Novelty and Impact: The major limitation of the monoclonal antibody(mAb)-targeted therapy of epidermal growth factor receptor (EGFR)+ colorectal carcinoma (CRC) is(are) KRAS mutation(s) downstream EGFR. Here, we demonstrate that this limitation can be overcome by redirecting, in vitro and in vivo, T cells engineered with CD16 158V -chimeric receptor by cetuximab. This study may help develop efficient immunotherapy of EGFR+KRAS-mutated CRC. 3 3 ABSTRACT KRAS mutation hinders the therapeutic efficacy of epidermal-growth-factor-receptor (EGFR) mAb (cetuximab and panitumumab)-based immunotherapy of EGFR+ cancers.Although, cetuximab controls KRAS-mutated cancer cell growth in vitro utilizing a NK cellmediated antibody-dependent-cellular-cytotoxicity-(ADCC) mechanism, KRAS-mutated colorectal carcinoma (CRC) cells can still escape NK cell immunosurveillance. To overcome this limitation, we used cetuximab and panitumumab to redirect Fcγ chimeric receptor (CR) T cells against KRAS-mutated HCT116 CRC cells. We compared 4 polymorphic Fcγ-CR constructs including CD16 158F -CR, CD16 158V -CR, CD32 131H -CR, and CD32 131R -CR which were transduced into T cells utilizing retroviral transduction.Percentages of transduced T cells expressing CD32 131H -CR (83.5±9.5) and CD32 131R -CR (77.7.±13.2) were significantly higher than those expressing with CD16 158F -CR (30.3±10.2) and CD16 158V -CR (51.7±13.7) (p<0.003). CD32 131R -CR T cells specifically bound soluble cetuximab and panitumumab. However, only CD16 158V -CR T cells released significantly higher levels of interferon gamma (IFNγ=1145.5 pg/ml ±16.5 pg/ml, p<0.001) and tumor necrosis factor alpha (TNFα=614 pg/ml ± 21 pg/ml, p<0.001) than non-transduced T cells when incubated with KRAS-mutated HCT116 cells opsonized with cetuximab. Only CD16 158V -CR T cells combined with cetuximab controlled the growth of HCT116 cells subcutaneously engrafted in CB17-SCID mice. These results suggest that CD16 158V -CR T cells combined with cetuximab represent useful reagents to develop an effective immunotherapy of EGFR+KRAS-mutated cancer. 0 7 1 7