NKT-cell subset for in vivo persistence and therapeutic activity and propagation of same
Embodiments of the disclosure include methods and compositions for producing NKT cells effective for immunotherapy and also methods and compositions for providing an effective amount of NKT cells to an individual in need of immunotherapy. In specific embodiments, the NKT cells are CD62L+ and have been exposed to one or more costimulatory agents to maintain CD62L expression. The NKT cells may be modified to incorporate a chimeric antigen receptor, in some cases.
1. A pharmaceutical composition comprising a plurality of genetically modified CD62L-positive Type I human natural killer T (NKT) cells comprising at least one chimeric antigen receptor (CAR) expression construct wherein said CD62L-positive Type I human NKT cells comprise the majority of the NKT Type I human NKT cells in said composition.
2. The pharmaceutical composition of claim 1 , wherein said composition comprises a dose of said plurality of genetically modified Type I CD62L-positive Type I NKT cells that is between 1×10 7 to 2×10 8 cells per square meter of patient surface area.
3. The pharmaceutical composition of claim 1 , wherein said composition comprises a therapeutically effective amount of said CD62L-positive Type I human natural killer T (NKT) cells.
4. The pharmaceutical composition of claim 2 , wherein said NKT cells are at least 12 day old in vitro expanded primary human CD62L-positive NKT cells.
5. The pharmaceutical composition of claim 1 , wherein the CAR expression construct comprises an antigen recognition domain directed to at least one tumor-associated antigen.
6. The pharmaceutical composition of claim 5 , wherein said at least one tumor-associated antigen is selected from the group consisting of melanoma-associated antigen (MAGE), expressed antigen of melanoma (PRAME), CD19, CD20, CD22, K-light chain, CD30, CD33, CD123, CD38, CD138, ROR1, ErbB2, ErbB3/4, EGFr vIII, carcinoembryonic antigen, EGP2, EGP40, HER2, mesothelin, TAG72, PSMA, NKG2D ligands, B7-H6, IL-13 receptor a2, MUCI, MUC16, CA9, GD2, GD3, HMW-MAA, CD171, Lewis Y, G250/CAIX, HLA-AI MAGE AI, HLA-A2 NY-ES0-1, PSCI, folate receptor-a, CD44v6, CD44v7/8, 8H9, NCAM, VEGF receptors, 5T4, Fetal AchR, NKG2D ligands, CD44v6, GPC3, CSPG4, CEA, or combinations thereof.
7. The pharmaceutical composition of claim 6 , wherein said at least one antigen is CD19.
8. The pharmaceutical composition of claim 6 , wherein said at least one antigen is GD2.
9. The pharmaceutical composition of claim 6 , wherein said at least one antigen is GPC3.
10. The pharmaceutical composition of claim 4 , wherein the CAR expression construct comprises an ectodomain that includes an antigen recognition domain, and a transmembrane domain that links the antigen recognition domain to the transmembrane domain.
11. The pharmaceutical composition of claim 10 , further comprising a spacer that links the antigen recognition domain to the transmembrane domain, wherein the spacer is selected from a group consisting of a CH2CH3 region of immunoglobulin, a hinge region from IgG1, and at least portions of CD3.
12. The pharmaceutical composition of claim 11 , wherein the transmembrane domain comprises a CD28 transmembrane region.
13. The pharmaceutical composition of claim 5 , wherein the antigen recognition domain comprises a single-chain variable fragment (scFv).
14. The pharmaceutical composition of claim 1 , wherein the CAR expression construct comprises at least a portion of a cytoplasmic signaling domain.
15. The pharmaceutical composition of claim 14 , wherein the cytoplasmic signaling domain is derived from a T cell receptor CD3zeta-chain.
16. The pharmaceutical composition of claim 1 , wherein the CAR expression construct comprises a costimulatory endodomain.
17. The pharmaceutical composition of claim 16 , wherein the costimulatory endodomain is selected from CD28, OX40, 4-1BB, ICOS, CD40, CD30, CD27, or combinations thereof.
18. The pharmaceutical composition of claim 17 , wherein the costimulatory endodomain is 4-1BB.
19. The pharmaceutical composition of claim 17 , wherein the costimulatory endodomain is CD28.
20. The pharmaceutical composition of claim 5 , wherein the CAR expression construct comprises a scFv from a CD19-specific antibody FMC-63 which is connected, via a spacer derived from the IgG1 hinge region, to a transmembrane domain derived from CD8a, and a signaling endodomain sequence of 4-1BB fused with a CD3-zeta-chain.
21. A pharmaceutical composition for immunotherapy of a subject in need thereof comprising a dose of genetically modified CD62L-positive Type I human natural killer T (NKT) cells expressing at least one chimeric antigen receptor (CAR) expression construct, wherein said dose comprises between 1×10 7 to 2×10 8 said NKT cells per square meter of said subject surface area and said NKT cells are the majority of Type I NKT cells in said composition.
22. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 21 , wherein said composition comprises a pharmaceutically acceptable carrier.
23. The pharmaceutical composition comprising a plurality of genetically modified CD62L-positive Type I human natural killer T (NKT) cells of claim 1 , wherein said cells exhibit in vivo persistence and are detectable at day 10 when transferred into NOD/SCID/IL2RY(null) (NSG) mice having CD19 + Daudi lymphoma cells.
24. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 22 , wherein said composition is a composition for parenteral administration.
25. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 24 , wherein said composition is a composition for intravenous administration.
26. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 24 , wherein said pharmaceutically acceptable carrier is saline or a buffered media.
27. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 21 , wherein said subject is a cancer patient.
28. The pharmaceutical composition for immunotherapy of a subject in need thereof of claim 27 , wherein said cancer is neuroblastoma, lymphoma, leukemia, or liver cancer.