Journal: Blood Cancer Discovery
Article Title: DLBCL Cells Emerge after CD19 CAR T Cells with Cross-Antigen Resistance and a Gene Signature Predictive of Clinical CAR T-cell Response
doi: 10.1158/2643-3230.BCD-24-0176
Figure Lengend Snippet: BH3-mimetics sensitize DLBCL cells to CAR T-cell killing. A, Small-molecule screen identified Mcl-1 inhibitor and Bcl-2 inhibitor as top CAR T-cell sensitizers. Five mKate2 + DLBCL cell lines were cocultured with CAR19-GFP CAR T cells at a 1.2:1 (RL and WSU-DLCL2) or 0.4:1 (DoHH2, SU-DHL-6, and TMD8) E:T ratio in presence of small-molecule compounds for 4 days. Heatmap represents the average growth of cancer cells treated with CAR T cells and small-molecule compounds at concentrations of 1.111 and 0.370 μmol/L normalized to the growth of cancer cells treated with CAR T cells alone. Dark blue: reduced cancer cell numbers/synergistic combination. Red: increased cancer cell growth. Median of n = 3 + 3 technical triplicates are shown. B, BH3 mimetics sensitize DLBCL cell lines to CAR T-cell killing. Selected DLBCL cell lines were cocultured with CD19 CAR T cells (1:1 E:T ratio) and 300 nmol/L Mcl-1 inhibitor tapotoclax or 300 nmol/L Bcl-2 inhibitor venetoclax for 3 days. Heatmap represents cell growth at day three normalized to timepoint zero. Mean of n = 4 technical replicates are shown. Max = maximum value specific to each cell line. C, MCL1 and BCL2 mRNA expression levels in UPCC-13413 DLBCL patient pretreatment biopsies showing a trend toward higher MCL1 expression nonresponders (patients with PD, n = 14) vs. complete responders (CR, n = 7). D, mRNA expression levels of the effector caspases CASP3 , CASP6 , and CASP7 and the initiator caspase CASP9 in pretreatment biopsies from UPCC-13413 patients with DLBCL show significantly lower expression of CASP6 and slightly higher expression of CASP9 in nonresponders (PD, n = 14) vs. complete responders (CR, n = 7). *, P ≤ 0.05; **, P ≤ 0.01; ***, P ≤ 0.001; two-tailed unpaired t test. CPM, counts per million.
Article Snippet: To assess CAR T-cell sensitivity as well as generate CAR T cell–resistant cell lines, mKate2 + cancer cells (stably transduced with Incucyte Nuclight Red Lentivirus, Sartorius, 4476) or GFP + cancer cells (stably transduced with Incucyte Nuclight Green Lentivirus, Sartorius, 4475) were cultured with CAR T cells at multiple E:T ratios in a 1:1 mixture of cancer cell medium and T-cell medium (RPMI based as described above) in a 96-well (all long-term cocultures) or 384-well plate format.
Techniques: Expressing, Two Tailed Test