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Publication : Redirection to the bone marrow improves T cell persistence and antitumor functions.

First Author  Khan AB Year  2018
Journal  J Clin Invest Volume  128
Issue  5 Pages  2010-2024
PubMed ID  29485974 Mgi Jnum  J:262860
Mgi Id  MGI:6158742 Doi  10.1172/JCI97454
Citation  Khan AB, et al. (2018) Redirection to the bone marrow improves T cell persistence and antitumor functions. J Clin Invest 128(5):2010-2024
abstractText  A key predictor for the success of gene-modified T cell therapies for cancer is the persistence of transferred cells in the patient. The propensity of less differentiated memory T cells to expand and survive efficiently has therefore made them attractive candidates for clinical application. We hypothesized that redirecting T cells to specialized niches in the BM that support memory differentiation would confer increased therapeutic efficacy. We show that overexpression of chemokine receptor CXCR4 in CD8+ T cells (TCXCR4) enhanced their migration toward vascular-associated CXCL12+ cells in the BM and increased their local engraftment. Increased access of TCXCR4 to the BM microenvironment induced IL-15-dependent homeostatic expansion and promoted the differentiation of memory precursor-like cells with low expression of programmed death-1, resistance to apoptosis, and a heightened capacity to generate polyfunctional cytokine-producing effector cells. Following transfer to lymphoma-bearing mice, TCXCR4 showed a greater capacity for effector expansion and better tumor protection, the latter being independent of changes in trafficking to the tumor bed or local out-competition of regulatory T cells. Thus, redirected homing of T cells to the BM confers increased memory differentiation and antitumor immunity, suggesting an innovative solution to increase the persistence and functions of therapeutic T cells.
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