overexpression in CAR T cells induces exhaustion resistance

Abstract: CAR T cells mediate antitumor effects in a small subset of cancer patients 1-3 , but dysfunction due to T cell exhaustion is an important barrier to progress 4-6. To investigate the biology of exhaustion in human T cells expressing CAR receptors, we used a model system employing a tonically signaling CAR, which induces hallmark features of exhaustion 6. Exhaustion was associated with a profound defect in IL-2 production alongside increased chromatin accessibility of AP-1 Users may view, print, copy, and downlo… Show more

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Cited by 560 publications
(564 citation statements)
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“…Furthermore, we identified the role of SOCS1 in inducing T cell tolerance in vitro . The methodologies developed here might have important implications for addressing immunological profiles, such as those of dendritic cells and B cells, in other contexts of tolerance induction (Lynn et al, 2019; Nemazee, 2017) as well as in cellular therapy.…”
Section: Discussionmentioning
confidence: 99%
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“…Furthermore, we identified the role of SOCS1 in inducing T cell tolerance in vitro . The methodologies developed here might have important implications for addressing immunological profiles, such as those of dendritic cells and B cells, in other contexts of tolerance induction (Lynn et al, 2019; Nemazee, 2017) as well as in cellular therapy.…”
Section: Discussionmentioning
confidence: 99%
“…In mouse models, deletion of NR4A1, Blimp-1, Cbl-b, NFAT, TSC1, GRAIL, or Egr-2 impairs induction of T cell tolerance in vivo (Haymaker et al, 2017; Jeon et al, 2004; Liu et al, 2019; Macian et al, 2002; Martins et al, 2008; Xie et al, 2012; Zheng et al, 2012). Overexpression of c-Jun in T cells renders them resistant to exhaustion (Lynn et al, 2019). In tolerant human CD4 + and CD8 + T cells, we observed increases in NFAT1, Blimp-1, and NFKBIA as well as a decrease in Jun, AP-1, and Fos (Soto-Nieves et al, 2009), suggesting an association of these genes and TFs with immune tolerance.…”
Section: Discussionmentioning
confidence: 99%
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“…Although not all the predicted core promoter elements might be functional in primary T cells, the high number of the core elements can correlate with the strength of the promoter (25). In addition EF-1 and CMV predominantly enriched for TFs specific or highly expressed in T cells (2628, 30, 31) such as GATA3, NFATc3, NF-kB, AP1 and c-Jun (Fig. 1e), The number of transcription factor and core promoter element sites predicted within the promoters may provide some explanation for the ability of the CMV and EF-1 promoters to direct long mRNA expression (Fig.…”
Section: Discussionmentioning
confidence: 99%
“…This progenitor subset retains some proliferative capacity, expresses the transcription factor TCF-1 and can be found in both mice (He et al, 2016;Im et al, 2016;Miller et al, 2019;Utzschneider et al, 2016;Wu et al, 2016) and humans Sade-Feldman et al, 2018). For cellular therapies, there is evidence that therapeutic failures are associated with the development of exhaustion (Chen et al, 2019a;Fraietta et al, 2018) and approaches that antagonize exhaustion are actively being investigated for CAR T cells (Long et al, 2015;Lynn et al, 2019;Wei et al, 2019). Moreover, cellular therapy products that are more stem T MEM -like have improved efficacy (Alizadeh et al, 2019;Sommermeyer et al, 2016).…”
Section: Introductionmentioning
confidence: 99%