Engineering T cells for HCC Immunotherapy Yukai He

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Engineering T cells for HCC Immunotherapy Yukai He Medical College of Georgia, Augusta University

Engineering T cells for HCC Immunotherapy Yukai He Medical College of Georgia, Augusta University 9 -22 -2019, ILCA, Chicago www. augusta. edu/cancer

Disclosure My employer, Medical College of Georgia, holds the patents of TCRs and CARs

Disclosure My employer, Medical College of Georgia, holds the patents of TCRs and CARs Consultant: CBMG, Cupertino, CA www. augusta. edu/cancer

Recruiting a highly motivated postdoc with immunology background www. augusta. edu/cancer

Recruiting a highly motivated postdoc with immunology background www. augusta. edu/cancer

Immunotherapy for HCC 1. Cancer vaccines: Not effective yet. a. Together with ACT b.

Immunotherapy for HCC 1. Cancer vaccines: Not effective yet. a. Together with ACT b. Neoantigen cancer vaccines 2. Checkpoint blockade effective in ~20% of patients (El-Khoueiry et al, 2017, Lancet) - Checkpoint blockade plus antiangiogenesis, 30 -40% response rate 3. Engineered T cells therapy are emerging www. augusta. edu/cancer

Hong et al, 2014 Developing novel GPC 3 m. Abs and novel CAR-Ts CAR-T

Hong et al, 2014 Developing novel GPC 3 m. Abs and novel CAR-Ts CAR-T Cancer Vaccines Oncolytic virus in situ vaccines ACT HCC TCR-T Zhu et al, 2018 www. augusta. edu/cancer

Identify TCRs for HCC immunotherapy www. augusta. edu/cancer

Identify TCRs for HCC immunotherapy www. augusta. edu/cancer

TCR www. augusta. edu/cancer

TCR www. augusta. edu/cancer

Lentivector prime & peptide boost induce a high level of AFP-specific T cells Yibing

Lentivector prime & peptide boost induce a high level of AFP-specific T cells Yibing Peng AFP-lv Peptide Trivax iv Peptides Poly. IC Anti-CD 40 Ab HLA Tg mice Lentivector Prime Peptide Boost www. augusta. edu/cancer

Splenocytes from immunized mice The therapeutic potential of adoptive transfer of AFP-specific T cells

Splenocytes from immunized mice The therapeutic potential of adoptive transfer of AFP-specific T cells Hep. G 2 2 cm Splenocytes (2 million AFP Tet+ T cells) www. augusta. edu/cancer

TCR This population cells must have the TCR that recognize human HCC tumor cells

TCR This population cells must have the TCR that recognize human HCC tumor cells www. augusta. edu/cancer

Identification of TCRs: Via T cell hybridoma technique Wei Zhu 1. Maintain the diversity

Identification of TCRs: Via T cell hybridoma technique Wei Zhu 1. Maintain the diversity of T cell repertoire 2. Determine TCR affinity before cloning 3. Identify and clone the paired TCR α and β chains 4. Nine (9) unique TCRs specific for AFP 158 epitope, the most frequently presented epitope were identified. 5. TCRs have different affinity. www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

No mispairing with endogenous human TCR www. augusta. edu/cancer

No mispairing with endogenous human TCR www. augusta. edu/cancer

Specifically recognize AFP+ HLA-A 2 HCC tumor cells www. augusta. edu/cancer

Specifically recognize AFP+ HLA-A 2 HCC tumor cells www. augusta. edu/cancer

Adoptive transfer of human TCR-T generates antitumor effect against HCC xenografts in NSG mice

Adoptive transfer of human TCR-T generates antitumor effect against HCC xenografts in NSG mice www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

Summary I: 1. 9 TCRs with different affinity 2. Potent antitumor effects in preclinical

Summary I: 1. 9 TCRs with different affinity 2. Potent antitumor effects in preclinical models. 3. Wrapping up the cross-reactivity study ◦A. On-target/off-tumor ◦B. Off-target ◦C. Alloreactivity TCRs have different affinity, antitumor effects and cross-reactivity. Selected 1 -2 TCR with no cross-reactivity with normal human cells www. augusta. edu/cancer

GPC 3 -specific CAR-Ts www. augusta. edu/cancer

GPC 3 -specific CAR-Ts www. augusta. edu/cancer

CARTs for HCC GPC 3 -specific CARTs ◦GC 33 antibody ◦YP 7, HN 3

CARTs for HCC GPC 3 -specific CARTs ◦GC 33 antibody ◦YP 7, HN 3 antibodies MHC/AFP 158 -specific CARTs ◦Intracellular antigen ◦MHC-restricted www. augusta. edu/cancer

HN 3 (14 Carbon chain GPC 3 structure and antibodies YP 7 (524 -563)

HN 3 (14 Carbon chain GPC 3 structure and antibodies YP 7 (524 -563) Adopted from Ho M, Kim H. 2011 And Haruyama Y, Kataoka H. 2016 www. augusta. edu/cancer

Developing novel GPC 3 -specific CART for HCC immunotherapy 1. Develop GPC 3 -specific

Developing novel GPC 3 -specific CART for HCC immunotherapy 1. Develop GPC 3 -specific antibodies A. 20 m. Abs B. 14 of them can also bind to GPC 3+ tumor cells 2. Create CAR-T cells Dr. Xiaotao Jiang www. augusta. edu/cancer

1. Develop GPC 3 -specific antibodies www. augusta. edu/cancer

1. Develop GPC 3 -specific antibodies www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

Soluble GPC 3 does not activate CARTs, nor inhibit the killing of GPC 3+

Soluble GPC 3 does not activate CARTs, nor inhibit the killing of GPC 3+ tumor cells www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

Summary II 1. Develop 3 h. GPC 3 -specific and HCC-specific m. Abs (6

Summary II 1. Develop 3 h. GPC 3 -specific and HCC-specific m. Abs (6 G 11, 8 F 8, and 12 D 7). 2. Create 3 corresponding CARTs from the 3 m. Abs, which expand after HCC cell stimulation. 3. The 6 G 11 and 8 F 8 CARTs targeting h. GPC 3 Nor C- epitope have strong effector function. 4. Adoptive transfer of 6 G 11 and 8 F 8, but not 12 D 7 CARTs results in tumor regression. www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer

Acknowledgement Yukai’s lab: ◦ Yibing Peng ◦ Leidy Caraballo Galva ◦ Catherine Cai ◦

Acknowledgement Yukai’s lab: ◦ Yibing Peng ◦ Leidy Caraballo Galva ◦ Catherine Cai ◦ Yanxia Shao ◦ Previous members ◦ Qi Li ◦ Dr. Xiaotao Jiang ◦ Dr. Wei Zhu ◦ Dr. Lan Wang ◦ Dr. Yuan Hong ◦Collaborators: ◦ Dr. Esteban Celis ◦ Dr. Ignatowicz (Georgia State University) ◦Georgetown University ◦ Dr. Aiwu (Ruth) He ◦Funding: ◦ NCI R 01 CA 168912, NCI R 01 CA 235159 ◦ Georgia Cancer Center intramural grant www. augusta. edu/cancer

HCC is an increasing problem in USA 1. In US, the HCC incidence rate

HCC is an increasing problem in USA 1. In US, the HCC incidence rate increases the fastest, has doubled in 20 years, mainly due to non-viral factors. 2. Worldwide, HCC is the 6 th most common cancer, 850, 000 cases. 3. Few drugs are available with limited efficacy. HCC is the 2 nd leading cause of cancer death among man (>600, 000). www. augusta. edu/cancer

TCR Nature Made CAR Man Made www. augusta. edu/cancer

TCR Nature Made CAR Man Made www. augusta. edu/cancer

www. augusta. edu/cancer

www. augusta. edu/cancer