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Single-cell transcriptome analysis of CAR T-cell products reveals subpopulations, stimulation, and exhaustion signatures.

Accepted version
Peer-reviewed

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Authors

Kotsopoulou, Ekaterini 
Göttgens, Berthold  ORCID logo  https://orcid.org/0000-0001-6302-5705
Calero-Nieto, Fernando J  ORCID logo  https://orcid.org/0000-0003-3358-8253

Abstract

Chimeric antigen receptor (CAR) T-cell adoptive therapy is set to transform the treatment of a rapidly expanding range of malignancies. Although the activation process of normal T cells is well characterized, comparatively little is known about the activation of cells via the CAR. Here we have used flow cytometry together with single-cell transcriptome profiling to characterize the starting material (peripheral blood mononuclear cells) and CAR therapeutic products of 3 healthy donors in the presence and absence of antigen-specific stimulation. Analysis of 53,191 single-cell transcriptomes showed APRIL-based CAR products to contain several subpopulations of cells, with cellular composition reproducible from donor to donor, and all major cellular subsets compatible with CAR expression. Only 50% of CAR-expressing cells displayed transcriptional changes upon CAR-specific antigen exposure. The resulting molecular signature for CAR T-cell activation provides a rich resource for future dissection of underlying mechanisms. Targeted data interrogation also revealed that a small proportion of antigen-responding CAR-expressing cells displayed an exhaustion signature, with both known markers and genes not previously associated with T-cell exhaustion. Comprehensive single-cell transcriptomic analysis thus represents a powerful way to guide the assessment and optimization of clinical-grade CAR-T-cells, and inform future research into the underlying molecular processes.

Description

Keywords

CAR-T exhaustion, T cell activation, chimeric antigen receptor, single-cell transcriptomics, Gene Expression Profiling, Immunotherapy, Adoptive, Leukocytes, Mononuclear, T-Lymphocytes, Transcriptome

Journal Title

Oncoimmunology

Conference Name

Journal ISSN

2162-4011
2162-402X

Volume Title

10

Publisher

Informa UK Limited

Rights

All rights reserved
Sponsorship
Wellcome Trust (206328/Z/17/Z)
Leukaemia & Lymphoma Research (12029)
Cancer Research UK (21762)
Medical Research Council (MR/M008975/1)
This research was supported by the Cambridge NIHR BRC Cell Phenotyping Hub. We would like to thank Arianne Richards for helpful discussions. Work in the authors’ laboratory is supported by grants from Wellcome Trust (Wellcome Senior Investigator Award 206328/Z/17/Z); Bloodwise (12029), Cancer Research UK (C1163/A21762) and core funding from Wellcome and MRC to the Wellcome-MRC Cambridge Stem Cell Institute