Background and aims <p>Chimeric antigen receptor (CAR) T cells have shown strong efficacy in hematological cancers but limited success in solid tumors. Macrophages, with their natural ability to infiltrate tumors, modulate immunity, and phagocytose cancer cells, offer a promising alternative when engineered with CARs. While studies have demonstrated the feasibility and anti-tumor activity of CAR macrophages (CAR-M), enhancing their persistence and phagocytic capacity remains a key challenge.</p> Methods and results <p>Building on first-generation CD3ζ-based CAR-M, we developed a novel CAR targeting human GPC3, incorporating IFN-γ and the extracellular domain of SIRPα (SIRPα<sup>ECD</sup>) to improve CAR-M persistence and block the CD47–SIRPα immune checkpoint. Following delivery via lipid nanoparticle-encapsulated mRNA (LNP-mRNA), the self-secreted IFN-γ sustained M1 polarization through phospho-STAT1 activation. Meanwhile, the ectopically expressed SIRPα<sup>ECD</sup> competitively bound to CD47 on tumor cells, thereby blocking the endogenous SIRPα–SHP2 interaction in a dominant-negative manner. This design enhanced pro-inflammatory activity and anti-tumor efficacy compared to CD3ζ-only CAR-M. Single-cell RNA sequencing and cellular analysis showed that in situ programmed CAR-M reprogrammed the tumor microenvironment toward inflammation in a murine hepatocellular carcinoma (HCC) model. Moreover, CAR-M derived from human peripheral blood mononuclear cells (PBMCs) effectively phagocytosed human HCC organoids while sparing healthy tissues, indicating clinical potential.</p> Conclusions <p>Collectively, our work presents a novel CAR design that enhances phagocytic function and sustains anti-tumor activity, offering a promising strategy for human solid tumor immunotherapy.</p> Graphical Abstract <p></p>

错误:搜索内容不能为空,请输入英文关键词
错误:关键词超出字数限制,请精简
高级检索

An in situ generated CAR-M with IFN-γ and negative dominance Sirpα isoform augments hepatocellular carcinoma immunotherapy

  • Xiang Li,
  • Jing Hu,
  • Tian Zhang,
  • Hongceng Li,
  • Quanrong Lai,
  • Tao Wang,
  • Yuxin Liu,
  • Lan Zhang,
  • Yonglong Wei,
  • Shi Wei,
  • Panpan Zhang

摘要

Background and aims

Chimeric antigen receptor (CAR) T cells have shown strong efficacy in hematological cancers but limited success in solid tumors. Macrophages, with their natural ability to infiltrate tumors, modulate immunity, and phagocytose cancer cells, offer a promising alternative when engineered with CARs. While studies have demonstrated the feasibility and anti-tumor activity of CAR macrophages (CAR-M), enhancing their persistence and phagocytic capacity remains a key challenge.

Methods and results

Building on first-generation CD3ζ-based CAR-M, we developed a novel CAR targeting human GPC3, incorporating IFN-γ and the extracellular domain of SIRPα (SIRPαECD) to improve CAR-M persistence and block the CD47–SIRPα immune checkpoint. Following delivery via lipid nanoparticle-encapsulated mRNA (LNP-mRNA), the self-secreted IFN-γ sustained M1 polarization through phospho-STAT1 activation. Meanwhile, the ectopically expressed SIRPαECD competitively bound to CD47 on tumor cells, thereby blocking the endogenous SIRPα–SHP2 interaction in a dominant-negative manner. This design enhanced pro-inflammatory activity and anti-tumor efficacy compared to CD3ζ-only CAR-M. Single-cell RNA sequencing and cellular analysis showed that in situ programmed CAR-M reprogrammed the tumor microenvironment toward inflammation in a murine hepatocellular carcinoma (HCC) model. Moreover, CAR-M derived from human peripheral blood mononuclear cells (PBMCs) effectively phagocytosed human HCC organoids while sparing healthy tissues, indicating clinical potential.

Conclusions

Collectively, our work presents a novel CAR design that enhances phagocytic function and sustains anti-tumor activity, offering a promising strategy for human solid tumor immunotherapy.

Graphical Abstract