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  • Ormhøj, Maria; Scarfò, Irene; Cabral, Maria L; Bailey, Stefanie R; Lorrey, Selena J; Bouffard, Amanda A; Castano, Ana P; Larson, Rebecca C; Riley, Lauren S; Schmidts, Andrea; Choi, Bryan D; Andersen, Rikke S; Cédile, Oriane; Nyvold, Charlotte G; Christensen, Jacob H; Gjerstorff, Morten F; Ditzel, Henrik J; Weinstock, David M; Barington, Torben; Frigault, Matthew J; Maus, Marcela V

    Clinical cancer research, 12/2019, Letnik: 25, Številka: 23
    Journal Article

    T cells engineered to express a chimeric antigen receptor (CAR) against CD19 have recently been FDA approved for the treatment of relapsed or refractory large B-cell lymphoma. Despite the success and curative potential of CD19 CAR T cells, several reports describing disease relapse due to antigen loss are now emerging. We developed a novel CAR construct directed against CD79b, a critical receptor for successful B-cell development that remains highly expressed in several subtypes of B-cell lymphoma, including mantle cell lymphoma (MCL). We tested CAR T cells directed against CD79b alone or in combination with CD19 targeting in a single construct, against cell line- and patient-derived xenograft models. We demonstrate CAR79b antigen-specific recognition and cytotoxicity against a panel of cell lines and patient-derived xenograft models of MCL. Importantly, we show that downregulation of CD19 does not influence surface expression of CD79b and that anti-CD79b CAR T cells alone or arranged in a dual-targeting format with a CD19 single-chain variable fragment (scFv) are able to recognize and eliminate CD19 , CD19 , and mixed CD19 /CD19 B-cell lymphoma. Our findings demonstrate that CAR T cells targeting CD79b alone or in combination have promise for treating and preventing CD19 antigen escape in B-cell lymphomas.