MODIFICATION OF IMMUNE CELLS FOR REDUCING TOXICITY AND USES THEREOF IN ADOPTIVE CELL THERAPY
A population of immune cells comprising modified immune cells with reduced inflammatory properties, wherein such modified immune cells may have reduced production of one or more inflammatory cytokines (e.g., interleukin 2), and/or express one or more antagonists of one or more inflammatory cytokines (e.g., interleukin 6). Also provided herein are methods of producing such immune cell populations comprising the modified immune cells and methods of using such in cell therapy (e.g., to treat cancer, infectious diseases or immune diseases).
1 . A population of immune cells, comprising a first plurality of modified immune cells, which produces less interleukin 2 (IL-2) as relative to wild-type immune cells of the same type under the same conditions.
2 . The population of immune cells of claim 1 , wherein the first plurality of modified immune cells, when activated, produces less IL-2 as relative to the wildtype immune cells activated under the same conditions.
3 . The population of immune cells of claim 1 or claim 2 , wherein the total IL-2 production by the population of immune cells is about 30-95% less than a wild-type counterpart under the same conditions.
4 . The population of immune cells of claim 3 , wherein the total IL-2 production by the population of immune cells is about 50% of that by the wild-type counterpart.
5 . The population of immune cells of any one of claims 1 - 4 , wherein at least one endogenous IL-2 allele is knocked out in each cell of the first plurality of the modified immune cells.
6 . The population of immune cells of any one of claims 1 - 5 , further comprising a second plurality of modified immune cells, which produces a reduced level of one or more of inflammatory proteins as relative to wildtype immune cells of the same type, wherein the inflammatory proteins comprise one or more inflammatory cytokines or soluble receptors thereof, one or more inflammatory growth factors, one or more cytotoxic molecules, or a combination thereof.
7 . The population of immune cells of claim 6 , wherein the one or more inflammatory cytokines or soluble receptors thereof are selected from the group consisting of IL1α, IL1β, IL-5, IL-6, IL-7, IL-8, IL-9, IL-12, IL-15, IL-17, IL-18, IL-21, IL-23, sIL-1RI, sIL-2Rα, sIL6R, IFNα, IFNβ, IFNγ, MIPα, MIPβ, CSF1, LIF, G-CSF, GM-CSF, CXCL10, CCL5, eotaxin, TNF, MCP1, MIG, RAGE, CRP, angiopoietin-2, and VWF.
8 . The population of immune cells of claim 6 , wherein the one or more inflammatory growth factors are selected from the group consisting of TGFα, VEGF, EGF, HGF, and FGF.
9 . The population of immune cells of claim 6 , wherein the one or more cytotoxic molecules are selected from the group consisting of perforin, granzyme, and ferritin.
10 . The population of immune cells of any one of claims 6 - 9 , wherein the total level of the one or more inflammatory protein produced by the population of immune cells is at least 10% lower than that of a wild-type counterpart under the same conditions.
11 . The population of immune cells of any one of claims 6 - 10 , wherein at least one endogenous allele of the one or more inflammatory protein is knocked out in each cell of the second plurality of the modified immune cells.
12 . The population of immune cells of any one of claims 6 - 11 , wherein the first plurality of modified immune cells and the second plurality of modified immune cells are of the same type.
13 . The population of immune cells of claim 12 , wherein the first plurality of modified immune cells and the second plurality of modified immune cells are overlapping.
14 . The population of immune cells of any one of claims 1 - 13 , further comprising a third plurality of modified immune cells, which expresses one or more exogenous antagonists of the one or more inflammatory proteins and/or one or more immune suppressive cytokines.
15 . The population of immune cells of claim 14 , wherein the one or more immune suppressive cytokines are selected from the group consisting of TGFβ, IL-4, IL-10, IL-13, IL-33, IL-35 and IL-37.
16 . The population of immune cells of claim 14 wherein the one or more exogenous antagonists of the one or more inflammatory proteins comprise a soluble receptor of an inflammatory protein and/or an antibody specific to an inflammatory protein.
17 . The population of immune cells of claim 14 , wherein the one or more inflammatory proteins comprise IL6 and the antagonist of TL6 is tocilizumab, sirukumab, sarilumab, siltuximab, olokizumab, clazakizumab, or an antigen-binding fragment thereof.
18 . The population of immune cells of claim 17 , wherein the antagonist is a single-chain antibody fragment (scFv).
19 . The population of immune cells of claim 18 , wherein the scFv comprises the amino acid sequence of SEQ ID NO: 22.
20 . The population of immune cells in any one of claims 14 - 19 , wherein the third plurality of modified immune cells comprise one or more exogenous nucleic acids coding for the one or more exogenous antagonists of the one or more inflammatory protein and/or one or more immune suppressive cytokines.
21 . The population of immune cells of claim 20 , wherein at least one of the exogenous nucleic acid is incorporated into the genome of the third plurality of modified immune cells.
22 . The population of immune cells of any one of claims 14 - 21 , wherein the third plurality of modified immune cells are of the same type as the first plurality of modified immune cells, the second plurality of modified immune cells, or both.
23 . The population of immune cells of claim 22 , wherein the third plurality of modified immune cells overlaps with the first plurality of modified immune cells, the second plurality of modified immune cells, or both.
24 . The population of immune cells in any one of claims 1 - 23 , wherein the immune cells are T-cells, NK cells, dendritic cells, macrophages, B cells, neutrophils, eosinophils, basophils, mast cells, myeloid-derived suppressor cells, mesenchymal stem cells, precursors thereof, or a combination thereof.
25 . The population of immune cells of any one of claims 1 - 24 , wherein the immune cells express a chimeric antigen receptor (CAR) and/or an exogenous T cell receptor, wherein the CAR comprises an extracellular ligand binding domain, a transmembrane domain, and one or more intracellular signaling domains, and wherein optionally the endogenous TCR of the immune cells is knocked out.
26 . The population of immune cells of claim 25 , wherein the extracellular ligand binding domain comprises a single-chain antibody fragment specific to a cell surface protein, an extracellular domain of a cytokine receptor, or an extracellular domain of a co-stimulatory receptor.
27 . The population of immune cells of claim 26 , wherein the one or more intracellular signaling domains comprise (i) a signaling domain of CD3□□ and/or (ii) one or more signaling domains from one or more co-stimulatory proteins or cytokine receptors.
28 . The population of immune cells of claim 27 , wherein the co-stimulatory proteins or cytokine receptors are selected from the group consisting of CD28,4-1BB, 2B4, KIR, CD27, OX40, ICOS, MYD88, IL2receptor, and SynNotch.
29 . A population of immune cells, comprising:
(i) a first plurality of modified immune cells, which produces a reduced level of one or more inflammatory proteins as compared with wild-type immune cells of the same type under the same conditions; and
(ii) a second plurality of modified immune cells, which expresses an antagonist(s) of the one or more inflammatory proteins and/or express one or more immune suppressive cytokines.
30 . The population of immune cells of claim 29 , wherein the inflammatory proteins comprise one or more inflammatory cytokines or soluble receptors thereof, one or more inflammatory growth factors, one or more cytotoxic molecules, or a combination thereof.
31 . The population of immune cells of claim 30 , wherein the one or more inflammatory cytokines or soluble receptors thereof are selected from the group consisting of IL2, IL1α, IL1β, IL-5, IL-6, IL-7, IL-8, IL-9, IL-12, IL-15, IL-17, IL-18, IL-21, IL-23, sIL-1RI, sIL-2Rα, sIL6R, IFNα, IFNβ, IFNγ, MIPα, MIPβ, CSF1, LIF, G-CSF, GM-CSF, CXCL10, CCL5, eotaxin, TNF, MCP1, MIG, RAGE, CRP, angiopoietin-2 and VWF
32 . The population of immune cells of any one of claims 30 - 31 , wherein the one or more inflammatory growth factors are selected from the group consisting of TGFα, VEGF, EGF, HGF, and FGF.
33 . The population of immune cells of any one of claims 30 - 32 , wherein the one or more cytotoxic molecules are selected from the group consisting of perforin, granzyme, and ferritin.
34 . The population of immune cells of any one of claims 29 - 33 , wherein the one or more immune suppressive cytokines are selected from the group consisting of TGFβ, IL-4, IL-10, IL-13, IL-33, IL-35 and IL-37.
35 . The population of immune cells of any one of claims 29 - 34 , wherein the first plurality of modified immune cells and the second plurality of immune cells are of the same type.
36 . The population of immune cells of claim 35 , wherein the first plurality of modified immune cells overlaps with the second plurality of immune cells.
37 . The population of immune cells of any one of claims 29 - 36 , wherein the first plurality of modified immune cells, the second plurality of modified immune cells, or both, express a chimeric antigen receptor (CAR) and/or an exogenous T cell receptor, wherein the CAR comprises an extracellular ligand binding domain, a transmembrane domain, and one or more intracellular signaling domains, and wherein optionally the endogenous TCR of the immune cells is knocked out.
38 . The population of immune cells of claim 37 , wherein the extracellular ligand binding domain comprises a single-chain antibody fragment specific to a cell surface protein, an extracellular domain of a cytokine receptor, or an extracellular domain of a co-stimulatory receptor.
39 . The population of immune cells of claim 37 or claim 38 , wherein the one or more intracellular signaling domains comprise (i) a signaling domain of CD3C and/or (ii) one or more signaling domains from one or more co-stimulatory proteins or cytokine receptors.
40 . The population of immune cells of any one of claims 37 - 39 , wherein the co-stimulatory proteins or cytokine receptors are selected from the group consisting of CD28, 4-1BB, 2B4, KIR, CD27, OX40, ICOS, MYD88, IL2 receptor, and SynNotch.
41 . The population of immune cells of any one of claims 29 - 40 , wherein the first plurality of modified immune cells, the second plurality of modified immune cells, or both, are T-cells, NK cells, dendritic cells, macrophages, B cells, neutrophils, eosinophils, basophils, mast cells, myeloid-derived suppressor cells, mesenchymal stem cells or precursors thereof.
42 . The population of immune cells of any one of claims 29 - 41 , wherein at least one endogenous allele of the one or more inflammatory proteins is knocked out in each cell of the first plurality of the modified immune cells.
43 . The population of immune cells of any one of claims 29 - 42 , wherein the one or more antagonists of the one or more inflammatory proteins comprise a soluble receptor of the inflammatory protein and/or an antibody specific to the inflammatory protein.
44 . The population of immune cells in any one of claims 29 - 43 , wherein the second plurality of modified immune cells comprises an exogenous nucleic acid(s) coding for the antagonist(s) of one or more inflammatory proteins and/or one or more immune suppressive cytokines
45 . The population of immune cells of claim 44 , wherein at least one of the exogenous nucleic acid is incorporated into the genome of the second plurality of modified immune cells.
46 . A method of producing a population of modified immune cells with reduced inflammatory properties, the method comprising:
(i) providing a population of immune cells; and
(ii) modifying the immune cells to reduce IL-2 production thereby.
47 . The method of claim 46 , further comprising (iii) modifying the immune cells to reduce the production of one or more inflammatory proteins, and optionally (iv) introducing into the immune cells one or more nucleic acids coding for one or more antagonists of one or more inflammatory proteins and/or one or more immune suppressive cytokines, wherein the one or more nucleic acids are in operably linkage to a promoter(s) for expression of the one or more antagonists and/or the one or more immune suppressive cytokines in the immune cells.
48 . A method of producing a population of modified immune cells with reduced inflammatory properties, the method comprising:
(i) providing a population of immune cells;
(ii) modifying the immune cells to reduce production of one or more inflammatory proteins; and
(iii) introducing into the immune cells one or more nucleic acids coding for one or more antagonists of one or more inflammatory proteins and/or one or more immune suppressive cytokines, wherein the one or more nucleic acids are in operably linkage to a promoter(s) for expression of the one or more antagonists and/or one or more immune suppressive cytokines in the immune cells.
49 . The method of any one of claims 46 - 48 , wherein the modifying step comprises gene editing at an endogenous allele of IL-2 or an endogenous allele of the one or more inflammatory proteins of the immune cells.
50 . The method of claim 49 , wherein the gene editing comprises Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR), Transcription activator-like effector nuclease (TALEN), or Zinc finger nuclease (ZFN), an endonuclease, which optionally is an ARC homing endonuclease, a meganuclease, mega-TALS, or a combination thereof.
51 . The method of any one of claims 46 - 50 , wherein the IL-2 production is reduced by about 30-95%.
52 . The method of claim 51 , wherein the IL-2 production is reduced by about 50%.
53 . The method of any one of claims 48 - 50 , wherein the one or more inflammatory proteins comprise one or more inflammatory cytokines or soluble receptors thereof, one or more inflammatory growth factors, one or more cytotoxic molecules, or a combination thereof.
54 . The method of claim 53 , wherein the one or more inflammatory cytokines or soluble receptors thereof are selected from the group consisting of IL1□, IL1□, IL-5, IL-6, IL-7, IL-8, IL-9, IL-12, IL-15, IL-17, IL-18, IL-21, IL-23, sIL-1RI, sIL-2R□, sIL6R, IFN□, IFN□, IFN□, MIP□, MIP□, CSF1, LIF, G-CSF, GM-CSF, CXCL10, CCL5, eotaxin, TNF, MCP1, MIG, RAGE, CRP, angiopoietin-2 and VWF.
55 . The method of claims 53 or 54 , wherein the one or more inflammatory growth factors are selected from the group consisting of TGFα, VEGF, EGF, HGF, and FGF.
56 . The method of any one of claim 53 - 55 , wherein the one or more cytotoxic molecules are selected from the group consisting of perforin, granzyme, and ferritin.
57 . The method of any one of claims 53 - 56 , wherein the one or more antagonists of the one or more inflammatory proteins comprise a soluble receptor of the inflammatory protein and/or an antibody specific to the inflammatory protein.
58 . The method of any one of claims 46 - 57 , wherein the immune cells are T-cells, NK cells, dendritic cells, macrophages, B cells, neutrophils, eosinophils, basophils, mast cells, myeloid-derived suppressor cells, mesenchymal stem cells, precursors thereof, or a combination thereof.
59 . The method of any one of claims 46 - 58 , wherein the immune cells express a chimeric antigen receptor (CAR) and/or an exogenous T cell receptor, wherein the CAR comprises an extracellular ligand binding domain, a transmembrane domain, and one or more intracellular signaling domains, and wherein optionally the endogenous TCR of the immune cells is knocked out.
60 . The method of claim 59 , wherein the extracellular ligand binding domain comprises a single-chain antibody fragment specific to a cell surface protein, an extracellular domain of a cytokine receptor, or an extracellular domain of a co-stimulatory receptor.
61 . The method of any one of claims 59 - 60 , wherein the one or more one or more intracellular signaling domains comprise (i) a signaling domain of CD3C and/or (ii) one or more signaling domains from one or more co-stimulatory proteins or cytokine receptors.
62 . The method of claim 61 , wherein the co-stimulatory proteins or cytokine receptors are selected from the group consisting of CD28, 4-1BB, 2B4, KIR, CD27, OX40, ICOS, MYD88, IL2 receptor, and SynNotch.
63 . A population of immune cells, which is prepared by a method of any one of claims 46 - 62 .
64 . A method of cell therapy, comprising administering to a subject in need thereof a population of immune cells of any one of claims 1 - 45 and 63 .
65 . The method of claim 64 , wherein the subject is a human patient having cancer, an infectious disease, or an immune disorder.