COMPOSITIONS AND METHODS FOR IMPROVED T CELLS
20250011425 ยท 2025-01-09
Inventors
Cpc classification
C07K2319/33
CHEMISTRY; METALLURGY
A61K40/11
HUMAN NECESSITIES
C07K2317/24
CHEMISTRY; METALLURGY
A61K2239/38
HUMAN NECESSITIES
C12Y201/01043
CHEMISTRY; METALLURGY
International classification
C07K16/28
CHEMISTRY; METALLURGY
A61P35/00
HUMAN NECESSITIES
Abstract
The invention provides compositions and methods for generating improved T cells having increased Ezh2 activity and methods of use thereof in the treatment of cancer and chronic infection.
Claims
1. A vector comprising a nucleic acid sequence encoding an Ezh2S21A protein.
2. The vector of claim 1, wherein the vector is a lentivirus vector.
3. A cell comprising the vector of claim 1.
4. The cell of claim 3, wherein the cell is selected from the group consisting of a CART cell, a TCR-transgenic T cell, a Tumor infiltrating T cell (TIL), and an autologous T cell.
5. The cell of claim 4, wherein the CART cell comprises a chimeric antigen receptor (CAR) comprising at least one sequence selected from the group consisting of a binding domain, a co-stimulatory signaling domain, a cytoplasmic signaling sequence and a combination thereof.
6. The cell of claim 5, wherein the CAR comprises a CD19 binding domain.
7. The cell of claim 5, wherein the CAR comprises a 4-1BB co-stimulatory signaling domain.
8. The cell of claim 5, wherein the CAR comprises a CD3 cytoplasmic signaling sequence.
9. A method of generating an improved T cell comprising contacting a T cell with the vector of claim 1.
10. The method of claim 9, further comprising contacting the T cell with at least one inhibitor of a regulator of at least one of the level and activity of Ezh2.
11. The method of claim 10, wherein at least one inhibitor is selected from the group consisting of a calcinurin inhibitor, an AKT inhibitor, a PI3K inhibitor, an AP-1 inhibitor, a CDk1 inhibitor, a CDK4/6 inhibitor and a DNA-PK inhibitor.
12. The method of claim 11, wherein at least one inhibitor is selected from the group consisting of CsA, Tacrolimus, GSK-J4, 5-Carboxy-8-hydroxyquinoline, MEK2206, SB203580, MK2206, SC79, AZD5363, LM22B-10, GDC-0068, GSK-690693, Afuersertib, AKT inhibitor VIII, A-443654, TIC10, Honokiol, Triciribine, A-674563, Prifosine, Miltefosine, SRI1302, SP100030, c-JUN peptide, TanIIA, E3330, NNGH, Sulfaphenoazole, U0126 monoethanolate, IQ-1S, SM-7368, NIN-43, MEK inhibitor VII, TNAP inhibitor, FR180204, APEl inhibitor III, (S)-AR-TURMERONE, 4-O-METHYLHONOKIOL, 5-(9-ISOPROPYL-2-MORPHOLINO-9H-PURIN-6-YL)PYRIMIDIN-2-AMINE, A66, Arenobufagin, Bay80-6946, Benidipine Hydrochloride, BEX235, BKM120, BYL719, CAL-101, CH5132799, CUDC-907, GDC-0980, GSK-2126458, GSK-2334470, GSK-2636771, IPI-145, Ly-294002, PF-04691502 Dihydrate, Piceatanol, PKI-402, PP-121, PX-866, R547, Dinaciclib, BMS-265246, JNJ-7706621, AZD5438, Alvocidib, SU9516, PHA-793887, P276-00, AT7519, PHA-7677491, Milciclib (PHA-848125), SNS-032, NU6027, LDC0000067, Palbociclib, Everolimus, Ly3023414, KU-57788, NU 7026, PIK-75, LTURM34, CC-115 and Compound 401 and a combination thereof and a combination thereof.
13. The method of claim 9, wherein the T cell is selected from the group consisting of a CART cell, a TCR-transgenic T cell, a TIL, and an autologous T cell.
14. The method of claim 13, wherein the CART cell comprises a chimeric antigen receptor (CAR) comprising at least one sequence selected from the group consisting of a binding domain, a co-stimulatory signaling domain, a cytoplasmic signaling sequence and a combination thereof.
15. The method of claim 14, wherein the CAR comprises a CD19 binding domain.
16. The method of claim 14, wherein the CAR comprises a 4-1BB co-stimulatory signaling domain.
17. The method of claim 14, wherein the CAR comprises a CD3 cytoplasmic signaling sequence.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION
[0065] In one embodiment, the invention provides methods and compositions for use in generating improved T cells for use in adoptive T cell therapy.
[0066] In one embodiment, the invention provides compositions and methods for modifying at least one of the level and activity of a gene regulated by Ezh2 in a T cell. In one embodiment, the invention relates compositions and methods for increasing at least one of the level and activity of a gene upregulated by Ezh2. In one embodiment, the invention relates to compositions and methods for increasing at least one of the level and activity of Id3 in a T cell. In one embodiment, the invention relates compositions and methods for decreasing at least one of the level and activity of a gene downregulated by Ezh2. In one embodiment, the invention relates to compositions and methods for decreasing at least one of the level and activity of at least one of Id2, Prdm1 and Eomes in a T cell.
[0067] In one embodiment, the invention provides compositions and methods for increasing at least one of the level and activity of Ezh2 in T cells. Ezh2 catalyzes H3K27me3. Therefore, in one embodiment, the invention provides compositions and methods for increasing H3K27me3 activity in cells. In one embodiment, the invention relates to compositions and methods that can selectively reduce Akt phosphorylation of Ezh2 in proliferating T cells without impairing effector differentiation.
[0068] In one embodiment, the methods and compositions of the invention reduce the level of Ezh2 phosphorylation by Akt. In one embodiment, a method of reducing the level of Ezh2 phosphorylation is through using a variant of Ezh2 that does not get phosphorylated by Akt.
[0069] In one embodiment, the invention provides vectors for expression of an Akt-insensitive Ezh2 protein. In one embodiment, the invention provides a vector encoding an Ezh2S21A protein. In one embodiment, the vector is a retroviral vector. In one embodiment, the vector is a self-inactivating lentiviral vector as described elsewhere herein. In one embodiment the vector is delivered (e.g., by transfecting or electroporating) to a T cell wherein the vector comprises an Ezh2S21A transgene, which is transcribed as an mRNA molecule. In one embodiment, the invention provides cells transformed with a vector comprising an Ezh2S21A transgene. Therefore, in various embodiments, the invention includes compositions comprising genetically improved T cells engineered to express Ezh2S21A and methods of using a genetically improved T cell engineered to express Ezh2S21A. In one embodiment, the T cell is a tumor-reactive T cell. In one embodiment, the T cell is a CART cell.
[0070] In one embodiment, a method of reducing the level of Ezh2 phosphorylation is through inhibiting Akt or inhibiting a protein or pathway that leads to Akt phosphorylation of Ezh2. Therefore, in one embodiment, the invention provides methods of generating T cells having increased Ezh2 activity through contacting the T cell with one or more inhibitor of Akt or an inhibitor of a protein or pathway that leads to Akt phosphorylation of Ezh2. In one embodiment, the T cell is contacted with at least one inhibitor of calcinurin, JMJD3, AKT and AP-1. In one embodiment, the T cell is contacted with a combination of at least four inhibitors to inhibit all of calcinurin, JMJD3, AKT and AP-1.
[0071] In one embodiment, the invention provides improved T cells generated according to the methods of the invention. In one embodiment, the improved T cell of the invention is a multipotent T memory stem cell (T.sub.SCM). In one embodiment, the improved T cell of the invention is an induced multipotent T memory stem cell (iT.sub.SCM).
[0072] In one embodiment, the T cell is a CART cell. In one embodiment, the CART cell expresses Ezh2S21A. Therefore, in one embodiment, the invention relates to methods and compositions for generating Ezh2S21A expressing CART cells and use thereof. In one embodiment, the CART cell is contacted with at least one inhibitor of calcinurin, JMJD3, AKT and AP-1. In one embodiment, the CART cell is contacted with a combination of at least four inhibitors to inhibit all of calcinurin, JMJD3, AKT and AP-1.
[0073] In one embodiment, the T cell of the invention is used for treatment of a disease or disorder. In one embodiment, the disease or disorder is cancer, including but not limited to primary or metastatic melanoma, thymoma, lymphoma, sarcoma, lung cancer, liver cancer, non-Hodgkin's lymphoma, Hodgkins lymphoma, leukemias, uterine cancer, cervical cancer, bladder cancer, kidney cancer and adenocarcinomas such as breast cancer, prostate cancer, ovarian cancer, pancreatic cancer, glioblastoma, neuroblastoma, and the like.
[0074] In one embodiment, the T cell of the invention is used for treatment of chronic infections, including but not limited to HIV infection, hepatitis infection, CMV-infection, EBV infection, and the like.
[0075] In one embodiment, the invention includes autologous cells from a subject having a cancer that are cultured in the presence of at least one agent that modulates Ezh2 or Akt function. In one embodiment, the autologous cells are cultured in the presence of at least one at least one inhibitor of calcinurin, JMJD3, AKT and AP-1. In one embodiment, the autologous cells are genetically modified (for example, by transfecting or electroporating an RNA molecule encoding a desired CAR into the T cell.)
[0076] In one embodiment, the T cell of the invention may be a TCR-transgenic T cell, a Tumor infiltrating T cell (TIL) or any T cell that can be used for treating a disease or disorder (for example, treating chronic infection or cancer.)
Definitions
[0077] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the invention pertains. The articles a and an are used herein to refer to one or to more than one (i.e., to at least one) of the grammatical object of the article. By way of example, an element means one element or more than one element.
[0078] About as used herein when referring to a measurable value such as an amount, a temporal duration, and the like, is meant to encompass variations of 20% or in some instances 10%, or in some instances 5%, or in some instances 1%, or in some instances 0.1% from the specified value, as such variations are appropriate to perform the disclosed methods.
[0079] As used herein, the term Chimeric Antigen Receptor or alternatively a CAR refers to a recombinant polypeptide construct comprising at least an extracellular antigen binding domain, a transmembrane domain and a cytoplasmic signaling domain comprising a functional signaling domain derived from a stimulatory molecule as defined herein. In one embodiment, the stimulatory molecule is the chain associated with the T cell receptor complex. In one embodiment, the intracellular signaling domain further comprises one or more functional signaling domains derived from at least one costimulatory molecule as defined below. In one embodiment, the costimulatory molecule is 4-1BB (i.e., CD137). In one embodiment, the CAR comprises a chimeric fusion protein comprising an extracellular antigen recognition domain, a transmembrane domain and a cytoplasmic signaling domain comprising a functional signaling domain derived from a stimulatory molecule. In one embodiment, the CAR comprises a chimeric fusion protein comprising an extracellular antigen recognition domain, a transmembrane domain and a cytoplasmic signaling domain comprising a functional signaling domain derived from a co-stimulatory molecule and a functional signaling domain derived from a stimulatory molecule. In one embodiment, the CAR comprises a chimeric fusion protein comprising an extracellular antigen recognition domain, a transmembrane domain and an intracellular signaling domain comprising two functional signaling domains derived from one or more co-stimulatory molecule(s) and a functional signaling domain derived from a stimulatory molecule. In one embodiment, the CAR comprises a chimeric fusion protein comprising an extracellular antigen recognition domain, a transmembrane domain and an intracellular signaling domain comprising at least two functional signaling domains derived from one or more co-stimulatory molecule(s) and a functional signaling domain derived from a stimulatory molecule. In one embodiment the CAR comprises an optional leader sequence at the amino-terminus (N-ter) of the CAR fusion protein. In one embodiment, the CAR further comprises a leader sequence at the N-terminus of the extracellular antigen recognition domain, wherein the leader sequence is optionally cleaved from the scFv domain during cellular processing and localization of the CAR to the cellular membrane. As used herein, the terms intracellular and cytoplasmic are used interchangeably.
[0080] The term antibody, as used herein, refers to a polypeptide of the immunoglobulin family that is capable of binding a corresponding antigen non-covalently, reversibly, and in a specific manner. For example, a naturally occurring IgG antibody is a tetramer comprising at least two heavy (H) chains and two light (L) chains inter-connected by disulfide bonds. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as V.sub.H) and a heavy chain constant region. The heavy chain constant region is comprised of three domains, CH1, CH2 and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as V.sub.L) and a light chain constant region. The light chain constant region is comprised of one domain, CL. The V.sub.H and V.sub.L regions can be further subdivided into regions of hyper variability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR). Each V.sub.H and V.sub.L is composed of three CDRs and four FRs arranged from amino-terminus to carboxy-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, and FR4. The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The constant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (C1q) of the classical complement system. The term antibody includes, but is not limited to, monoclonal antibodies, human antibodies, humanized antibodies, camelid antibodies, and chimeric antibodies. The antibodies can be of any isotype/class (e.g., IgG, IgE, IgM, IgD, IgA and IgY), or subclass (e.g., IgG1, IgG2, IgG3, IgG4, IgA1 and IgA2).
[0081] The term antibody fragment refers to at least one portion of an intact antibody, or recombinant variants thereof, and refers to the antigen binding domain, e.g., an antigenic determining variable regions of an intact antibody that is sufficient to confer recognition and specific binding of the antibody fragment to a target, such as an antigen. Examples of antibody fragments include, but are not limited to, Fab, Fab, F(ab)2, and Fv fragments, single chain or scFv antibody fragments, linear antibodies, single domain antibodies such as sdAb (either V.sub.L or V.sub.H), camelid V.sub.HH domains, and multi-specific antibodies formed from antibody fragments. The term scFv refers to a fusion protein comprising at least one antibody fragment comprising a variable region of a light chain and at least one antibody fragment comprising a variable region of a heavy chain, wherein the light and heavy chain variable regions are contiguously linked via a short flexible polypeptide linker, and capable of being expressed as a single chain polypeptide, and wherein the scFv retains the specificity of the intact antibody from which it is derived. Unless specified, as used herein an scFv may have the V.sub.L and V.sub.H variable regions in either order, e.g., with respect to the N-terminal and C-terminal ends of the polypeptide, the scFv may comprise V.sub.L-linker-V.sub.H or may comprise V.sub.H-linker-V.sub.L.
[0082] The portion of the CAR composition of the invention comprising an antibody or antibody fragment thereof may exist in a variety of forms where the antigen binding domain is expressed as part of a contiguous polypeptide chain including, for example, a single domain antibody fragment (sdAb), a single chain antibody (scFv) and a humanized antibody (Harlow et al., 1999, In: Using Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, NY; Harlow et al., 1989, In: Antibodies: A Laboratory Manual, Cold Spring Harbor, New York; Houston et al., 1988, Proc. Natl. Acad. Sci. USA 85:5879-5883; Bird et al., 1988, Science 242:423-426). In one embodiment, the antigen binding domain of a CAR composition of the invention comprises an antibody fragment. In a further embodiment, the CAR comprises an antibody fragment that comprises a scFv.
[0083] By the term recombinant antibody as used herein, is meant an antibody which is generated using recombinant DNA technology, such as, for example, an antibody expressed by a bacteriophage or yeast expression system. The term should also be construed to mean an antibody which has been generated by the synthesis of a DNA molecule encoding the antibody and which DNA molecule expresses an antibody protein, or an amino acid sequence specifying the antibody, wherein the DNA or amino acid sequence has been obtained using recombinant or synthetic DNA or amino acid sequence technology which is available and well known in the art.
[0084] The term antigen or Ag as used herein is defined as a molecule that provokes an immune response. This immune response may involve either antibody production, or the activation of specific immunologically-competent cells, or both. The skilled artisan will understand that any macromolecule, including virtually all proteins or peptides, can serve as an antigen. Furthermore, antigens can be derived from recombinant or genomic DNA. A skilled artisan will understand that any DNA, which comprises a nucleotide sequences or a partial nucleotide sequence encoding a protein that elicits an immune response therefore encodes an antigen as that term is used herein. Furthermore, one skilled in the art will understand that an antigen need not be encoded solely by a full length nucleotide sequence of a gene. It is readily apparent that the present invention includes, but is not limited to, the use of partial nucleotide sequences of more than one gene and that these nucleotide sequences are arranged in various combinations to encode polypeptides that elicit the desired immune response. Moreover, a skilled artisan will understand that an antigen need not be encoded by a gene at all. It is readily apparent that an antigen can be generated, synthesized or can be derived from a biological sample, or it can be a macromolecule that is not necessarily a polypeptide. Such a biological sample can include, but is not limited to a tissue sample, a tumor sample, a cell or a fluid with other biological components.
[0085] The term anti-tumor effect as used herein, refers to a biological effect which can be manifested by various means, including but not limited to, e.g., a decrease in tumor volume, a decrease in the number of tumor cells, a decrease in the number of metastases, an increase in life expectancy, decrease in tumor cell proliferation, decrease in tumor cell survival, or amelioration of various physiological symptoms associated with the cancerous condition. An anti-tumor effect can also be manifested by the ability of the peptides, polynucleotides, cells and antibodies of the invention in prevention of the occurrence of tumor in the first place.
[0086] As used herein, the term autologous is meant to refer to any material derived from the same individual to whom it is later to be re-introduced.
[0087] Allogeneic refers to any material derived from a different animal of the same species as the individual to whom the material is introduced. Two or more individuals are said to be allogeneic to one another when the genes at one or more loci are not identical. In some embodiments, allogeneic material from individuals of the same species may be sufficiently unlike genetically to interact antigenically.
[0088] Xenogeneic refers to a graft derived from an animal of a different species.
[0089] The term cancer as used herein is defined as disease characterized by the rapid and uncontrolled growth of aberrant cells. Cancer cells can spread locally or through the bloodstream and lymphatic system to other parts of the body. Examples of various cancers include but are not limited to, primary or metastatic melanoma, thymoma, lymphoma, sarcoma, lung cancer, liver cancer, non-Hodgkin's lymphoma, Hodgkins lymphoma, leukemia, uterine cancer, cervical cancer, bladder cancer, kidney cancer and adenocarcinomas such as breast cancer, prostate cancer, ovarian cancer, pancreatic cancer, glioblastoma, neuroblastoma, and the like.
[0090] As used herein, the term conservative sequence modifications is intended to refer to amino acid modifications that do not significantly affect or alter the binding characteristics of the antibody or antibody fragment containing the amino acid sequence. Such conservative modifications include amino acid substitutions, additions and deletions. Modifications can be introduced into an antibody or antibody fragment of the invention by standard techniques known in the art, such as site-directed mutagenesis and PCR-mediated mutagenesis. Conservative amino acid substitutions are ones in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been defined in the art. These families include amino acids with basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, tryptophan), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine). Thus, one or more amino acid residues within the CDR regions of an antibody or antibody fragment of the invention can be replaced with other amino acid residues from the same side chain family and the altered antibody or antibody fragment can be tested for the ability to bind the target using the functional assays described herein.
[0091] By the term stimulation, is meant a primary response induced by binding of a stimulatory molecule (e.g., a TCR/CD3 complex) with its cognate ligand thereby mediating a signal transduction event, such as, but not limited to, signal transduction via the TCR/CD3 complex. Stimulation can mediate altered expression of certain molecules, such as downregulation of TGF-, and/or reorganization of cytoskeletal structures, and the like.
[0092] A stimulatory molecule, as the term is used herein, means a molecule expressed by a T cell that provide the primary cytoplasmic signaling sequence(s) that regulate primary activation of the TCR complex in a stimulatory way for at least some embodiment of the T cell signaling pathway. In one embodiment, the primary signal is initiated by, for instance, binding of a TCR/CD3 complex with an MHC molecule loaded with peptide, and which leads to mediation of a T cell response, including, but not limited to, proliferation, activation, differentiation, and the like. Primary cytoplasmic signaling sequences that act in a stimulatory manner may contain signaling motifs which are known as immunoreceptor tyrosine-based activation motifs or ITAMs. Examples of ITAM containing primary cytoplasmic signaling sequences that are of particular use in the invention include those derived from TCR , FcR gamma, FcR beta, CD3 gamma, CD3 delta, CD3 epsilon, CD5, CD22, CD79a, CD79b, CD278 (also known as ICOS) and CD66d. In a specific CAR of the invention, the cytoplasmic signaling molecule in any one or more CARs of the invention comprises a cytoplasmic signaling sequence derived from CD3. In a specific CAR of the invention, the cytoplasmic signaling sequence derived from CD3 is the human sequence, or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like.
[0093] An antigen presenting cell or APC as used herein, means an immune system cell such as an accessory cell (e.g., a B-cell, a dendritic cell, and the like) that displays foreign antigens complexed with major histocompatibility complexes (MHC's) on their surfaces. T-cells may recognize these complexes using their T-cell receptors (TCRs). APCs process antigens and present them to T-cells.
[0094] As used herein or alternatively chain, CD3 or TCR is defined as the protein provided as GenBank accession No. BAG36664.1, or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like, and a stimulatory domain or alternatively a CD3 stimulatory domain or a TCR stimulatory domain is defined as the amino acid residues from the cytoplasmic domain of the chain that are sufficient to functionally transmit an initial signal necessary for T cell activation. In one embodiment the cytoplasmic domain of comprises residues 52 through 164 of GenBank accession No. BAG36664.1 or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like, that are functional orthologs thereof.
[0095] A costimulatory molecule refers to the cognate binding partner on a T cell that specifically binds with a costimulatory ligand, thereby mediating a costimulatory response by the T cell, such as, but not limited to, proliferation. Costimulatory molecules are cell surface molecules other than antigen receptors or their ligands that are required for an efficient immune response. Costimulatory molecules include, but are not limited to an MHC class I molecule, BTLA and a Toll ligand receptor, as well as OX40, CD27, CD28, CDS, ICAM-1, LFA-1 (CD11a/CD18) and 4-1BB (CD137).
[0096] As used herein 4-1BB is defined as member of the TNFR superfamily with an amino acid sequence provided as GenBank accession No. AAA62478.2, or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like; and a 4-1BB costimulatory domain are defined amino acid residues 214-255 of GenBank accession No. AAA62478.2, or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like. In one embodiment, the 4-1BB costimulatory domain is the human sequence or the equivalent residues from a non-human species, e.g., mouse, rodent, monkey, ape and the like. Encoding refers to the inherent property of specific sequences of nucleotides in a polynucleotide, such as a gene, a cDNA, or an mRNA, to serve as templates for synthesis of other polymers and macromolecules in biological processes having either a defined sequence of nucleotides (i.e., rRNA, tRNA and mRNA) or a defined sequence of amino acids and the biological properties resulting therefrom. Thus, a gene, cDNA, or RNA encodes a protein if transcription and translation of mRNA corresponding to that gene, cDNA, or RNA produces the protein in a cell or other biological system. Both the coding strand, the nucleotide sequence of which is identical to the mRNA sequence and is usually provided in sequence listings, and the non-coding strand, used as the template for transcription of a gene or cDNA, can be referred to as encoding the protein or other product of that gene or cDNA.
[0097] Unless otherwise specified, a nucleotide sequence encoding an amino acid sequence includes all nucleotide sequences that are degenerate versions of each other and that encode the same amino acid sequence. Nucleotide sequences that encode proteins or a RNA may also include introns to the extent that the nucleotide sequence encoding the protein may in some version contain an intron(s).
[0098] Effective amount or therapeutically effective amount are used interchangeably herein, and refer to an amount of a compound, formulation, material, or composition, as described herein effective to achieve a particular biological result. Such results may include, but are not limited to, the inhibition of virus infection as determined by any means suitable in the art.
[0099] As used herein endogenous refers to any material from or produced inside an organism, cell, tissue or system.
[0100] As used herein, the term exogenous refers to any material introduced from or produced outside an organism, cell, tissue or system.
[0101] The term expression as used herein is defined as the transcription and/or translation of a particular nucleotide sequence driven by its regulatory sequences.
[0102] A transfer vector is a composition of matter which comprises an isolated nucleic acid and which can be used to deliver the isolated nucleic acid to the interior of a cell. Numerous vectors are known in the art including, but not limited to, linear polynucleotides, polynucleotides associated with ionic or amphiphilic compounds, plasmids, and viruses. Thus, the term transfer vector includes an autonomously replicating plasmid or a virus. The term should also be construed to further include non-plasmid and non-viral compounds which facilitate transfer of nucleic acid into cells, such as, for example, polylysine compounds, liposomes, and the like. Examples of viral transfer vectors include, but are not limited to, adenoviral vectors, adeno-associated virus vectors, retroviral vectors, lentiviral vectors, and the like.
[0103] Expression vector refers to a vector comprising a recombinant polynucleotide comprising expression control sequences operatively linked to a nucleotide sequence to be expressed. An expression vector comprises sufficient cis-acting elements for expression; other elements for expression can be supplied by the host cell or in an in vitro expression system. Expression vectors include all those known in the art, such as cosmids, plasmids (e.g., naked or contained in liposomes) and viruses (e.g., lentiviruses, retroviruses, adenoviruses, and adeno-associated viruses) that incorporate the recombinant polynucleotide.
[0104] Homologous as used herein, refers to the subunit sequence identity between two polymeric molecules, e.g., between two nucleic acid molecules, such as, two DNA molecules or two RNA molecules, or between two polypeptide molecules. When a subunit position in both of the two molecules is occupied by the same monomeric subunit; e.g., if a position in each of two DNA molecules is occupied by adenine, then they are homologous at that position. The homology between two sequences is a direct function of the number of matching or homologous positions; e.g., if half (e.g., five positions in a polymer ten subunits in length) of the positions in two sequences are homologous, the two sequences are 50% homologous; if 90% of the positions (e.g., 9 of 10), are matched or homologous, the two sequences are 90% homologous.
[0105] Humanized forms of non-human (e.g., murine) antibodies are chimeric immunoglobulins, immunoglobulin chains or fragments thereof (such as Fv, Fab, Fab, F(ab)2 or other antigen-binding subsequences of antibodies) which contain minimal sequence derived from non-human immunoglobulin. For the most part, humanized antibodies and antibody fragments thereof are human immunoglobulins (recipient antibody or antibody fragments) in which residues from a complementary-determining region (CDR) of the recipient are replaced by residues from a CDR of a non-human species (donor antibody) such as mouse, rat or rabbit having the desired specificity, affinity, and capacity. In some instances, Fv framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Furthermore, humanized antibodies or antibody fragments can comprise residues which are found neither in the recipient antibody or antibody fragment nor in the imported CDR or framework sequences. These modifications are made to further refine and optimize antibody or antibody fragment performance. In general, the humanized antibody or antibody fragment thereof will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin and all or substantially all of the FR regions are those of a human immunoglobulin sequence. The humanized antibody or antibody fragment can also comprise at least a portion of an immunoglobulin constant region (Fc), typically that of a human immunoglobulin. For further details, see Jones et al., Nature, 321: 522-525, 1986; Reichmann et al., Nature, 332: 323-329, 1988; Presta, Curr. Op. Struct. Biol., 2: 593-596, 1992.
[0106] Fully human refers to an immunoglobulin, such as an antibody or fragment, where the whole molecule is of human origin or consists of an amino acid sequence identical to a human form of the antibody or immunoglobulin.
[0107] As used herein, an instructional material includes a publication, a recording, a diagram, or any other medium of expression which can be used to communicate the usefulness of the compositions and methods of the invention. The instructional material of the kit of the invention may, for example, be affixed to a container which contains the nucleic acid, peptide, and/or composition of the invention or be shipped together with a container which contains the nucleic acid, peptide, and/or composition. Alternatively, the instructional material may be shipped separately from the container with the intention that the instructional material and the compound be used cooperatively by the recipient.
[0108] Isolated means altered or removed from the natural state. For example, a nucleic acid or a peptide naturally present in a living animal is not isolated, but the same nucleic acid or peptide partially or completely separated from the coexisting materials of its natural state is isolated. An isolated nucleic acid or protein can exist in substantially purified form, or can exist in a non-native environment such as, for example, a host cell.
[0109] In the context of the present invention, the following abbreviations for the commonly occurring nucleic acid bases are used. A refers to adenosine, C refers to cytosine, G refers to guanosine, T refers to thymidine, and U refers to uridine.
[0110] A lentivirus as used herein refers to a genus of the Retroviridae family. Lentiviruses are unique among the retroviruses in being able to infect non-dividing cells; they can deliver a significant amount of genetic information into the DNA of the host cell, so they are one of the most efficient methods of a gene delivery vector. HIV, SIV, and FIV are all examples of lentiviruses. Vectors derived from lentiviruses offer the means to achieve significant levels of gene transfer in vivo.
[0111] A lentiviral vector is a vector derived from at least a portion of a lentivirus genome, including especially a self-inactivating lentiviral vector as provided in Milone et al., Mol. Ther. 17(8): 1453-1464 (2009). Other Examples or lentivirus vectors that may be used in the clinic as an alternative to the pELPS vector, include but not limited to, e.g., the LENTIVECTOR gene delivery technology from Oxford BioMedica, the LENTIMAX vector system from Lentigen and the like. Nonclinical types of lentiviral vectors are also available and would be known to one skilled in the art.
[0112] The term operably linked or alternatively transcriptional control refers to functional linkage between a regulatory sequence and a heterologous nucleic acid sequence resulting in expression of the latter. For example, a first nucleic acid sequence is operably linked with a second nucleic acid sequence when the first nucleic acid sequence is placed in a functional relationship with the second nucleic acid sequence. For instance, a promoter is operably linked to a coding sequence if the promoter affects the transcription or expression of the coding sequence. Operably linked DNA sequences can be contiguous with each other and, where necessary to join two protein coding regions, are in the same reading frame.
[0113] Parenteral administration of an immunogenic composition includes, e.g., subcutaneous (s.c.), intravenous (i.v.), intramuscular (i.m.), or intrasternal injection, or infusion techniques.
[0114] The term nucleic acid or polynucleotide refers to deoxyribonucleic acids (DNA) or ribonucleic acids (RNA) and polymers thereof in either single- or double-stranded form. Unless specifically limited, the term encompasses nucleic acids containing known analogues of natural nucleotides that have similar binding properties as the reference nucleic acid and are metabolized in a manner similar to naturally occurring nucleotides. Unless otherwise indicated, a particular nucleic acid sequence also implicitly encompasses conservatively modified variants thereof (e.g., degenerate codon substitutions), alleles, orthologs, SNPs, and complementary sequences as well as the sequence explicitly indicated. Specifically, degenerate codon substitutions may be achieved by generating sequences in which the third position of one or more selected (or all) codons is substituted with mixed-base and/or deoxyinosine residues (Batzer et al., Nucleic Acid Res. 19:5081 (1991); Ohtsuka et al., J. Biol. Chem. 260:2605-2608 (1985); and Rossolini et al., Mol. Cell. Probes 8:91-98 (1994)).
[0115] As used herein, the terms peptide, polypeptide, and protein are used interchangeably, and refer to a compound comprised of amino acid residues covalently linked by peptide bonds. A protein or peptide must contain at least two amino acids, and no limitation is placed on the maximum number of amino acids that can comprise a protein's or peptide's sequence. Polypeptides include any peptide or protein comprising two or more amino acids joined to each other by peptide bonds. As used herein, the term refers to both short chains, which also commonly are referred to in the art as peptides, oligopeptides and oligomers, for example, and to longer chains, which generally are referred to in the art as proteins, of which there are many types. Polypeptides include, for example, biologically active fragments, substantially homologous polypeptides, oligopeptides, homodimers, heterodimers, variants of polypeptides, modified polypeptides, derivatives, analogs, fusion proteins, among others. The polypeptides include natural peptides, recombinant peptides, synthetic peptides, or a combination thereof.
[0116] The term promoter as used herein is defined as a DNA sequence recognized by the synthetic machinery of the cell, or introduced synthetic machinery, required to initiate the specific transcription of a polynucleotide sequence.
[0117] As used herein, the term promoter/regulatory sequence means a nucleic acid sequence which is required for expression of a gene product operably linked to the promoter/regulatory sequence. In some instances, this sequence may be the core promoter sequence and in other instances, this sequence may also include an enhancer sequence and other regulatory elements which are required for expression of the gene product. The promoter/regulatory sequence may, for example, be one which expresses the gene product in a tissue specific manner.
[0118] A constitutive promoter is a nucleotide sequence which, when operably linked with a polynucleotide which encodes or specifies a gene product, causes the gene product to be produced in a cell under most or all physiological conditions of the cell.
[0119] An inducible promoter is a nucleotide sequence which, when operably linked with a polynucleotide which encodes or specifies a gene product, causes the gene product to be produced in a cell substantially only when an inducer which corresponds to the promoter is present in the cell.
[0120] A tissue-specific promoter is a nucleotide sequence which, when operably linked with a polynucleotide encodes or specified by a gene, causes the gene product to be produced in a cell substantially only if the cell is a cell of the tissue type corresponding to the promoter.
[0121] A flexible polypeptide linker as used in the context of an scFv refers to a peptide linker that consists of amino acids such as glycine and serine residues used alone or in combination, to link variable heavy and variable light chain regions together. In one embodiment, the flexible polypeptide linker is a Gly/Ser linker and comprises the amino acid sequence (Gly-Gly-Gly-Ser)n, where n is a positive integer equal to or greater than 1. For example, n=1, n=2, n=3. n=4, n=5 and n=6, n=7, n=8, n=9 and n=10. In one embodiment, the flexible polypeptide linkers include, but are not limited to, (Gly4 Ser)4 or (Gly4 Ser)3 In another embodiment, the linkers include multiple repeats of (Gly2Ser), (GlySer) or (Gly3Ser). Also included within the scope of the invention are linkers described in WO2012/138475, incorporated herein by reference in its entirety).
[0122] A signal transduction pathway refers to the biochemical relationship between a variety of signal transduction molecules that play a role in the transmission of a signal from one portion of a cell to another portion of a cell. The phrase cell surface receptor includes molecules and complexes of molecules capable of receiving a signal and transmitting signal across the membrane of a cell.
[0123] The term subject is intended to include living organisms in which an immune response can be elicited (e.g., mammals including human).
[0124] As used herein, a substantially purified cell is a cell that is essentially free of other cell types. A substantially purified cell also refers to a cell which has been separated from other cell types with which it is normally associated in its naturally occurring state. In some instances, a population of substantially purified cells refers to a homogenous population of cells. In other instances, this term refers simply to cell that have been separated from the cells with which they are naturally associated in their natural state. In some embodiments, the cells are cultured in vitro. In other embodiments, the cells are not cultured in vitro.
[0125] By the term synthetic as it refers to a nucleic acid or polypeptide, including an antibody, is meant a nucleic acid, polypeptide, including an antibody, which has been generated by a mechanism not found naturally within a cell. In some instances, the term synthetic may include and therefore overlap with the term recombinant and in other instances, the term synthetic means that the nucleic acid, polypeptide, including an antibody, has been generated by purely chemical or other means.
[0126] The term therapeutic as used herein means a treatment. A therapeutic effect is obtained by reduction, suppression, remission, or eradication of a disease state.
[0127] The term prophylaxis as used herein means the prevention of or protective treatment for a disease or disease state.
[0128] The term transfected or transformed or transduced as used herein refers to a process by which exogenous nucleic acid is transferred or introduced into the host cell. A transfected or transformed or transduced cell is one which has been transfected, transformed or transduced with exogenous nucleic acid. The cell includes the primary subject cell and its progeny.
[0129] The phrase under transcriptional control or operatively linked as used herein means that the promoter is in the correct location and orientation in relation to a polynucleotide to control the initiation of transcription by RNA polymerase and expression of the polynucleotide.
[0130] A vector is a composition of matter which comprises an isolated nucleic acid and which can be used to deliver the isolated nucleic acid to the interior of a cell. Numerous vectors are known in the art including, but not limited to, linear polynucleotides, polynucleotides associated with ionic or amphiphilic compounds, plasmids, and viruses.
[0131] By the term specifically binds, as used herein, is meant an antibody or antigen binding fragment thereof, or a ligand, which recognizes and binds with a cognate binding partner (e.g., a stimulatory and/or costimulatory molecule present on a T cell) protein present in a sample, but which antibody, antigen binding fragment thereof or ligand does not substantially recognize or bind other molecules in the sample.
[0132] Ranges: throughout this disclosure, various embodiments of the invention can be presented in a range format. It should be understood that the description in range format is merely for convenience and brevity and should not be construed as an inflexible limitation on the scope of the invention. Accordingly, the description of a range should be considered to have specifically disclosed all the possible subranges as well as individual numerical values within that range. For example, description of a range such as from 1 to 6 should be considered to have specifically disclosed subranges such as from 1 to 3, from 1 to 4, from 1 to 5, from 2 to 4, from 2 to 6, from 3 to 6 etc., as well as individual numbers within that range, for example, 1, 2, 2.7, 3, 4, 5, 5.3, and 6. This applies regardless of the breadth of the range.
Description
[0133] Provided herein are methods for generating T cells with increased EZH2 signaling, compositions of matter comprising the improved T cells and methods of use for the treatment of diseases.
[0134] In one embodiment, an improved T cell of the invention having increased EZH2 signaling expresses a construct comprising an EZH2 gene that is not responsive to Akt phosphorylation. In one embodiment, the T cells express EZH2S21A. Therefore, in one embodiment the present invention provides EZH2S21A expression constructs and methods for their use in generating recombinantly engineered T cells.
[0135] In one embodiment, the invention provides methods of generating improved T cells comprising contacting a T cell with at least one inhibitor of the Akt pathway and compositions comprising T cells that have been contacted with at least one inhibitor of the Akt pathway.
[0136] In one embodiment the invention provides an improved T cell generated according to a method of the invention. In one embodiment, the T cells may be CART cells, TCR-transgenic T cells, Tumor infiltrating T cells (TIL) or any T cell that can be used for treating a disease or disorder.
[0137] In one embodiment, the T cell is a CART cell. In one embodiment, the CART cells cultured in the presence of at least one inhibitor of the Akt pathway can be used in methods for treating a disease or disorder in a subject. In one embodiment, the CART cells are engineered to express a chimeric antigen receptor (CAR), wherein the CAR T cell exhibits an antitumor property. In one embodiment, the antigen is CD19 and the CAR T cell is a CD19-CART cell. In one embodiment, the CD19-CART comprises at least one intracellular domain selected from the group of a CD137 (4-1BB) signaling domain, a CD3 signal domain, and a combination thereof.
[0138] Furthermore, the present invention provides methods for use of the improved T cells of the invention for treating or preventing a disease or disorder in a subject. In various embodiments, the disease or disorder is a cancer or a malignancy or a chronic infection (for example, HIV infection, hepatitis infection, CMV-infection, EBV infection, and the like.)
Modulators of Ezh2 Activity
[0139] In one embodiment, an improved T cell of the invention has increased EZH2 expression. Therefore, in various embodiments, the invention relates to T cells that have been contacted with a modulator of at least one of the level and activity of Ezh2. In one embodiment, the present invention comprises a pharmaceutical composition comprising a modulator (e.g., activator or inhibitor) of Ezh2 or a target of Ezh2. In various embodiments, the present invention includes compositions for modulating at least one of the level and activity of Ezh2 in a subject, a cell, a tissue, or an organ in need thereof. In various embodiments, the compositions of the invention modulates the amount of polypeptide of Ezh2, the amount of mRNA of Ezh2, the activity of Ezh2, the phosphorylation state of Ezh2 or a combination thereof. In various embodiments, the present invention includes compositions for modulating at least one of the level and activity of at least one gene regulated by Ezh2 in a subject, a cell, a tissue, or an organ in need thereof. In various embodiments, the compositions of the invention modulates the amount of polypeptide of at least one gene regulated by Ezh2, the amount of mRNA of at least one gene regulated by Ezh2, the activity of at least one gene regulated by Ezh2 or a combination thereof.
[0140] The compositions of the invention include compositions for generating improved T cells for use in treating or preventing cancer.
Activators
[0141] In one embodiment, the composition comprising an improved T cell of the invention comprises a T cell that has been contacted with an activator of Ezh2 or an activator of a gene positively regulated by Ezh2. In one embodiment, the activator of the invention increases the amount of Ezh2 polypeptide, the amount of Ezh2 mRNA, the amount of Ezh2 activity, the amount of phosphorylated Ezh2 or a combination thereof.
[0142] In one embodiment, an activity of Ezh2 is to catalyze H3K27me3. Therefore, in one embodiment the invention relates to methods and compositions for use in activating H3K27me3.
[0143] In one embodiment, the activator of the invention increases the amount of polypeptide of at least one gene positively regulated by Ezh2, the amount of mRNA of at least one gene positively regulated by Ezh2, the activity of at least one gene positively regulated by Ezh2, or a combination thereof. Genes positively regulated by Ezh2 include, but are not limited to, genes listed in Table 3 in bold. In one embodiment, a gene positively regulated by Ezh2 is Id3.
[0144] It will be understood by one skilled in the art, based upon the disclosure provided herein, that an increase in the level of Ezh2 or a gene positively regulated by Ezh2 encompasses the increase in gene expression, including transcription, translation, or both. The skilled artisan will also appreciate, once armed with the teachings of the present invention, that an increase in the level of Ezh2 or a gene positively regulated by Ezh2 includes an increase in protein activity. Thus, increasing at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2 includes, but is not limited to, increasing the amount of polypeptide, increasing transcription, translation, or both, of a nucleic acid encoding Ezh2 or a gene positively regulated by Ezh2; and it also includes increasing any activity of a polypeptide of Ezh2 or a gene positively regulated by Ezh2 as well.
[0145] Thus, the present invention relates to the generation of improved T cells genetically engineered with a Ezh2 polypeptide, a recombinant Ezh2 polypeptide, an active Ezh2 polypeptide fragment, or an activator of Ezh2 expression or activity.
[0146] In one embodiment, the activator of an activity of Ezh2 comprises a modified Ezh2 protein that has a decreased level of phosphorylation at serine 21. Therefore, in one embodiment, the invention relates to improved T cells genetically engineered with a modified Ezh2 protein that is unable to be phosphorylated at serine 21. In one embodiment, a modified Ezh2 protein that is unable to be phosphorylated at serine 21 comprises an alanine residue at amino acid residue 21 (Ezh2S21A.)
[0147] Activation of Ezh2 or a gene positively regulated by Ezh2 can be assessed using a wide variety of methods, including those disclosed herein, as well as methods well-known in the art or to be developed in the future. That is, the routineer would appreciate, based upon the disclosure provided herein, that increasing at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2 can be readily assessed using methods that assess the level of a nucleic acid encoding Ezh2 or a gene positively regulated by Ezh2 (e.g., mRNA) and/or the level of polypeptide of Ezh2 or a gene positively regulated by Ezh2 in a biological sample obtained from a subject.
[0148] An activator of the invention can include, but should not be construed as being limited to, a chemical compound, a protein, a peptidomimetic, an antibody, a nucleic acid molecule. One of skill in the art would readily appreciate, based on the disclosure provided herein, that an activator encompasses a chemical compound that increases the level, enzymatic activity, or the like of Ezh2 or a gene positively regulated by Ezh2. Additionally, an activator encompasses a chemically modified compound, and derivatives, as is well known to one of skill in the chemical arts.
[0149] Further, one of skill in the art would, when equipped with this disclosure and the methods exemplified herein, appreciate that an activator includes such activators as discovered in the future, as can be identified by well-known criteria in the art of pharmacology, such as the physiological results of activation of Ezh2 or a gene positively regulated by Ezh2 as described in detail herein and/or as known in the art. Therefore, the present invention is not limited in any way to any particular activator as exemplified or disclosed herein; rather, the invention encompasses those activators that would be understood by the routineer to be useful as are known in the art and as are discovered in the future.
[0150] Further methods of identifying and producing an activator are well known to those of ordinary skill in the art, including, but not limited, obtaining an activator from a naturally occurring source. Alternatively, an activator can be synthesized chemically. Further, the routineer would appreciate, based upon the teachings provided herein, that an activator can be obtained from a recombinant organism. Compositions and methods for chemically synthesizing activators and for obtaining them from natural sources are well known in the art and are described in the art.
[0151] One of skill in the art will appreciate that an activator can be administered as a small molecule chemical, a protein, a nucleic acid construct encoding a protein, or combinations thereof. Numerous vectors and other compositions and methods are well known for administering a protein or a nucleic acid construct encoding a protein to cells or tissues. Therefore, the invention includes a method of modifying a T cell to comprise a protein or a nucleic acid encoding a protein that is an activator of Ezh2 or a gene positively regulated by Ezh2.
[0152] One of skill in the art will realize that diminishing at least one of the level and activity of a molecule that itself diminishes at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2 can serve to increase at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2. Any inhibitor of a regulator of Ezh2 or a gene positively regulated by Ezh2 is encompassed in the invention. As a non-limiting example, antisense is described as a form of inhibiting a regulator of Ezh2 or a gene positively regulated by Ezh2 in order to increase at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2. Antisense oligonucleotides are DNA or RNA molecules that are complementary to some portion of a mRNA molecule. When present in a cell, antisense oligonucleotides hybridize to an existing mRNA molecule and inhibit translation into a gene product. Inhibiting the expression of a gene using an antisense oligonucleotide is well known in the art (Marcus-Sekura, 1988, Anal. Biochem. 172:289), as are methods of expressing an antisense oligonucleotide in a cell (Inoue, U.S. Pat. No. 5,190,931). The methods of the invention include the use of antisense oligonucleotide to diminish the amount of a molecule that causes a decrease at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2, thereby increasing at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2. Contemplated in the present invention are antisense oligonucleotides that are synthesized and provided to the cell by way of methods well known to those of ordinary skill in the art. As an example, an antisense oligonucleotide can be synthesized to be between about 10 and about 100, more preferably between about 15 and about 50 nucleotides long. The synthesis of nucleic acid molecules is well known in the art, as is the synthesis of modified antisense oligonucleotides to improve biological activity in comparison to unmodified antisense oligonucleotides (Tullis, 1991, U.S. Pat. No. 5,023,243).
[0153] Similarly, the expression of a gene may be inhibited by the hybridization of an antisense molecule to a promoter or other regulatory element of a gene, thereby affecting the transcription of the gene. Methods for the identification of a promoter or other regulatory element that interacts with a gene of interest are well known in the art, and include such methods as the yeast two hybrid system (Bartel and Fields, eds., In: The Yeast Two Hybrid System, Oxford University Press, Cary, N.C.).
[0154] Alternatively, inhibition of a gene expressing a protein that diminishes at least one of the level and activity of Ezh2 or a gene positively regulated by Ezh2 can be accomplished through the use of a ribozyme. Using ribozymes for inhibiting gene expression is well known to those of skill in the art (see, e.g., Cech et al., 1992, J. Biol. Chem. 267:17479; Hampel et al., 1989, Biochemistry 28: 4929; Altman et al., U.S. Pat. No. 5,168,053). Ribozymes are catalytic RNA molecules with the ability to cleave other single-stranded RNA molecules. Ribozymes are known to be sequence specific, and can therefore be modified to recognize a specific nucleotide sequence (Cech, 1988, J. Amer. Med. Assn. 260:3030), allowing the selective cleavage of specific mRNA molecules. Given the nucleotide sequence of the molecule, one of ordinary skill in the art could synthesize an antisense oligonucleotide or ribozyme without undue experimentation, provided with the disclosure and references incorporated herein.
Inhibitors
[0155] In various embodiments, the composition for generating an improved T cell of the invention comprises an inhibitor of a regulator of Ezh2 or an inhibitor of a gene negatively regulated by Ezh2. In one embodiment, the inhibitor of the invention decreases the amount of polypeptide, the amount of mRNA, the amount of activity, or a combination thereof of a regulator of Ezh2 or a gene negatively regulated by Ezh2. Genes negatively regulated by Ezh2 include, but are not limited to, genes listed in Table 3 which are not in bold. In one embodiment, a gene negatively regulated by Ezh2 is at least one of Id2, Eomes and Prdm1.
[0156] In one embodiment, regulators of Ezh2 signaling include, but are not limited to, PI3K, calcinurin, JMJD3, AKT and AP-1. In one embodiment, the invention provides a composition comprising at least one, at least two, at least three, at least four or more than four inhibitors of PI3K, calcinurin, JMJD3, AKT and AP-1 for use in a method of generating an improved T cell. Therefore, in one embodiment, the invention provides an improved T cell that has been contacted with at least one inhibitor of at least one of PI3K, calcinurin, JMJD3, AKT and AP-1. In one embodiment the improved T cell of the invention comprises a T cell that has been contacted with at least 1, at least 2, at least 3, at least 4, or more than 4 inhibitors of regulators of Ezh2. Exemplary inhibitors of calcinurin include, but are not limited to, CsA and Tacrolimus. Exemplary inhibitors of JMJD3 include, but are not limited to, GSK-J4 and 5-Carboxy-8-hydroxyquinoline. Exemplary inhibitors of AKT include, but are not limited to, MEK2206, SB203580, MK2206, SC79, AZD5363, LM22B-10, GDC-0068, GSK-690693, Afuersertib, AKT inhibitor VIII, A-443654, TIC10, Honokiol, Triciribine, A-674563, Prifosine, and Miltefosine. Exemplary inhibitors of AP-1 include, but are not limited to, SRI1302, SP100030, c-JUN peptide, Tanshinone IIA (TanIIA), E3330, NNGH, Sulfaphenoazole, U0126 monoethanolate, IQ-1S, SM-7368, NIN-43, MEK inhibitor VII, TNAP inhibitor, FR180204, and APEl inhibitor III. Exemplary inhibitors of PI3K include, but are not limited to, (S)-AR-TURMERONE, 4-O-METHYLHONOKIOL, 5-(9-ISOPROPYL-2-MORPHOLINO-9H-PURIN-6-YL)PYRIMIDIN-2-AMINE, A66, Arenobufagin, Bay80-6946, Benidipine Hydrochloride, BEX235, BKM120, BYL719, CAL-101, CH5132799. CUDC-907, GDC-0980, GSK-2126458, GSK-2334470, GSK-2636771, IPI-145, Ly-294002, PF-04691502 Dihydrate, Piceatanol, PKI-402, PP-121 and PX-866. Therefore, in one embodiment the improved T cell of the invention has been contacted with at least 1, at least 2, at least 3, at least 4 or all five types of inhibitors, including AKT inhibitors, PI3K inhibitors, AP-1 inhibitors, calcinurin inhibitors and JMJD3 inhibitors.
[0157] Other inhibitors that can potentially affect the phosphorylation of EZH2 include, but are not limited to, CDK1 inhibitors (e.g., R547, Dinaciclib, BMS-265246, JNJ-7706621, AZD5438, Alvocidib, SU9516, PHA-793887, P276-00, AT7519, PHA-7677491, Milciclib (PHA-848125), SNS-032, NU6027 and LDC000067), CDK4/6 inhibitors (Palbociclib and Everolimus), and DNA-PK inhibitors (e.g., Ly3023414, KU-57788, NU 7026, PIK-75, LTURM34, CC-115 and Compound 401).
[0158] Therefore, in one embodiment the improved T cell of the invention has been contacted with at least 1, at least 2, at least 3, at least 4, at least 5, at least 6, at least 7 or at least 8 types of inhibitors, including AKT inhibitors, PI3K inhibitors, AP-1 inhibitors, calcinurin inhibitors, JMJD3 inhibitors, CDK1 inhibitors, CDK4/6 inhibitors, and DNA-PK inhibitors.
[0159] It will be understood by one skilled in the art, based upon the disclosure provided herein, that a decrease in the level of a regulator of Ezh2 or a gene negatively regulated by Ezh2 encompasses the decrease in the expression, including transcription, translation, or both. The skilled artisan will also appreciate, once armed with the teachings of the present invention, that a decrease in the level of a regulator of Ezh2 or a gene negatively regulated by Ezh2 includes a decrease in at least one of the level and activity of a regulator of Ezh2 or a gene negatively regulated by Ezh2. Thus, decrease in at least one of the level and activity of a regulator of Ezh2 or a gene negatively regulated by Ezh2 includes, but is not limited to, decreasing the amount of polypeptide, and decreasing transcription, translation, or both, of a nucleic acid encoding a regulator of Ezh2 or a gene negatively regulated by Ezh2; and it also includes decreasing any activity of a regulator of Ezh2 or a gene negatively regulated by Ezh2 as well.
[0160] In one embodiment, the composition of the invention comprises an inhibitor of a regulator of Ezh2 or a gene negatively regulated by Ezh2. In one embodiment, the inhibitor is selected from the group consisting of a small interfering RNA (siRNA), a microRNA, an antisense nucleic acid, a ribozyme, an expression vector encoding a transdominant negative mutant, an intracellular antibody, a peptide and a small molecule.
[0161] One skilled in the art will appreciate, based on the disclosure provided herein, that one way to decrease the mRNA and/or protein levels of a regulator of Ezh2 or a gene negatively regulated by Ezh2 in a cell is by reducing or inhibiting expression of the nucleic acid encoding a regulator of Ezh2 or a gene negatively regulated by Ezh2. Thus, the protein level of a regulator of Ezh2 or a gene negatively regulated by Ezh2 in a cell can also be decreased using a molecule or compound that inhibits or reduces gene expression such as, for example, siRNA, an antisense molecule or a ribozyme. However, the invention should not be limited to these examples.
[0162] In one embodiment, siRNA is used to decrease the level of a regulator of Ezh2 or a gene negatively regulated by Ezh2. RNA interference (RNAi) is a phenomenon in which the introduction of double-stranded RNA (dsRNA) into a diverse range of organisms and cell types causes degradation of the complementary mRNA. In the cell, long dsRNAs are cleaved into short 21-25 nucleotide small interfering RNAs, or siRNAs, by a ribonuclease known as Dicer. The siRNAs subsequently assemble with protein components into an RNA-induced silencing complex (RISC), unwinding in the process. Activated RISC then binds to complementary transcript by base pairing interactions between the siRNA antisense strand and the mRNA. The bound mRNA is cleaved and sequence specific degradation of mRNA results in gene silencing. See, for example, U.S. Pat. No. 6,506,559; Fire et al., 1998, Nature 391(19):306-311; Timmons et al., 1998, Nature 395:854; Montgomery et al., 1998, TIG 14 (7):255-258; David R. Engelke, Ed., RNA Interference (RNAi) Nuts & Bolts of RNAi Technology, DNA Press, Eagleville, PA (2003); and Gregory J. Hannon, Ed., RNAi A Guide to Gene Silencing, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY (2003). Soutschek et al. (2004, Nature 432:173-178) describe a chemical modification to siRNAs that aids in intravenous systemic delivery. Optimizing siRNAs involves consideration of overall G/C content, C/T content at the termini, Tm and the nucleotide content of the 3 overhang. See, for instance, Schwartz et al., 2003, Cell, 115:199-208 and Khvorova et al., 2003, Cell 115:209-216. Therefore, the present invention also includes methods of decreasing levels of the protein using RNAi technology.
[0163] In other related aspects, the invention includes an isolated nucleic acid encoding an inhibitor, wherein an inhibitor such as an siRNA or antisense molecule, inhibits a regulator of Ezh2 or a gene negatively regulated by Ezh2, a derivative thereof, a regulator thereof, or a downstream effector, operably linked to a nucleic acid comprising a promoter/regulatory sequence such that the nucleic acid is preferably capable of directing expression of the protein encoded by the nucleic acid. Thus, the invention encompasses expression vectors and methods for the introduction of exogenous DNA into cells with concomitant expression of the exogenous DNA in the cells such as those described, for example, in Sambrook et al. (2012, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory, New York) and as described elsewhere herein. In another aspect of the invention, a regulator of Ezh2 or a gene negatively regulated by Ezh2, can be inhibited by way of inactivating and/or sequestering one or more of a regulator of Ezh2 or a gene negatively regulated by Ezh2. As such, inhibiting the effects of a regulator of Ezh2 or a gene negatively regulated by Ezh2 can be accomplished by using a transdominant negative mutant.
[0164] In another aspect, the invention includes a vector comprising a siRNA or antisense polynucleotide. Preferably, the siRNA or antisense polynucleotide is capable of inhibiting the expression of a regulator of Ezh2 or a gene negatively regulated by Ezh2. The incorporation of a desired polynucleotide into a vector and the choice of vectors is well-known in the art as described in, for example, Sambrook et al., supra.
[0165] The siRNA or antisense polynucleotide can be cloned into a number of types of vectors as described elsewhere herein. For expression of the siRNA or antisense polynucleotide, at least one module in each promoter functions to position the start site for RNA synthesis.
[0166] In order to assess the expression of the siRNA or antisense polynucleotide, the expression vector to be introduced into a cell can also contain either a selectable marker gene or a reporter gene or both to facilitate identification and selection of expressing cells from the population of cells sought to be transfected or infected through viral vectors. In other embodiments, the selectable marker may be carried on a separate piece of DNA and used in a co-transfection procedure. Both selectable markers and reporter genes may be flanked with appropriate regulatory sequences to enable expression in the host cells. Useful selectable markers are known in the art and include, for example, antibiotic-resistance genes, such as neomycin resistance and the like.
[0167] In one embodiment of the invention, an antisense nucleic acid sequence which is expressed by a plasmid vector is used to inhibit a regulator of Ezh2 or a gene negatively regulated by Ezh2. The antisense expressing vector is used to transfect a mammalian cell or the mammal itself, thereby causing reduced endogenous expression of a regulator of Ezh2 or a gene negatively regulated by Ezh2.
[0168] Antisense molecules and their use for inhibiting gene expression are well known in the art (see, e.g., Cohen, 1989, In: Oligodeoxyribonucleotides, Antisense Inhibitors of Gene Expression, CRC Press). Antisense nucleic acids are DNA or RNA molecules that are complementary, as that term is defined elsewhere herein, to at least a portion of a specific mRNA molecule (Weintraub, 1990, Scientific American 262:40). In the cell, antisense nucleic acids hybridize to the corresponding mRNA, forming a double-stranded molecule thereby inhibiting the translation of genes.
[0169] The use of antisense methods to inhibit the translation of genes is known in the art, and is described, for example, in Marcus-Sakura (1988, Anal. Biochem. 172:289). Such antisense molecules may be provided to the cell via genetic expression using DNA encoding the antisense molecule as taught by Inoue, 1993, U.S. Pat. No. 5,190,931.
[0170] Alternatively, antisense molecules of the invention may be made synthetically and then provided to the cell. Antisense oligomers of between about 10 to about 30, and more preferably about 15 nucleotides, are preferred, since they are easily synthesized and introduced into a target cell. Synthetic antisense molecules contemplated by the invention include oligonucleotide derivatives known in the art which have improved biological activity compared to unmodified oligonucleotides (see U.S. Pat. No. 5,023,243).
[0171] Compositions and methods for the synthesis and expression of antisense nucleic acids are as described elsewhere herein.
[0172] Ribozymes and their use for inhibiting gene expression are also well known in the art (see, e.g., Cech et al., 1992, J. Biol. Chem. 267:17479-17482; Hampel et al., 1989, Biochemistry 28:4929-4933; Eckstein et al., International Publication No. WO 92/07065; Altman et al., U.S. Pat. No. 5,168,053). Ribozymes are RNA molecules possessing the ability to specifically cleave other single-stranded RNA in a manner analogous to DNA restriction endonucleases. Through the modification of nucleotide sequences encoding these RNAs, molecules can be engineered to recognize specific nucleotide sequences in an RNA molecule and cleave it (Cech, 1988, J. Amer. Med. Assn. 260:3030). A major advantage of this approach is the fact that ribozymes are sequence-specific.
[0173] There are two basic types of ribozymes, namely, tetrahymena-type (Hasselhoff, 1988, Nature 334:585) and hammerhead-type. Tetrahymena-type ribozymes recognize sequences which are four bases in length, while hammerhead-type ribozymes recognize base sequences 11-18 bases in length. The longer the sequence, the greater the likelihood that the sequence will occur exclusively in the target mRNA species. Consequently, hammerhead-type ribozymes are preferable to tetrahymena-type ribozymes for inactivating specific mRNA species, and 18-base recognition sequences are preferable to shorter recognition sequences which may occur randomly within various unrelated mRNA molecules.
[0174] In one embodiment of the invention, a ribozyme is used to inhibit a regulator of Ezh2 or a gene negatively regulated by Ezh2. Ribozymes useful for inhibiting the expression of a target molecule may be designed by incorporating target sequences into the basic ribozyme structure which are complementary, for example, to the mRNA sequence of a regulator of Ezh2 or a gene negatively regulated by Ezh2 of the present invention. Ribozymes targeting a regulator of Ezh2 or a gene negatively regulated by Ezh2 may be synthesized using commercially available reagents (Applied Biosystems, Inc., Foster City, CA) or they may be genetically expressed from DNA encoding them.
[0175] When the inhibitor of the invention is a small molecule, a small molecule antagonist may be obtained using standard methods known to the skilled artisan. Such methods include chemical organic synthesis or biological means. Biological means include purification from a biological source, recombinant synthesis and in vitro translation systems, using methods well known in the art.
[0176] Combinatorial libraries of molecularly diverse chemical compounds potentially useful in treating a variety of diseases and conditions are well known in the art as are method of making the libraries. The method may use a variety of techniques well-known to the skilled artisan including solid phase synthesis, solution methods, parallel synthesis of single compounds, synthesis of chemical mixtures, rigid core structures, flexible linear sequences, deconvolution strategies, tagging techniques, and generating unbiased molecular landscapes for lead discovery vs. biased structures for lead development.
[0177] In a general method for small library synthesis, an activated core molecule is condensed with a number of building blocks, resulting in a combinatorial library of covalently linked, core-building block ensembles. The shape and rigidity of the core determines the orientation of the building blocks in shape space. The libraries can be biased by changing the core, linkage, or building blocks to target a characterized biological structure (focused libraries) or synthesized with less structural bias using flexible cores.
[0178] In another aspect of the invention, an antibody specific for a regulator of Ezh2 or a gene negatively regulated by Ezh2 (e.g., an antagonist to a regulator of Ezh2 or a gene negatively regulated by Ezh2) may be used. As will be understood by one skilled in the art, any antibody that can recognize and bind to an antigen of interest is useful in the present invention. Methods of making and using antibodies are well known in the art. For example, polyclonal antibodies useful in the present invention are generated by immunizing rabbits according to standard immunological techniques well-known in the art (see, e.g., Harlow et al., 1988, In: Antibodies, A Laboratory Manual, Cold Spring Harbor, NY). Such techniques include immunizing an animal with a chimeric protein comprising a portion of another protein such as a maltose binding protein or glutathione (GSH) tag polypeptide portion, and/or a moiety such that the antigenic protein of interest is rendered immunogenic (e.g., an antigen of interest conjugated with keyhole limpet hemocyanin, KLH) and a portion comprising the respective antigenic protein amino acid residues. The chimeric proteins are produced by cloning the appropriate nucleic acids encoding the marker protein into a plasmid vector suitable for this purpose, such as but not limited to, pMAL-2 or pCMX.
[0179] However, the invention should not be construed as being limited solely to methods and compositions including these antibodies or to these portions of the antigens. Rather, the invention should be construed to include other antibodies, as that term is defined elsewhere herein, to antigens, or portions thereof. Further, the present invention should be construed to encompass antibodies, inter alia, bind to the specific antigens of interest, and they are able to bind the antigen present on Western blots, in solution in enzyme linked immunoassays, in fluorescence activated cells sorting (FACS) assays, in magnetic affinity cell sorting (MACS) assays, and in immunofluorescence microscopy of a cell transiently transfected with a nucleic acid encoding at least a portion of the antigenic protein, for example.
[0180] One skilled in the art would appreciate, based upon the disclosure provided herein, that the antibody can specifically bind with any portion of the antigen and the full-length protein can be used to generate antibodies specific therefor. However, the present invention is not limited to using the full-length protein as an immunogen. Rather, the present invention includes using an immunogenic portion of the protein to produce an antibody that specifically binds with a specific antigen. That is, the invention includes immunizing an animal using an immunogenic portion, or antigenic determinant, of the antigen.
[0181] Once armed with the sequence of a specific antigen of interest and the detailed analysis localizing the various conserved and non-conserved domains of the protein, the skilled artisan would understand, based upon the disclosure provided herein, how to obtain antibodies specific for the various portions of the antigen using methods well-known in the art or to be developed.
[0182] The skilled artisan would appreciate, based upon the disclosure provided herein, that that present invention includes use of a single antibody recognizing a single antigenic epitope but that the invention is not limited to use of a single antibody. Instead, the invention encompasses use of at least one antibody where the antibodies can be directed to the same or different antigenic protein epitopes.
[0183] The generation of polyclonal antibodies is accomplished by inoculating the desired animal with the antigen and isolating antibodies which specifically bind the antigen therefrom using standard antibody production methods such as those described in, for example, Harlow et al. (1988, In: Antibodies, A Laboratory Manual, Cold Spring Harbor, NY).
[0184] Monoclonal antibodies directed against full length or peptide fragments of a protein or peptide may be prepared using any well-known monoclonal antibody preparation procedures, such as those described, for example, in Harlow et al. (1988, In: Antibodies, A Laboratory Manual, Cold Spring Harbor, NY) and in Tuszynski et al. (1988, Blood, 72:109-115). Quantities of the desired peptide may also be synthesized using chemical synthesis technology. Alternatively, DNA encoding the desired peptide may be cloned and expressed from an appropriate promoter sequence in cells suitable for the generation of large quantities of peptide. Monoclonal antibodies directed against the peptide are generated from mice immunized with the peptide using standard procedures as referenced herein.
[0185] Nucleic acid encoding the monoclonal antibody obtained using the procedures described herein may be cloned and sequenced using technology which is available in the art, and is described, for example, in Wright et al. (1992, Critical Rev. Immunol. 12:125-168), and the references cited therein. Further, the antibody of the invention may be humanized using the technology described in, for example, Wright et al., and in the references cited therein, and in Gu et al. (1997, Thrombosis and Hematocyst 77:755-759), and other methods of humanizing antibodies well-known in the art or to be developed.
[0186] The present invention also includes the use of humanized antibodies specifically reactive with epitopes of an antigen of interest. The humanized antibodies of the invention have a human framework and have one or more complementarity determining regions (CDRs) from an antibody, typically a mouse antibody, specifically reactive with an antigen of interest. When the antibody used in the invention is humanized, the antibody may be generated as described in Queen, et al. (U.S. Pat. No. 6,180,370), Wright et al., (supra) and in the references cited therein, or in Gu et al. (1997, Thrombosis and Hematocyst 77(4):755-759). The method disclosed in Queen et al. is directed in part toward designing humanized immunoglobulins that are produced by expressing recombinant DNA segments encoding the heavy and light chain complementarity determining regions (CDRs) from a donor immunoglobulin capable of binding to a desired antigen, such as an epitope on an antigen of interest, attached to DNA segments encoding acceptor human framework regions. Generally speaking, the invention in the Queen patent has applicability toward the design of substantially any humanized immunoglobulin. Queen explains that the DNA segments will typically include an expression control DNA sequence operably linked to the humanized immunoglobulin coding sequences, including naturally-associated or heterologous promoter regions. The expression control sequences can be eukaryotic promoter systems in vectors capable of transforming or transfecting eukaryotic host cells or the expression control sequences can be prokaryotic promoter systems in vectors capable of transforming or transfecting prokaryotic host cells. Once the vector has been incorporated into the appropriate host, the host is maintained under conditions suitable for high level expression of the introduced nucleotide sequences and as desired the collection and purification of the humanized light chains, heavy chains, light/heavy chain dimers or intact antibodies, binding fragments or other immunoglobulin forms may follow (Beychok, Cells of Immunoglobulin Synthesis, Academic Press, New York, (1979), which is incorporated herein by reference).
[0187] The invention also includes functional equivalents of the antibodies described herein. Functional equivalents have binding characteristics comparable to those of the antibodies, and include, for example, hybridized and single chain antibodies, as well as fragments thereof. Methods of producing such functional equivalents are disclosed in PCT Application WO 93/21319 and PCT Application WO 89/09622.
[0188] Functional equivalents include polypeptides with amino acid sequences substantially the same as the amino acid sequence of the variable or hypervariable regions of the antibodies. Substantially the same amino acid sequence is defined herein as a sequence with at least 70%, preferably at least about 80%, more preferably at least about 90%, even more preferably at least about 95%, and most preferably at least 99% homology to another amino acid sequence (or any integer in between 70 and 99), as determined by the FASTA search method in accordance with Pearson and Lipman, 1988 Proc. Nat'l. Acad. Sci. USA 85: 2444-2448. Chimeric or other hybrid antibodies have constant regions derived substantially or exclusively from human antibody constant regions and variable regions derived substantially or exclusively from the sequence of the variable region of a monoclonal antibody from each stable hybridoma.
[0189] Single chain antibodies (scFv) or Fv fragments are polypeptides that consist of the variable region of the heavy chain of the antibody linked to the variable region of the light chain, with or without an interconnecting linker. Thus, the Fv comprises an antibody combining site.
[0190] Functional equivalents of the antibodies of the invention further include fragments of antibodies that have the same, or substantially the same, binding characteristics to those of the whole antibody. Such fragments may contain one or both Fab fragments or the F(ab).sub.2 fragment. The antibody fragments contain all six complement determining regions of the whole antibody, although fragments containing fewer than all of such regions, such as three, four or five complement determining regions, are also functional. The functional equivalents are members of the IgG immunoglobulin class and subclasses thereof, but may be or may combine with any one of the following immunoglobulin classes: IgM, IgA, IgD, or IgE, and subclasses thereof. Heavy chains of various subclasses, such as the IgG subclasses, are responsible for different effector functions and thus, by choosing the desired heavy chain constant region, hybrid antibodies with desired effector function are produced. Exemplary constant regions are gamma 1 (IgG1), gamma 2 (IgG2), gamma 3 (IgG3), and gamma 4 (IgG4). The light chain constant region can be of the kappa or lambda type.
[0191] The immunoglobulins of the present invention can be monovalent, divalent or polyvalent. Monovalent immunoglobulins are dimers (HL) formed of a hybrid heavy chain associated through disulfide bridges with a hybrid light chain. Divalent immunoglobulins are tetramers (H.sub.2L.sub.2) formed of two dimers associated through at least one disulfide bridge.
Improved T Cells
[0192] In one embodiment, the invention provides an improved T cell for use in immunotherapy. Therefore, in various embodiments, the invention provides improved T cells and methods of generating the improved T cells of the invention. In one embodiment, the improved T cell of the invention is a CART cell, a TCR-transgenic T cell, or a TIL. In one embodiment, the improved T cell of the invention is a multipotent T memory stem cell (T.sub.SCM). In one embodiment, the improved T cell of the invention is an induced multipotent T memory stem cell (iT.sub.SCM). In one embodiment, the improved T cell of the invention has a decreased level of phosphorylated Ezh2 as compared to an unimproved T cell. In various embodiments, the level of phosphorylated Ezh2 may be decreased by at least 1.1 fold, 1.2 fold, 1.3 fold, 1.4 fold, 1.5 fold, 1.6 fold, 1.7 fold, 1.8 fold, 1.9 fold, 2 fold, 2.5 fold, 3 fold, 3.5 fold, 4 fold, 4.5 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, 15 fold, 20 fold, 25 fold, 30 fold, 35 fold, 40 fold, 45 fold, 50 fold, 60 fold, 70 fold, 80 fold, 90 fold, 100 fold or greater than 100 fold as compared to an unimproved T cell.
[0193] In one embodiment, the improved T cell of the invention has increased H3K27me3 activity as compared to an unimproved T cell. In various embodiments, the level of H3K27me3 activity may be increased by at least 1.1 fold, 1.2 fold, 1.3 fold, 1.4 fold, 1.5 fold, 1.6 fold, 1.7 fold, 1.8 fold, 1.9 fold, 2 fold, 2.5 fold, 3 fold, 3.5 fold, 4 fold, 4.5 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, 15 fold, 20 fold, 25 fold, 30 fold, 35 fold, 40 fold, 45 fold, 50 fold, 60 fold, 70 fold, 80 fold, 90 fold, 100 fold or greater than 100 fold as compared to an unimproved T cell.
[0194] In one embodiment, the improved T cell of the invention has increased Ezh2 signaling as compared to an unimproved T cell. In various embodiments, the level of Ezh2 signaling may be increased by at least 1.1 fold, 1.2 fold, 1.3 fold, 1.4 fold, 1.5 fold, 1.6 fold, 1.7 fold, 1.8 fold, 1.9 fold, 2 fold, 2.5 fold, 3 fold, 3.5 fold, 4 fold, 4.5 fold, 5 fold, 6 fold, 7 fold, 8 fold, 9 fold, 10 fold, 15 fold, 20 fold, 25 fold, 30 fold, 35 fold, 40 fold, 45 fold, 50 fold, 60 fold, 70 fold, 80 fold, 90 fold, 100 fold or greater than 100 fold as compared to an unimproved T cell.
[0195] In one embodiment, the improved T cell has been genetically modified to express an Akt insensitive Ezh2 protein. In one embodiment, the T cell is genetically modified to express Ezh2S21A.
[0196] In one embodiment, the improved T cell is a T cell that has been contacted with at least one inhibitor of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6, or DNA-PK or a combination thereof. In one embodiment, the T cell has been cultured with at least one inhibitor of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof for at least 1 hour, at least 2 hours, at least 3 hours, at least 4 hours, at least 5 hours, at least 6 hours, at least 7 hours, at least 8 hours, at least 9 hours, at least 10 hours, at least 11 hours, at least 12 hours, at least 13 hours, at least 14 hours, at least 15 hours, at least 16 hours, at least 17 hours, at least 18 hours, at least 19 hours, at least 20 hours, at least 21 hours, at least 22 hours, at least 23 hours, at least 24 hours, at least 48 hours, at least 72 hours or more than 72 hours. In one embodiment, the improved T cell is cultured with at least one inhibitor of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof. In one embodiment the T cell of the invention is cultured with at least 1, 2, 3, 4, 5, 6, 7, 8 or more than 8 inhibitors which inhibit at least one of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof.
Chimeric Antigen Receptor (CAR)
[0197] In one embodiment, the T cell of the invention comprises one or more cell receptor that has been genetically engineered. In one embodiment, a receptor is a T cell receptor (TCR). In one embodiment, a receptor is a chimeric antigen receptor (CAR), and the T cell of the invention is a CAR T cell. CAR T cells for use in the invention can be generated as described, for example, in U.S. Pat. No. 8,906,682. Therefore, in one embodiment, the invention provides a CART cell that has been cultured with at least one inhibitor of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof. In one embodiment the CART cell of the invention is cultured with at least 1, 2, 3, 4, 5, 6, 7, 8 or more than 8 inhibitors which inhibit at least one of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof.
Antigens
[0198] As contemplated herein, the improved T cells of the invention may target any antigen to elicit an immune response. In one embodiment, an antigen is a tumor antigen. Tumor antigens can be divided into two broad categories: shared tumor antigens; and unique tumor antigens. Shared antigens are expressed by many tumors, while unique tumor antigens can result from mutations induced through physical or chemical carcinogens, and are therefore expressed only by individual tumors.
[0199] In the context of the present invention, tumor antigen refer to antigens that are common to specific hyperproliferative disorders. In certain aspects, the hyperproliferative disorder antigens of the present invention are derived from cancers, including but not limited to, primary or metastatic melanoma, thymoma, lymphoma, sarcoma, lung cancer, liver cancer, non-Hodgkin's lymphoma, Hodgkins lymphoma, leukemias, uterine cancer, cervical cancer, bladder cancer, kidney cancer and adenocarcinomas such as breast cancer, prostate cancer, ovarian cancer, pancreatic cancer, glioblastoma, neuroblastoma, and the like. In one embodiment, the hyperproliferative disorder is an advanced B cell malignancy.
[0200] The type of tumor antigen referred to in the invention may be a tumor-specific antigen (TSA) or a tumor-associated antigen (TAA). A TSA is unique to tumor cells and does not occur on other cells in the body. A TAA associated antigen is not unique to a tumor cell and instead is also expressed on a normal cell under conditions that fail to induce a state of immunologic tolerance to the antigen. The expression of the antigen on the tumor may occur under conditions that enable the immune system to respond to the antigen. TAAs may be antigens that are expressed on normal cells during fetal development when the immune system is immature and unable to respond or they may be antigens that are normally present at extremely low levels on normal cells but which are expressed at much higher levels on tumor cells.
[0201] Non-limiting examples of TSA or TAA antigens include the following: Differentiation antigens such as MART-1/MelanA (MART-I), gp100 (Pmel 17), tyrosinase, TRP-1, TRP-2 and tumor-specific multilineage antigens such as MAGE-1, MAGE-3, BAGE, GAGE-1, GAGE-2, p15; overexpressed embryonic antigens such as CEA; overexpressed oncogenes and mutated tumor-suppressor genes such as p53, Ras, HER-2/neu; unique tumor antigens resulting from chromosomal translocations; such as BCR-ABL, E2A-PRL, H4-RET, IGH-IGK, MYL-RAR; and viral antigens, such as the Epstein Barr virus antigens EBVA and the human papillomavirus (HPV) antigens E6 and E7. Other large, protein-based antigens include TSP-180, MAGE-4, MAGE-5, MAGE-6, RAGE, NY-ESO, p185erbB2, p180erbB-3, c-met, nm-23H1, PSA, TAG-72, CA 19-9, CA 72-4, CAM 17.1, NuMa, K-ras, beta-Catenin, CDK4, Mum-1, p 15, p 16, 43-9F, 5T4, 791Tgp72, alpha-fetoprotein, beta-HCG, BCA225, BTAA, CA 125, CA 15-3\CA 27.29\BCAA, CA 195, CA 242, CA-50, CAM43, CD68\P1, CO-029, FGF-5, G250, Ga733\EpCAM, HTgp-175, M344, MA-50, MG7-Ag, MOV18, NB/70K, NY-CO-1, RCAS1, SDCCAGi6, TA-90\Mac-2 binding protein\cyclophilin C-associated protein, TAAL6, TAG72, TLP, and TPS.
[0202] Malignant tumors express a number of proteins that can serve as target antigens for an immune attack. For example, in B cell lymphoma, the tumor-specific idiotype immunoglobulin constitutes a truly tumor-specific immunoglobulin antigen that is unique to the individual tumor. B cell differentiation antigens, such as CD19, CD20 and CD37, are other candidates for target antigens in B cell lymphoma. Some of these antigens (CEA, HER-2, CD19, CD20, idiotype) have been used as targets for passive immunotherapy with monoclonal antibodies with limited success.
[0203] The tumor antigen and the antigenic cancer epitopes thereof may be purified and isolated from natural sources such as from primary clinical isolates, cell lines and the like. The cancer peptides and their antigenic epitopes may also be obtained by chemical synthesis or by recombinant DNA techniques known in the arts. Techniques for chemical synthesis are described in Steward et al. (1969); Bodansky et al. (1976); Meienhofer (1983); and Schroder et al. (1965). Furthermore, as described in Renkvist et al. (2001), there are numerous antigens known in the art. Although analogs or artificially modified epitopes are not specifically described, a skilled artisan recognizes how to obtain or generate them by standard means in the art. Other antigens, identified by antibodies and as detected by the Serex technology (see Sahin et al. (1997) and Chen et al. (2000)), are identified in the database of the Ludwig Institute for Cancer Research.
[0204] In one embodiment, an antigen may be a viral antigen or a bacterial antigen. In one embodiment, the antigen is associated with an infectious organism. Viral antigens include, but are not limited to, HIV antigens, hepatitis antigens, CMV antigens, and EBV antigens.
Vectors
[0205] The present invention also provides vectors comprising a transgene encoding a EZH2S21A protein for use in generating improved T cells of the invention. Vectors derived from retroviruses such as the lentivirus are suitable tools to achieve long-term gene transfer since they allow long-term, stable integration of a transgene and its propagation in daughter cells. Lentiviral vectors have the added advantage over vectors derived from onco-retroviruses such as murine leukemia viruses in that they can transduce non-proliferating cells, such as hepatocytes. They also have the added advantage of low immunogenicity.
[0206] The expression of a nucleotide sequence encoding EZH2S21A is typically achieved by operably linking a nucleic acid encoding the EZH2S21A polypeptide or portions thereof to a promoter, and incorporating the construct into an expression vector. The vectors can be suitable for replication and integration eukaryotes. Typical cloning vectors contain transcription and translation terminators, initiation sequences, and promoters useful for regulation of the expression of the desired nucleic acid sequence.
[0207] The nucleic acid can be cloned into a number of types of vectors. For example, the nucleic acid can be cloned into a vector including, but not limited to a plasmid, a phagemid, a phage derivative, an animal virus, and a cosmid. Vectors of particular interest include expression vectors, replication vectors, probe generation vectors, and sequencing vectors.
[0208] Further, the expression vector may be provided to a cell in the form of a viral vector. Viral vector technology is well known in the art and is described, for example, in Sambrook et al., 2012, MOLECULAR CLONING: A LABORATORY MANUAL, volumes 1-4, Cold Spring Harbor Press, NY), and in other virology and molecular biology manuals. Viruses, which are useful as vectors include, but are not limited to, retroviruses, adenoviruses, adeno-associated viruses, herpes viruses, and lentiviruses. In general, a suitable vector contains an origin of replication functional in at least one organism, a promoter sequence, convenient restriction endonuclease sites, and one or more selectable markers, (e.g., WO 01/96584; WO 01/29058; and U.S. Pat. No. 6,326,193).
[0209] Additional promoter elements, e.g., enhancers, regulate the frequency of transcriptional initiation. Typically, these are located in the region 30-110 bp upstream of the start site, although a number of promoters have recently been shown to contain functional elements downstream of the start site as well. The spacing between promoter elements frequently is flexible, so that promoter function is preserved when elements are inverted or moved relative to one another. In the thymidine kinase (tk) promoter, the spacing between promoter elements can be increased to 50 bp apart before activity begins to decline. Depending on the promoter, it appears that individual elements can function either cooperatively or independently to activate transcription.
[0210] An example of a promoter is the immediate early cytomegalovirus (CMV) promoter sequence. This promoter sequence is a strong constitutive promoter sequence capable of driving high levels of expression of any polynucleotide sequence operatively linked thereto. However, other constitutive promoter sequences may also be used, including, but not limited to the simian virus 40 (SV40) early promoter, mouse mammary tumor virus (MMTV), human immunodeficiency virus (HIV) long terminal repeat (LTR) promoter, MoMuLV promoter, an avian leukemia virus promoter, an Epstein-Barr virus immediate early promoter, a Rous sarcoma virus promoter, the elongation factor-la promoter, as well as human gene promoters such as, but not limited to, the actin promoter, the myosin promoter, the hemoglobin promoter, and the creatine kinase promoter. Further, the invention should not be limited to the use of constitutive promoters. Inducible promoters are also contemplated as part of the invention. The use of an inducible promoter provides a molecular switch capable of turning on expression of the polynucleotide sequence which it is operatively linked when such expression is desired, or turning off the expression when expression is not desired. Examples of inducible promoters include, but are not limited to a metallothionine promoter, a glucocorticoid promoter, a progesterone promoter, and a tetracycline promoter.
[0211] In order to assess the expression of a EZH2S21A polypeptide or portions thereof, the expression vector to be introduced into a cell can also contain either a selectable marker gene or a reporter gene or both to facilitate identification and selection of expressing cells from the population of cells sought to be transfected or infected through viral vectors. In other embodiments, the selectable marker may be carried on a separate piece of DNA and used in a co-transfection procedure. Both selectable markers and reporter genes may be flanked with appropriate regulatory sequences to enable expression in the host cells. Useful selectable markers include, for example, antibiotic-resistance genes, such as neo and the like.
[0212] Reporter genes are used for identifying potentially transfected cells and for evaluating the functionality of regulatory sequences. In general, a reporter gene is a gene that is not present in or expressed by the recipient organism or tissue and that encodes a polypeptide whose expression is manifested by some easily detectable property, e.g., enzymatic activity. Expression of the reporter gene is assayed at a suitable time after the DNA has been introduced into the recipient cells. Suitable reporter genes may include genes encoding luciferase, beta-galactosidase, chloramphenicol acetyl transferase, secreted alkaline phosphatase, or the green fluorescent protein gene (e.g., Ui-Tei et al., 2000 FEBS Letters 479: 79-82). Suitable expression systems are well known and may be prepared using known techniques or obtained commercially. In general, the construct with the minimal 5 flanking region showing the highest level of expression of reporter gene is identified as the promoter. Such promoter regions may be linked to a reporter gene and used to evaluate agents for the ability to modulate promoter-driven transcription.
[0213] In one embodiment, the vector comprises a suicide gene, where expression of the gene results in the death of the cell comprising the vector. For example, in some instances, prolonged expression of the EZH2S21A of the invention is not desirable. In one embodiment, inclusion of a suicide gene in the vector allows for finer control over EZH2S21A expression in a subject. In one embodiment, expression of the suicide gene is inducible, for example with the use of an inducible promoter regulating suicide gene expression.
[0214] Methods of introducing and expressing genes into a cell are known in the art. In the context of an expression vector, the vector can be readily introduced into a host cell, e.g., mammalian, bacterial, yeast, or insect cell by any method in the art. For example, the expression vector can be transferred into a host cell by physical, chemical, or biological means.
[0215] Physical methods for introducing a polynucleotide into a host cell include calcium phosphate precipitation, lipofection, particle bombardment, microinjection, electroporation, and the like. Methods for producing cells comprising vectors and/or exogenous nucleic acids are well-known in the art. See, for example, Sambrook et al., 2012, MOLECULAR CLONING: A LABORATORY MANUAL, volumes 1-4, Cold Spring Harbor Press, NY).
[0216] Biological methods for introducing a polynucleotide of interest into a host cell include the use of DNA and RNA vectors. Viral vectors, and especially retroviral vectors, have become the most widely used method for inserting genes into mammalian, e.g., human cells. Other viral vectors can be derived from lentivirus, poxviruses, herpes simplex virus I, adenoviruses and adeno-associated viruses, and the like. See, for example, U.S. Pat. Nos. 5,350,674 and 5,585,362.
[0217] Chemical means for introducing a polynucleotide into a host cell include colloidal dispersion systems, such as macromolecule complexes, nanocapsules, microspheres, beads, and lipid-based systems including oil-in-water emulsions, micelles, mixed micelles, and liposomes. An exemplary colloidal system for use as a delivery vehicle in vitro and in vivo is a liposome (e.g., an artificial membrane vesicle).
[0218] In the case where a non-viral delivery system is utilized, an exemplary delivery vehicle is a liposome. The use of lipid formulations is contemplated for the introduction of the nucleic acids into a host cell (in vitro, ex vivo or in vivo). In another embodiment, the nucleic acid may be associated with a lipid. The nucleic acid associated with a lipid may be encapsulated in the aqueous interior of a liposome, interspersed within the lipid bilayer of a liposome, attached to a liposome via a linking molecule that is associated with both the liposome and the oligonucleotide, entrapped in a liposome, complexed with a liposome, dispersed in a solution containing a lipid, mixed with a lipid, combined with a lipid, contained as a suspension in a lipid, contained or complexed with a micelle, or otherwise associated with a lipid. Lipid, lipid/DNA or lipid/expression vector associated compositions are not limited to any particular structure in solution. For example, they may be present in a bilayer structure, as micelles, or with a collapsed structure. They may also simply be interspersed in a solution, possibly forming aggregates that are not uniform in size or shape. Lipids are fatty substances which may be naturally occurring or synthetic lipids. For example, lipids include the fatty droplets that naturally occur in the cytoplasm as well as the class of compounds which contain long-chain aliphatic hydrocarbons and their derivatives, such as fatty acids, alcohols, amines, amino alcohols, and aldehydes.
[0219] Lipids suitable for use can be obtained from commercial sources. For example, dimyristyl phosphatidylcholine (DMPC) can be obtained from Sigma, St. Louis, MO; dicetyl phosphate (DCP) can be obtained from K & K Laboratories (Plainview, NY); cholesterol (Choi) can be obtained from Calbiochem-Behring; dimyristyl phosphatidylglycerol (DMPG) and other lipids may be obtained from Avanti Polar Lipids, Inc. (Birmingham, AL.). Stock solutions of lipids in chloroform or chloroform/methanol can be stored at about 20 C. Chloroform is used as the only solvent since it is more readily evaporated than methanol. Liposome is a generic term encompassing a variety of single and multilamellar lipid vehicles formed by the generation of enclosed lipid bilayers or aggregates. Liposomes can be characterized as having vesicular structures with a phospholipid bilayer membrane and an inner aqueous medium. Multilamellar liposomes have multiple lipid layers separated by aqueous medium. They form spontaneously when phospholipids are suspended in an excess of aqueous solution. The lipid components undergo self-rearrangement before the formation of closed structures and entrap water and dissolved solutes between the lipid bilayers (Ghosh et al., 1991 Glycobiology 5: 505-10). However, compositions that have different structures in solution than the normal vesicular structure are also encompassed. For example, the lipids may assume a micellar structure or merely exist as nonuniform aggregates of lipid molecules. Also contemplated are lipofectamine-nucleic acid complexes.
Sources of T Cells
[0220] In one embodiment, the improved T cell can be autologous with respect to the recipient. In such an embodiment, a T cell may be isolated from a subject who is also to be the recipient and improved according to the methods of the invention prior to administration to the subject.
[0221] In an alternative embodiment, the improved T cells can be allogeneic, syngeneic or xenogeneic with respect to the recipient. In such an embodiment, a T cell may be isolated from a subject or obtained from a source and improved according to the methods of the invention prior to administration to the recipient, wherein the subject or source and the recipient are not the same.
[0222] Prior to expansion and genetic modification, the T cells to be improved according to the methods of the invention may be obtained from a subject. The term subject is intended to include living organisms in which an immune response can be elicited (e.g., mammals). Examples of subjects include humans, dogs, cats, mice, rats, and transgenic species thereof. T cells can be obtained from a number of sources, including peripheral blood mononuclear cells, bone marrow, lymph node tissue, cord blood, thymus tissue, tissue from a site of infection, ascites, pleural effusion, spleen tissue, and tumors. In certain embodiments of the present invention, any number of T cell lines available in the art, may be used. In certain embodiments of the present invention, T cells can be obtained from a unit of blood collected from a subject using any number of techniques known to the skilled artisan, such as Ficoll separation. In one preferred embodiment, cells from the circulating blood of an individual are obtained by apheresis. The apheresis product typically contains lymphocytes, including T cells, monocytes, granulocytes, B cells, other nucleated white blood cells, red blood cells, and platelets. In one embodiment, the cells collected by apheresis may be washed to remove the plasma fraction and to place the cells in an appropriate buffer or media for subsequent processing steps. In one embodiment of the invention, the cells are washed with phosphate buffered saline (PBS). In an alternative embodiment, the wash solution lacks calcium and may lack magnesium or may lack many if not all divalent cations. Again, surprisingly, initial activation steps in the absence of calcium lead to magnified activation. As those of ordinary skill in the art would readily appreciate a washing step may be accomplished by methods known to those in the art, such as by using a semi-automated flow-through centrifuge (for example, the Cobe 2991 cell processor, the Baxter CytoMate, or the Haemonetics Cell Saver 5) according to the manufacturer's instructions. After washing, the cells may be resuspended in a variety of biocompatible buffers, such as, for example, Ca-free, Mg-free PBS, PlasmaLyte A, or other saline solution with or without buffer. Alternatively, the undesirable components of the apheresis sample may be removed and the cells directly resuspended in culture media.
[0223] In another embodiment, T cells are isolated from peripheral blood lymphocytes by lysing the red blood cells and depleting the monocytes, for example, by centrifugation through a PERCOLL gradient or by counterflow centrifugal elutriation. A specific subpopulation of T cells, such as CD3.sup.+, CD28.sup.+, CD4.sup.+, CD8.sup.+, CD45RA.sup.+, and CD45RO.sup.+T cells, can be further isolated by positive or negative selection techniques. For example, in one embodiment, T cells are isolated by incubation with anti-CD3/anti-CD28 (i.e., 328)-conjugated beads, such as DYNABEADS M-450 CD3/CD28 T, for a time period sufficient for positive selection of the desired T cells. In one embodiment, the time period is about 30 minutes. In a further embodiment, the time period ranges from 30 minutes to 36 hours or longer and all integer values there between. Longer incubation times may be used to isolate T cells in any situation where there are few T cells as compared to other cell types, such in isolating tumor infiltrating lymphocytes (TIL) from tumor tissue or from immunocompromised individuals. Further, use of longer incubation times can increase the efficiency of capture of CD8+ T cells. The skilled artisan would recognize that multiple rounds of selection can also be used in the context of this invention. In certain embodiments, it may be desirable to perform the selection procedure and use the unselected cells in the activation and expansion process. Unselected cells can also be subjected to further rounds of selection.
[0224] Enrichment of a T cell population by negative selection can be accomplished with a combination of antibodies directed to surface markers unique to the negatively selected cells. One method is cell sorting and/or selection via negative magnetic immune-adherence or flow cytometry that uses a cocktail of monoclonal antibodies directed to cell surface markers present on the cells negatively selected.
[0225] For isolation of a desired population of cells by positive or negative selection, the concentration of cells and surface (e.g., particles such as beads) can be varied. In certain embodiments, it may be desirable to significantly decrease the volume in which beads and cells are mixed together (i.e., increase the concentration of cells), to ensure maximum contact of cells and beads. For example, in one embodiment, a concentration of 2 billion cells/ml is used. In one embodiment, a concentration of 1 billion cells/ml is used. In a further embodiment, greater than 100 million cells/ml is used. In a further embodiment, a concentration of cells of 10, 15, 20, 25, 30, 35, 40, 45, or 50 million cells/ml is used. In yet another embodiment, a concentration of cells from 75, 80, 85, 90, 95, or 100 million cells/ml is used. In further embodiments, concentrations of 125 or 150 million cells/ml can be used. Using high concentrations can result in increased cell yield, cell activation, and cell expansion. Further, use of high cell concentrations allows more efficient capture of cells that may weakly express target antigens of interest, such as CD28-negative T cells, or from samples where there are many tumor cells present (i.e., leukemic blood, tumor tissue, etc.). Such populations of cells may have therapeutic value and would be desirable to obtain. For example, using high concentration of cells allows more efficient selection of CD8.sup.+ T cells that normally have weaker CD28 expression.
[0226] In a related embodiment, it may be desirable to use lower concentrations of cells. By significantly diluting the mixture of T cells and surface (e.g., particles such as beads), interactions between the particles and cells is minimized. This selects for cells that express high amounts of desired antigens to be bound to the particles. For example, CD4.sup.+ T cells express higher levels of CD28 and are more efficiently captured than CD8.sup.+ T cells in dilute concentrations. In one embodiment, the concentration of cells used is 510.sup.6/ml. In other embodiments, the concentration used can be from about 110.sup.5/ml to 110.sup.6/ml, and any integer value in between.
[0227] In other embodiments, the cells may be incubated on a rotator for varying lengths of time at varying speeds at either 2-10 C. or at room temperature.
[0228] T cells for stimulation can also be frozen after a washing step. Wishing not to be bound by theory, the freeze and subsequent thaw step provides a more uniform product by removing granulocytes and to some extent monocytes in the cell population. After the washing step that removes plasma and platelets, the cells may be suspended in a freezing solution. While many freezing solutions and parameters are known in the art and will be useful in this context, one method involves using PBS containing 20% DMSO and 8% human serum albumin, or culture media containing 10% Dextran 40 and 5% Dextrose, 20% Human Serum Albumin and 7.5% DMSO, or 31.25% Plasmalyte-A, 31.25% Dextrose 5%, 0.45% NaCl, 10% Dextran 40 and 5% Dextrose, 20% Human Serum Albumin, and 7.5% DMSO or other suitable cell freezing media containing for example, Hespan and PlasmaLyte A, the cells then are frozen to 80 C. at a rate of 1 per minute and stored in the vapor phase of a liquid nitrogen storage tank. Other methods of controlled freezing may be used as well as uncontrolled freezing immediately at 20 C. or in liquid nitrogen.
[0229] In certain embodiments, cryopreserved cells are thawed and washed as described herein and allowed to rest for one hour at room temperature prior to activation using the methods of the present invention.
[0230] Also contemplated in the context of the invention is the collection of blood samples or apheresis product from a subject at a time period prior to when the expanded cells as described herein might be needed. As such, the source of the cells to be expanded can be collected at any time point necessary, and desired cells, such as T cells, isolated and frozen for later use in T cell therapy for any number of diseases or conditions that would benefit from T cell therapy, such as those described herein. In one embodiment a blood sample or an apheresis is taken from a generally healthy subject. In certain embodiments, a blood sample or an apheresis is taken from a generally healthy subject who is at risk of developing a disease, but who has not yet developed a disease, and the cells of interest are isolated and frozen for later use. In certain embodiments, the T cells may be expanded, frozen, and used at a later time. In certain embodiments, samples are collected from a patient shortly after diagnosis of a particular disease as described herein but prior to any treatments. In a further embodiment, the cells are isolated from a blood sample or an apheresis from a subject prior to any number of relevant treatment modalities, including but not limited to treatment with agents such as natalizumab, efalizumab, antiviral agents, chemotherapy, radiation, immunosuppressive agents, such as cyclosporin, azathioprine, methotrexate, mycophenolate, and FK506, antibodies, or other immunoablative agents such as CAMPATH, anti-CD3 antibodies, cytoxan, fludarabine, cyclosporin, FK506, rapamycin, mycophenolic acid, steroids, FR901228, and irradiation. In a further embodiment, the cells are isolated for a patient and frozen for later use in conjunction with (e.g., before, simultaneously or following) bone marrow or stem cell transplantation, T cell ablative therapy using either chemotherapy agents such as, fludarabine, external-beam radiation therapy (XRT), cyclophosphamide, or antibodies such as OKT3 or CAMPATH. In another embodiment, the cells are isolated prior to and can be frozen for later use for treatment following B-cell ablative therapy such as agents that react with CD20, e.g., Rituxan.
Activation and Expansion of T Cells
[0231] In one embodiment, the T cells of the invention are improved prior to activation and expansion. For example, in one embodiment, a T cell of the invention is genetically modified prior to activation and expansion. In one embodiment, the T cells of the invention are improved during activation and expansion. For example, in one embodiment, a T cell of the invention is cultured in the presence of at least one inhibitor of a regulator of Ezh2 signaling during activation and/or expansion.
[0232] T cells are activated and expanded generally using methods as described, for example, in U.S. Pat. Nos. 6,352,694; 6,534,055; 6,905,680; 6,692,964; 5,858,358; 6,887,466; 6,905,681; 7,144,575; 7,067,318; 7,172,869; 7,232,566; 7,175,843; 5,883,223; 6,905,874; 6,797,514; 6,867,041; and U.S. Patent Application Publication No. 20060121005.
[0233] Generally, the T cells of the invention are expanded by contact with a surface having attached thereto an agent that stimulates a CD3/TCR complex associated signal and a ligand that stimulates a co-stimulatory molecule on the surface of the T cells. In particular, T cell populations may be stimulated as described herein, such as by contact with an anti-CD3 antibody, or antigen-binding fragment thereof, or an anti-CD2 antibody immobilized on a surface, or by contact with a protein kinase C activator (e.g., bryostatin) in conjunction with a calcium ionophore. For co-stimulation of an accessory molecule on the surface of the T cells, a ligand that binds the accessory molecule is used. For example, a population of T cells can be contacted with an anti-CD3 antibody and an anti-CD28 antibody, under conditions appropriate for stimulating proliferation of the T cells. To stimulate proliferation of either CD4.sup.+ T cells or CD8.sup.+ T cells, an anti-CD3 antibody and an anti-CD28 antibody. Examples of an anti-CD28 antibody include 9.3, B-T3, XR-CD28 (Diaclone, Besangon, France) can be used as can other methods commonly known in the art (Berg et al., Transplant Proc. 30(8):3975-3977, 1998; Haanen et al., J. Exp. Med. 190(9):13191328, 1999; Garland et al., J. Immunol Meth. 227(1-2):53-63, 1999).
[0234] In certain embodiments, the primary stimulatory signal and the co-stimulatory signal for the T cell may be provided by different protocols. For example, the agents providing each signal may be in solution or coupled to a surface. When coupled to a surface, the agents may be coupled to the same surface (i.e., in cis formation) or to separate surfaces (i.e., in trans formation). Alternatively, one agent may be coupled to a surface and the other agent in solution. In one embodiment, the agent providing the co-stimulatory signal is bound to a cell surface and the agent providing the primary activation signal is in solution or coupled to a surface. In certain embodiments, both agents can be in solution. In another embodiment, the agents may be in soluble form, and then cross-linked to a surface, such as a cell expressing Fc receptors or an antibody or other binding agent which will bind to the agents.
[0235] In one embodiment of the present invention, the mixture may be cultured for several hours (about 3 hours) to about 14 days or any hourly integer value in between. In another embodiment, the mixture may be cultured for 21 days. Conditions appropriate for T cell culture include an appropriate media (e.g., Minimal Essential Media or RPMI Media 1640 or, X-vivo 15, (Lonza)) that may contain factors necessary for proliferation and viability, including serum (e.g., fetal bovine or human serum), interleukin-2 (IL-2), insulin, IFN-, IL-4, IL-7, GM-CSF, IL-10, IL-12, IL-15, TGF, and TNF- or any other additives for the growth of cells known to the skilled artisan. Other additives for the growth of cells include, but are not limited to, surfactant, plasmanate, and reducing agents such as N-acetyl-cysteine and 2-mercaptoethanol. Media can include RPMI 1640, AIM-V, DMEM, MEM, -MEM, F-12, X-Vivo 15, and X-Vivo 20, Optimizer, with added amino acids, sodium pyruvate, and vitamins, either serum-free or supplemented with an appropriate amount of serum (or plasma) or a defined set of hormones, and/or an amount of cytokine(s) sufficient for the growth and expansion of T cells. Antibiotics, e.g., penicillin and streptomycin, are included only in experimental cultures, not in cultures of cells that are to be infused into a subject. The target cells are maintained under conditions necessary to support growth, for example, an appropriate temperature (e.g., 37 C.) and atmosphere (e.g., air plus 5% CO.sub.2).
Methods of Treatment
[0236] In one embodiment, the present invention provides for compositions and methods for treating or preventing recurrence of cancer. Cancers that can be treated or prevented using the methods of the invention, include, but are not limited to, primary or metastatic melanoma, thymoma, lymphoma, sarcoma, lung cancer, liver cancer, non-Hodgkin's lymphoma, Hodgkins lymphoma, leukemias, uterine cancer, cervical cancer, bladder cancer, kidney cancer and adenocarcinomas such as breast cancer, prostate cancer, ovarian cancer, pancreatic cancer, glioblastoma, neuroblastoma, and the like. In one embodiment, the method comprises administering to a subject in need thereof a composition comprising an improved T cell of the invention.
[0237] The present invention also provides methods for inhibiting the proliferation of tumor cells, the methods comprising administering to a subject in need thereof a composition comprising an improved T cell of the invention. In certain embodiments, the improved T cell of the invention reduces the quantity, number, amount or percentage of cells and/or cancer cells by at least 5%, at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 40%, at least 50%, at least 65%, at least 75%, at least 85%, at least 95%, or at least 99% in a subject with or animal model for cancer relative to a negative control. In one embodiment, the subject is a human.
[0238] In one embodiment, the present invention provides for compositions and methods for treating or preventing a chronic infection. In various embodiments, a chronic infection may be HIV infection, hepatitis infection, CMV-infection, EBV infection, and the like. In certain embodiments, the improved T cell of the invention reduces the duration or severity of an infection by at least 5%, at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 40%, at least 50%, at least 65%, at least 75%, at least 85%, at least 95%, or at least 99% in a subject with or animal model for a chronic infection relative to a negative control. In one embodiment, the subject is a human.
[0239] In various embodiments, the improved T cells administered to the subject, persist in the patient for at least four months, five months, six months, seven months, eight months, nine months, ten months, eleven months, twelve months, thirteen months, fourteen month, fifteen months, sixteen months, seventeen months, eighteen months, nineteen months, twenty months, twenty-one months, twenty-two months, twenty-three months, two years, three years, four years, or five years after administration of the T cell to the patient. Wishing not to be bound by theory, the anti-tumor immunity response elicited by the improved T cells may be an active or a passive immune response.
[0240] In one embodiment, the composition comprising an improved T cell of the invention may be a type of vaccine for ex vivo immunization and/or in vivo therapy in a mammal. In one embodiment, the mammal is a human.
[0241] With respect to ex vivo immunization, at least one of the following occurs in vitro prior to administering the cell into a mammal: i) expansion of the cells, ii) introducing a nucleic acid to the cells or iii) cryopreservation of the cells.
[0242] Ex vivo procedures are well known in the art and are discussed more fully below. Briefly, in one embodiment, cells are isolated from a mammal (e.g., a human) and genetically modified (i.e., transduced or transfected in vitro) with at least one of a vector expressing Ezh2S21A and a CAR disclosed herein. In one embodiment, the cells are further contacted with at least one inhibitor of Akt mediated Ezh2 phosphorylation (e.g., at least one inhibitor of PI3K, calcinurin, JMJD3, AKT, AP-1, CDk1, CDK4/6 or DNA-PK or a combination thereof.) The improved T cell is then administered to a mammalian recipient to provide a therapeutic benefit. The mammalian recipient may be a human and the improved T cell can be autologous with respect to the recipient. Alternatively, the cells can be allogeneic, syngeneic or xenogeneic with respect to the recipient.
[0243] The procedure for ex vivo expansion of hematopoietic stem and progenitor cells is described in U.S. Pat. No. 5,199,942, incorporated herein by reference, can be applied to the cells of the present invention. Other suitable methods are known in the art, therefore the present invention is not limited to any particular method of ex vivo expansion of the cells. Briefly, ex vivo culture and expansion of T cells comprises: (1) collecting CD34+ hematopoietic stem and progenitor cells from a mammal from peripheral blood harvest or bone marrow explants; and (2) expanding such cells ex vivo. In addition to the cellular growth factors described in U.S. Pat. No. 5,199,942, other factors such as flt3-L, IL-1, IL-3 and c-kit ligand, can be used for culturing and expansion of the cells.
[0244] In addition to using a cell-based vaccine in terms of ex vivo immunization, the present invention also provides compositions and methods for in vivo immunization to elicit an immune response directed against an antigen in a patient.
[0245] Generally, the cells activated and expanded as described herein may be utilized in the treatment and prevention of cancer. Thus, the present invention provides methods for the treatment or prevention of cancer comprising administering to a subject in need thereof, a therapeutically effective amount of the improved T cells of the invention.
[0246] The improved T cells of the present invention may be administered either alone, or as a pharmaceutical composition in combination with diluents and/or with other components such as IL-2 or other cytokines or cell populations. Briefly, pharmaceutical compositions of the present invention may comprise a target cell population as described herein, in combination with one or more pharmaceutically or physiologically acceptable carriers, diluents or excipients. Such compositions may comprise buffers such as neutral buffered saline, phosphate buffered saline and the like; carbohydrates such as glucose, mannose, sucrose or dextrans, mannitol; proteins; polypeptides or amino acids such as glycine; antioxidants; chelating agents such as EDTA or glutathione; adjuvants (e.g., aluminum hydroxide); and preservatives. Compositions of the present invention are in one embodiment formulated for intravenous administration.
[0247] Pharmaceutical compositions of the present invention may be administered in a manner appropriate to the disease to be treated (or prevented). The quantity and frequency of administration will be determined by such factors as the condition of the patient, and the type and severity of the patient's disease, although appropriate dosages may be determined by clinical trials.
[0248] When an immunologically effective amount, an anti-tumor effective amount, an tumor-inhibiting effective amount, or therapeutic amount is indicated, the precise amount of the compositions of the present invention to be administered can be determined by a physician with consideration of individual differences in age, weight, tumor size, extent of infection or metastasis, and condition of the patient (subject). It can generally be stated that a pharmaceutical composition comprising the T cells described herein may be administered at a dosage of 10.sup.4 to 10.sup.9 cells/kg body weight, in some instances 10.sup.5 to 10.sup.6 cells/kg body weight, including all integer values within those ranges. T cell compositions may also be administered multiple times at these dosages. The cells can be administered by using infusion techniques that are commonly known in immunotherapy (see, e.g., Rosenberg et al., New Eng. J. of Med. 319:1676, 1988). The optimal dosage and treatment regime for a particular patient can readily be determined by one skilled in the art of medicine by monitoring the patient for signs of disease and adjusting the treatment accordingly.
[0249] In certain embodiments, it may be desired to administer activated T cells to a subject and then subsequently redraw blood (or have an apheresis performed), activate T cells therefrom according to the present invention, and reinfuse the patient with these activated and expanded T cells. This process can be carried out multiple times every few weeks. In certain embodiments, T cells can be activated from blood draws of from 10 cc to 400 cc. In certain embodiments, T cells are activated from blood draws of 20 cc, 30 cc, 40 cc, 50 cc, 60 cc, 70 cc, 80 cc, 90 cc, or 100 cc. Wishing not to be bound by theory, using this multiple blood draw/multiple reinfusion protocol, may select out certain populations of T cells.
[0250] The administration of the subject compositions may be carried out in any convenient manner, including by aerosol inhalation, injection, ingestion, transfusion, implantation or transplantation. The compositions described herein may be administered to a patient transarterially, subcutaneously, intradermally, intratumorally, intranodally, intramedullary, intramuscularly, by intravenous (i.v.) injection, or intraperitoneally. In one embodiment, the T cell compositions of the present invention are administered to a patient by intradermal or subcutaneous injection. In another embodiment, the T cell compositions of the present invention are administered by i.v. injection. The compositions of T cells may be injected directly into a tumor, lymph node, or site of infection.
[0251] In certain embodiments of the present invention, cells activated and expanded using the methods described herein, or other methods known in the art where T cells are expanded to therapeutic levels, are administered to a patient in conjunction with (e.g., before, simultaneously or following) any number of relevant treatment modalities, including but not limited to treatment with agents such as antiviral therapy, cidofovir and interleukin-2, Cytarabine (also known as ARA-C) or natalizumab treatment for MS patients or efalizumab treatment for psoriasis patients or other treatments for PML patients. In further embodiments, the T cells of the invention may be used in combination with chemotherapy, radiation, immunosuppressive agents, such as cyclosporin, azathioprine, methotrexate, mycophenolate, and FK506, antibodies, or other immunoablative agents such as CAMPATH, anti-CD3 antibodies or other antibody therapies, cyclophosphamide, fludarabine, cyclosporin, FK506, rapamycin, mycophenolic acid, steroids, FR901228, cytokines, and irradiation. These drugs inhibit either the calcium dependent phosphatase calcineurin (cyclosporine and FK506) or inhibit the p70S6 kinase that is important for growth factor induced signaling (rapamycin). (Liu et al., Cell 66:807-815, 1991; Henderson et al., Immun. 73:316-321, 1991; Bierer et al., Curr. Opin. Immun. 5:763-773, 1993). In a further embodiment, the cell compositions of the present invention are administered to a patient in conjunction with (e.g., before, simultaneously or following) bone marrow transplantation, T cell ablative therapy using either chemotherapy agents such as, fludarabine, external-beam radiation therapy (XRT), cyclophosphamide, or antibodies such as OKT3 or CAMPATH. In another embodiment, the cell compositions of the present invention are administered following B-cell ablative therapy such as agents that react with CD20, e.g., Rituxan. For example, in one embodiment, subjects may undergo standard treatment with high dose chemotherapy followed by peripheral blood stem cell transplantation. In certain embodiments, following the transplant, subjects receive an infusion of the expanded immune cells of the present invention. In an additional embodiment, expanded cells are administered before or following surgery.
[0252] The dosage of the above treatments to be administered to a patient will vary with the precise nature of the condition being treated and the recipient of the treatment. The scaling of dosages for human administration can be performed according to art-accepted practices. The dose for CAMPATH, for example, will generally be in the range 1 to about 100 mg for an adult patient, usually administered daily for a period between 1 and 30 days. The preferred daily dose is 1 to 10 mg per day although in some instances larger doses of up to 40 mg per day may be used (described in U.S. Pat. No. 6,120,766).
EXPERIMENTAL EXAMPLES
[0253] The invention is further described in detail by reference to the following experimental examples. These examples are provided for purposes of illustration only, and are not intended to be limiting unless otherwise specified. Thus, the invention should in no way be construed as being limited to the following examples, but rather, should be construed to encompass any and all variations which become evident as a result of the teaching provided herein.
Example 1: The Phosphorylation State of Ezh2 Determines its Capacity to Maintain CD8+ Memory T Cells for Antitumor Immunity
[0254] Ezh2 is the histone methyltransferase that specifically catalyzes H3K27me3 (Margueron and Reinberg, 2011, Nature, 469:343-349; Boyer et al., 2006, Nature, 441:349-353; Bantignies and Cavalli, 2006, Curr Opin Cell Biol, 18:275-283). Whether Ezh2 is crucial for establishing and maintaining memory properties in T cells, and if this Ezh2 activity might be modified during T cell response, have not previously been determined.
[0255] The results presented herein identify Ezh2 as an epigenetic regulator that is essential for the development and maintenance of memory T cells and associated antitumor immunity. Remarkably, the phosphorylation state of Ezh2 determines its capacity to regulate the generation and maintenance of memory T cells. Akt activation causes phosphorylation of Ezh2, leading to the dissociation of Ezh2 from the promoter regions of TFs Id3, Id2, Prdm1 (which encodes Blimp-1) and Eomes, enhanced effector differentiation at an expense of memory T cells. Thus, the phosphorylation state of Ezh2 determines its capacity to maintain CD8.sup.+ T cell memory for antitumor immunity.
[0256] The materials and methods are now described
Mice
[0257] C57BL/6 (B6, Thy1.2.sup.+), and transgenic Pm el-1 (B6.Cg-Thy1.sup.a/Cy Tg(TcraTcrb)8Rest/J, Thy1.1.sup.+) mice were purchased from The Jackson Laboratories. Ezh2 was deleted in gp100-specific CD8.sup.+ T cell receptor-transgenic Pmel-1 cells by backcrossing Ezh2.sup.fl/fl CD4-Cre B6 mice to Pmel-1 mice to produce T cell-specific Ezh2-knockout Pmel-1 mice (Ezh2.sup./ Pmel-1).
Cell Preparation and Culture
[0258] Splenic and LN CD44loCD8+ T.sub.N cells were prepared as previously described (Zhang et al., 2002, J Immunol, 169:7111-7118; Zhang et al., 2005, Nat Med, 11:1299-1305). The purity was usually 90-95%. CD8+ T cell cultures were set up as previously described (He et al., 2013, Blood, 122:4119-4128; Tong et al., 2014, J Immunol, 192:5012-5022). In brief, CD44loCD8+ nave T cells (were cultured in the presence of anti-CD3 (2 g/ml) and anti-CD28 (2.0 g/ml) Abs together with recombinant human IL-2 (10 ng/ml; R&D Systems). In vivo sorted T cells and cultured T cells were restimulated with anti-CD3 Ab (1 g/ml; BioLegend) or human gp100 (10.sup.6 M) for 5 hours before intracellular staining. Bone marrow-derived dendritic cells (DCs) were generated as previously described (Zhang et al., 2005, Nat Med, 11:1299-1305). For TAT-Cre experiments, 10.sup.6 purified CD8.sup.+ T cells or splenocytes were incubated in 100 L serum-free RPMI containing 90 to 100 g/mL TAT-Cre fusion protein for 16 hours at 37 C. After extensive washing, treated cells were kept in vitro culture for another 5 days.
Retroviral Construction and T Cell Infection
[0259] The MigR1 retroviral vector system was described previously (Tong et al., 2014, J Immunol, 192:5012-5022; Pear et al., 1998, Blood, 92:3780-3792). Ezh2, Ezh2 mutants, and Id3 cDNA was cloned into Mig-R1 (GFP) vector. For retroviral infection, CD8+ T cells were prestimulated with anti-CD3/CD28 Ab for 24 hours, and then the retrovirus supernatant was added in the presence of 8 g/ml polybrene (Sigma). Cells were spinoculated at 3000 rpm, 32 C. for 3 hours. The same retroviral infection procedure was repeated 24 hours later (Tong et al., 2014, J Immunol, 192:5012-5022).
Adoptive Cell Transfer, Infection and Tumor Challenge
[0260] Pmel-1 T cells (110.sup.4 to 110.sup.6) were transferred into sublethally irradiated B6 mice (5.0 Gy). IL-2 (100,000 IU) was administered intraperitoneally twice a day, and BM-derived DCs which have been pulsed with gp100 (10 g) were transferred via tail vein, for constitutively three days after adoptive transfer. C57BL/6 mice were injected subcutaneously with 510.sup.5 B16 melanoma cells. In some experiments, Ezh2.sup.fl/fl mice were intravenously received VVA-gp100 or VVA-OVA.
Counting of Adoptively Transferred Cells
[0261] Mice were euthanized after infection. Samples were enriched for mononuclear cells or CD8+ T cells (MACS positive selection kit), and cells were counted by trypan blue exclusion. The frequency of transferred T cells was determined by measurement of the expression of CD8 and Thy-1.1 by flow cytometry. The absolute number of Pmel-1 cells was calculated by multiplication of the total cell count with the percentage of CD8+ Thy-1.1.
RNAseq Analysis
[0262] RNA sequencing was carried out at the sequencing core at University of Michigan Sequencing Core (Ann Arbor, Michigan). Transcriptome analysis was performed on RNA isolated from fresh nave and cultured CD8+ T cells. Briefly, total RNA was isolated from T cells using an RNAeasy kit (QIAGEN) and RNA-seq libraries were prepared using SureSelect RNA Library Preparation kits (Agilent Technologies) according to the manufacturers' instructions. Samples were run on a HiSeq 2000 sequencing system (Illumina), and at least 37.510.sup.6 single-end reads were obtained per sample. Expression was evaluated by determining the fragment per kilobase per million reads values. Using one-way ANOVA analysis, transcripts with p<0.01 and q<0.01 were selected for comparing paired groups and at least a 1.5-fold difference from the means for the paired groups. RNAseq data were deposited in the NCBI's Gene Expression Omnibus database (accession no. GSE76755).
Reverse Transcription Polymerase Chain Reaction (RT-PCR)
[0263] RNA was isolated with an RNeasy Mini kit (Qiagen) and cDNA was generated by reverse transcription (Applied Biosystems). Real-time RT-PCR was performed with a SYBR green PCR mix (ABI Biosystems) in the Realplex Eppendorf Real-time PCR instrument (Eppendorf AG). Gene expression levels were calculated relative to the 18s gene. Data were collected and quantitatively analyzed on a Realplex sequence detection system (Eppendorf AG), and Applied Biosystems StepOne Plus Real-time PCR systems (Applied Biosystems).
ChIP
[0264] A Millipore ChIP kit and Diagenode ChIP kit was used for ChIP assay as described by the manufacturer. DNA-protein complexes were crosslinked with formaldehyde at a final concentration of 1%. Sonicated extracts were precleared and incubated with Abs specific to Ezh2, H3K27me3, or nonspecific anti-IgG. The immunoprecipitated DNA was quantified by real-time quantitative PCR.
Western Blot Analysis
[0265] Proteins were separated by 4-20% SDS-PAGE, followed by standard immunoblot analysis. Anti-Ezh2 (11), anti--actin (C4) and anti-Id3 (B72-1) Abs were purchased from BD Bioscience. Anti-Suz12 (D39F6), anti-Id2 (D39E8m), anti-Eomes, anti-H3K4me3 (C42D8), anti-H3K9me3 (D4W1U), anti-H3K36me3 (D5A7), anti-Akt (C67E7), anti-phospho-Akt (Thr308, D25E6), anti-phospho-Akt (Ser473, D9E), HRP-linked anti-rabbit IgG, HRP-linked anti-mouse IgG Abs were purchased from Cell Signaling Technology. Anti-Eed (AA19) and anti-Mll (9-12) Abs were purchased from Millipore. Anti-Blimp1 (6D3), anti-T-bet (4B10) and anti-H3K27me3 (6002) Abs were purchased from eBioscience, Santa Cruz Technology and Abcam, respectively.
Flow Cytometric Analysis and Cell Lines
[0266] The Abs used for flow cytometric analyses were purchased from eBioscience, BioLegend, or BD Biosciences. Flow cytometric analyses were performed with FACS LSRII (BD Biosciences) as described (Zhang et al., 2005, Nat Med, 11:1299-1305; Zhang et al., 2002, J Immunol, 169:7111-7118). B16 mouse melanoma cell line was from American Type Culture Collection.
Statistical Analyses
[0267] Unless otherwise specified, statistical tests were performed using unpaired two-tailed Student's t-test. Where necessary, the Shapiro-Wilk test was used to test for normality of the underlying sample distribution. No blinding was done, as objective quantitative assays such as flow cytometry, were used. Experimental sample sizes were chosen using power calculations with preliminary experiments and/or were based on previously described variability in similar experiments (Overwijk et al., 2003, J Exp Med, 198:569-580; He et al., 2012, Blood, 119:1274-1282; Gattinoni et al., 2009, Nat Med, 15:808-813; Zhang et al., 2002, The Journal of clinical investigation, 109:1335-1344; Zhang et al., 2005, Nat Med, 11:1299-1305; Zhang et al., 2011, Blood 117, 299-308). Samples that had undergone technical failure during processing were excluded from analyses. Where relevant, recipient mice were randomized before adoptive transfer. p values of 0.05 or less were considered significant.
[0268] The results are now described
Ezh2 is Essential to CD8+ T Cell Memory Recall Response and Antitumor Immunity
[0269] To evaluate the impact of Ezh2 in memory CD8+ T cell response against persistently expressed antigen, Ezh2 was deleted in melanoma-associated antigen gp100-specific CD8+ T cell receptor (TCR)-transgenic Pmel-1 cells by backcrossing Ezh2fl/fl CD4-Cre B6 mice21 to Pmel-1 mice (Overwijk et al., 2003, J Exp Med, 198:569-580, which gave rise to T cell-specific Ezh2-knockout Pmel-1 mice (Ezh2.sup./ Pmel-1). Transfer of wild-type (WT) but not Ezh2.sup./ Pmel-1 cells repressed the growth of pre-established B16 melanoma in sublethally irradiated lymphodepleted mice (
[0270] To test the impact of Ezh2 deficiency on memory recall upon antigen rechallenge, equal numbers of WT and Ezh2.sup./ memory Pmel-1 cells were transferred, which were recovered from primary recipients 42 days after gp100-immunization, into secondary recipients. Seven days after gp100-rechallenge, Ezh2.sup./ memory Pmel-1 cells produced about 2- and 6-fold fewer total CD8+ T cells and IFN--secreting effectors, respectively, compared to their WT counterparts (
[0271] To enable more general interpretation of these experimental findings, lymphoreplete mice were used for validation. Equal numbers of congenically labeled WT (CD45.2+, Thy1.1+) and Ezh2/ (CD45.2+, Thy1.2+) Pmel-1 cells were co-injected into non-irradiated B6/SJL mice (CD45.1+, Thy1.2+), followed by infection with vaccinia virus encoding gp100 (VVA-gp100). This also allowed the testing of a cell-autonomous effect of Ezh2 deficiency in lymphoreplete hosts. Again, although loss of Ezh2 did not impair the initial proliferation in the spleen 3d after immunization, it caused approximately 2-fold reduction in number by day 5 and day 35 (
Ezh2 Helps Memory T Cell Formation Throughout all Three Phases of the T Cell Responses.
[0272] A typical T cell response contains three characteristic phases: clonal expansion, apoptotic contraction and memory phase (
[0273] Notably, Ezh2-deficiency-mediated change in surface phenotype was largely associated with T cell differentiation rather than activation and exhaustion markers (e.g., CD69, CD25, CD122, and PD-1) in these lymphodepleted hosts (
[0274] The second phase is featured by massive apoptosis of effector cells and the transition of memory precursors into mature memory cells. To evaluate the long-term effect Ezh2 deficiency on this transition, T.sub.CMP and T.sub.EFF were purified from primary lymphodepleted recipients 7 days after transfer of Pmel-1 cells and immunization, and then separately transferred them into gp100 immunization-matched secondary recipients (
[0275] It is possible that increased apoptosis of Ezh2/ T cells during the effector phase might result in long-term consequences on recall response capacity during the final memory phase. To test this concept, lymphoreplete Ezh2.sup.fl/fl mice were immunized with VVA-gp100 (
Ezh2 Orchestrates Expression of Genes Essential for Programming Memory Properties
[0276] To identify the Ezh2-targeted genes associated with effector and memory differentiation, genome-wide RNA sequencing of WT and Ezh2.sup./ Pmel-1 cells was performed after TCR activation for 3 days. Ezh2 deficiency had minimal effect on gene expression in T.sub.N (
TABLE-US-00001 TABLE 1 Genes differentially expressed in naive Ezh2.sup./ CD8 T cells versus nave WT T cells (Fold change >1.5, or <1.5) Nave Nave log2 WT Ezh2/ (fold_ signif- RNA_ gene_id locus CD8 CD8 change) test_stat status p_value q_value icant level Ccl5 chr11: 83525778- 177.444 51.1744 1.79387 7.91254 OK 5.00E05 0.000206 yes ok 83530518 Ccl3 chr11: 83647842- 6.51811 1.90123 1.77752 3.67457 OK 5.00E05 0.000206 yes ok 83649378 Hist2h2bb chr3: 96269699- 6.57214 2.13454 1.62243 3.67977 OK 0.00045 0.001589 yes ok 96270192 Nin chr12: 70011434- 73.7714 24.5415 1.58784 4.40616 OK 5.00E05 0.000206 yes ok 70111925 Ccl4 chr11: 83662583- 14.0633 4.90583 1.51937 3.96542 OK 5.00E05 0.000206 yes ok 83664683 Eps8l1 chr7: 4464741- 17.5215 6.36759 1.46031 3.94616 OK 5.00E05 0.000206 yes ok 4479242 Tigit chr16: 43648860- 7.53637 2.88364 1.38598 2.87733 OK 0.00025 0.000925 yes ok 43664184 Bhlhe40 chr6: 108577038- 9.23843 4.48681 1.04196 2.50642 OK 0.0001 0.000396 yes ok 108666925 Tpd52 chr3: 8929435- 52.1151 25.3762 1.03823 3.15744 OK 5.00E05 0.000206 yes ok 9004515 Casp1 chr9: 5298516- 7.87819 3.95138 0.99551 2.38607 OK 0.0007 0.002375 yes ok 5307281 Irf4 chr13: 30749257- 16.5397 8.37344 0.98204 2.85602 OK 5.00E05 0.000206 yes ok 30766927 Nr4a2 chr2: 57107225- 13.2125 6.76258 0.96625 2.28214 OK 0.0001 0.000396 yes ok 57124003 Ramp3 chr11: 6650147- 24.7116 12.8466 0.94381 2.10257 OK 0.00035 0.001262 yes ok 6677475 Coro2a chr4: 46536936- 6.25741 3.3306 0.90978 2.28583 OK 5.00E05 0.000206 yes ok 46601929 Cd9 chr6: 125460265- 40.6082 22.8889 0.82712 2.87719 OK 0.00015 0.000577 yes ok 125494755 Ctla4 chr1: 60909024- 77.2275 43.5757 0.82559 2.61537 OK 0.0002 0.000753 yes ok 60915830 Rab4a chr8: 123805995- 9.25388 5.31495 0.8 2.00879 OK 0.0027 0.008051 yes ok 123835291 Hist1h1c chr13: 23738806- 34.8786 20.2995 0.7809 2.56846 OK 0.00015 0.000577 yes ok 23740367 Slc6a19 chr13: 73681156- 74.2989 43.3502 0.7773 2.74686 OK 5.00E05 0.000206 yes ok 73709856 Mgat5b chr11: 116918862- 12.1026 7.33401 0.72264 1.79018 OK 0.00265 0.007917 yes ok 116986944 Rgs2 chr1: 143999337- 96.206 59.9181 0.68313 2.09285 OK 0.00105 0.003422 yes ok 144004149 P2ry10 chrX: 107089334- 151.918 98.6038 0.62358 1.99669 OK 0.0028 0.00832 yes ok 107104970 1700017B05Rik chr9: 57252321- 12.4067 8.22878 0.59236 1.80569 OK 0.0017 0.0053 yes ok 57262599 Ifi27l2a chr12: 103442166- 788 1186.64 0.590613 3.23723 OK 0.0019 0.00586 yes ok 103443680 Plac8 chr5: 100553732- 273.089 411.674 0.592129 2.63097 OK 0.00105 0.003422 yes ok 100572205 Ly6c2 chr15: 75108160- 291.992 443.618 0.603388 2.57358 OK 0.0015 0.004733 yes ok 75111949 Oas2 chr5: 120730332- 54.5233 83.315 0.611703 2.02334 OK 0.00075 0.002528 yes ok 120749848 Ifit3 chr19: 34583528- 36.0304 55.5065 0.623441 2.14075 OK 0.00045 0.001589 yes ok 34588982 Lyst chr13: 13590408- 20.5592 32.0504 0.64056 2.0861 OK 0.00055 0.001907 yes ok 13777440 Oasl2 chr5: 114896933- 19.2091 29.9971 0.643032 2.12529 OK 0.0006 0.002064 yes ok 114912245 Ggt1 chr10: 75573592- 32.9822 51.6865 0.6481 2.2042 OK 0.0006 0.002064 yes ok 75586182 Slfn5 chr11: 82911252- 29.3271 46.3573 0.660563 2.09837 OK 5.00E05 0.000206 yes ok 82964850 Erdr1 chrY: 90785441- 214.865 342.444 0.672438 2.57477 OK 0.001 0.003276 yes ok 90816465 Ifit1 chr19: 34640888- 31.4782 50.9397 0.694437 2.39156 OK 0.00015 0.000577 yes ok 34650009 Isg15 chr4: 156199423- 88.1709 142.744 0.695059 2.84011 OK 0.0001 0.000396 yes ok 156200818 Baz2b chr2: 59899362- 7.54517 12.4577 0.723408 2.29167 OK 5.00E05 0.000206 yes ok 60125740 Mx1 chr16: 97447034- 28.6372 47.7698 0.738209 2.29772 OK 5.00E05 0.000206 yes ok 97462906 Ly6d chr15: 74762055- 18.8575 31.5612 0.743018 2.37906 OK 0.0033 0.009647 yes ok 74763567 Ctnna1 chr18: 35118911- 3.32225 5.58853 0.750309 1.84257 OK 0.0026 0.007782 yes ok 35254775 Ly6c1 chr15: 75044017- 21.2567 36.1645 0.766654 1.87141 OK 0.00225 0.006828 yes ok 75048837 B430306N03Rik chr17: 48316161- 3.9394 6.71447 0.769296 2.07626 OK 0.00105 0.003422 yes ok 48326511 Mx2 chr16: 97536080- 10.6858 18.2613 0.773093 2.16811 OK 0.00015 0.000577 yes ok 97560901 Ppic chr18: 53406340- 6.77981 11.6291 0.778424 2.09309 OK 0.00245 0.007377 yes ok 53418007 Cd163l1 chr7: 140218266- 13.7408 23.7645 0.79034 2.27749 OK 5.00E05 0.000206 yes ok 140231145 I830012O16Rik chr19: 34607956- 5.15274 8.93211 0.79366 2.066 OK 0.00115 0.003718 yes ok 34613401 Rsad2 chr12: 26442742- 9.43614 17.2138 0.867295 2.86362 OK 5.00E05 0.000206 yes ok 26456452 Tdgf1 chr9: 110939607- 2.7816 5.14692 0.887793 2.09312 OK 0.00195 0.005998 yes ok 110946158 Gadd45g chr13: 51846674- 8.16151 15.135 0.89098 2.44389 OK 0.00045 0.001589 yes ok 51848474 Gsto1 chr19: 47854988- 4.89655 9.26509 0.92004 2.30934 OK 0.00135 0.004299 yes ok 47864788 Ddit4 chr10: 59949674- 14.5796 27.6687 0.924299 2.87963 OK 5.00E05 0.000206 yes ok 59951770 Vwa5a chr9: 38718267- 3.87167 7.46794 0.947755 2.58523 OK 5.00E05 0.000206 yes ok 38743337 1700097N02Rik chr17: 30622440- 4.50615 8.79491 0.964772 2.28857 OK 0.00265 0.007917 yes ok 30626905 Beta-s chr7: 103826522- 42.9388 89.2784 1.05603 4.15865 OK 5.00E05 0.000206 yes ok 103827928 Stmn1 chr4: 134468319- 10.9678 25.4644 1.21521 3.57154 OK 5.00E05 0.000206 yes ok 134473843 Top2a chr11: 98992946- 3.92345 9.79263 1.31957 3.66987 OK 5.00E05 0.000206 yes ok 99024189 5830411N06Rik chr7: 140247300- 9.77906 26.5075 1.43863 3.74004 OK 5.00E05 0.000206 yes ok 140299791 Pxt1 chr17: 28933985- 0 35.311 20 #NAME? OK 5.00E05 0.000206 yes ok 28942262 Mir1932 chr11: 119390471- 0 82.2913 20 #NAME? OK 0.0002 0.000753 yes ok 119390561
TABLE-US-00002 TABLE 2 Activated WT Activated log2 gene_id locus CD8 Ezh2/ (fold_change) test_stat Ccl5 chr11: 83525778- 52.4865 175.015 1.73747 7.56866 83530518 Ccl3 chr11: 83647842- 250.512 648.893 1.3731 4.50365 83649378 Hist2h2bb chr3: 96269699- 2.59597 2.92983 0.174547 0.376093 96270192 Nin chr12: 70011434- 22.1547 18.1026 0.29142 0.88202 70111925 Ccl4 chr11: 83662583- 258.104 619.718 1.26366 4.71837 83664683 Eps8l1 chr7: 4464741- 2.39868 1.02249 1.23015 2.20598 4479242 Tigit chr16: 43648860- 89.5214 95.3887 0.091586 0.327446 43664184 Bhlhe40 chr6: 108577038- 118.252 160.904 0.444338 1.22189 108666925 Tpd52 chr3: 8929435- 44.3061 31.4849 0.49285 1.54141 9004515 Casp1 chr9: 5298516- 5.93312 2.60335 1.18842 2.71242 5307281 Irf4 chr13: 30749257- 81.7269 75.3077 0.11802 0.38452 30766927 Nr4a2 chr2: 57107225- 27.3337 23.1734 0.23821 0.66282 57124003 Ramp3 chr11: 6650147- 2.6432 4.82907 0.869457 1.40153 6677475 Coro2a chr4: 46536936- 60.5208 69.9553 0.209003 0.634956 46601929 Cd9 chr6: 125460265- 32.1545 57.1001 0.828474 3.11526 125494755 Ctla4 chr1: 60909024- 265.086 227.398 0.22124 0.76084 60915830 Rab4a chr8: 123805995- 5.09996 4.72029 0.11161 0.25957 123835291 Hist1h1c chr13: 23738806- 4.17531 6.75436 0.693935 1.67523 23740367 Slc6a19 chr13: 73681156- 4.53148 2.02788 1.16001 2.61914 73709856 Mgat5b chr11: 116918862- 0.608261 0.334736 0.86167 1.21688 116986944 Rgs2 chr1: 143999337- 8.68437 13.9715 0.685994 1.97598 144004149 P2ry10 chrX: 107089334- 60.9674 35.0462 0.79878 2.99378 107104970 1700017B05Rik chr9: 57252321- 16.5123 18.8457 0.190694 0.620541 57262599 Ifi27l2a chr12: 103442166- 1057.33 664.555 0.66997 3.27231 103443680 Plac8 chr5: 100553732- 746.283 929.914 0.317375 1.27825 100572205 Ly6c2 chr15: 75108160- 175.294 281.427 0.682984 2.86289 75111949 Oas2 chr5: 120730332- 0.923124 1.05157 0.187947 0.351817 120749848 Ifit3 chr19: 34583528- 2.5764 1.84752 0.47976 0.96645 34588982 Lyst chr13: 13590408- 14.7823 12.4555 0.24708 0.80906 13777440 Oasl2 chr5: 114896933- 1.48429 1.6983 0.194317 0.378914 114912245 Ggt1 chr10: 75573592- 3.46413 6.21196 0.842557 1.98981 75586182 Slfn5 chr11: 82911252- 2.08347 2.12826 0.03069 0.070671 82964850 Erdr1 chrY: 90785441- 92.797 214.099 1.20613 4.91218 90816465 Ifit1 chr19: 34640888- 3.28203 2.97265 0.14284 0.33053 34650009 Isg15 chr4: 156199423- 38.3052 31.7783 0.2695 0.86948 156200818 Baz2b chr2: 59899362- 2.2778 4.81612 1.08023 3.00839 60125740 Mx1 chr16: 97447034- 6.4328 8.14191 0.339921 0.858622 97462906 Ly6d chr15: 74762055- 0.919725 1.56058 0.762806 1.30384 74763567 Ctnna1 chr18: 35118911- 25.4877 43.3358 0.765758 2.52378 35254775 Ly6c1 chr15: 75044017- 9.7877 14.1628 0.533063 1.09506 75048837 B430306N03Rik chr17: 48316161- 0.576105 1.37776 1.25792 2.25568 48326511 Mx2 chr16: 97536080- 1.92411 1.78102 0.11149 0.18785 97560901 Ppic chr18: 53406340- 6.98088 9.16521 0.392758 0.983796 53418007 Cd163l1 chr7: 140218266- 0.403075 1.2321 1.612 2.45654 140231145 I830012O16Rik chr19: 34607956- 0.564784 0.333019 0.76209 1.08108 34613401 Rsad2 chr12: 26442742- 0.784511 0.596199 0.396 0.69746 26456452 Tdgf1 chr9: 110939607- 0.413496 0.291862 0.50259 0.68905 110946158 Gadd45g chr13: 51846674- 43.4029 127.932 1.55951 5.39775 51848474 Gsto1 chr19: 47854988- 22.0163 40.8322 0.891135 3.04207 47864788 Ddit4 chr10: 59949674- 152.318 113.12 0.42924 1.44543 59951770 Vwa5a chr9: 38718267- 11.6137 8.13297 0.51397 1.52935 38743337 1700097N02Rik chr17: 30622440- 17.8083 13.7049 0.37786 1.073 30626905 Beta-s chr7: 103826522- 0.047418 0.15611 1.71905 0 103827928 Stmn1 chr4: 134468319- 435.214 404.33 0.10619 0.39549 134473843 Top2a chr11: 98992946- 240.794 205.346 0.22975 0.65882 99024189 5830411N06Rik chr7: 140247300- 0.100796 0.319545 1.66458 1.58438 140299791 Pxt1 chr17: 28933985- 0.050716 9.81045 7.59573 6.17196 28942262 Mir1932 chr11: 119390471- 17.9759 15.3618 0.22671 0 119390561 gene_id status p_value q_value significant RNA_level Ccl5 OK 5.00E05 0.000206 yes ok Ccl3 OK 5.00E05 0.000206 yes ok Hist2h2bb OK 0.6908 0.844261 no bad Nin OK 0.1073 0.20893 no ok Ccl4 OK 5.00E05 0.000206 yes ok Eps8l1 OK 0.0002 0.000753 yes bad Tigit OK 0.6463 0.812903 no ok Bhlhe40 OK 0.0342 0.077707 no ok Tpd52 OK 0.011 0.028477 yes ok Casp1 OK 0.00015 0.000577 yes ok Irf4 OK 0.53465 0.723201 no ok Nr4a2 OK 0.24935 0.414017 no ok Ramp3 OK 0.0131 0.033286 yes bad Coro2a OK 0.2595 0.426889 no ok Cd9 OK 5.00E05 0.000206 yes ok Ctla4 OK 0.27855 0.451184 no ok Rab4a OK 0.6846 0.839935 no ok Hist1h1c OK 0.0098 0.025686 yes ok Slc6a19 OK 0.00015 0.000577 yes bad Mgat5b OK 0.0387 0.086647 no bad Rgs2 OK 0.00225 0.006828 yes ok P2ry10 OK 5.00E05 0.000206 yes ok 1700017B05Rik OK 0.28445 0.458438 no ok Ifi27l2a OK 0.00115 0.003718 yes ok Plac8 OK 0.1221 0.233026 no ok Ly6c2 OK 0.0005 0.001749 yes ok Oas2 OK 0.5585 0.743246 no bad Ifit3 OK 0.12535 0.238128 no bad Lyst OK 0.17335 0.311038 no ok Oasl2 OK 0.52775 0.717004 no bad Ggt1 OK 0.00255 0.007648 yes ok Slfn5 OK 0.90495 0.961442 no bad Erdr1 OK 5.00E05 0.000206 yes ok Ifit1 OK 0.58665 0.766747 no bad Isg15 OK 0.23875 0.400989 no ok Baz2b OK 5.00E05 0.000206 yes bad Mx1 OK 0.12935 0.244595 no ok Ly6d OK 0.114 0.219981 no bad Ctnna1 OK 5.00E05 0.000206 yes ok Ly6c1 OK 0.0601 0.127139 no ok B430306N03Rik OK 0.0006 0.002064 yes bad Mx2 OK 0.7287 0.868529 no bad Ppic OK 0.14455 0.268161 no ok Cd163l1 OK 0.0002 0.000753 yes bad I830012O16Rik OK 0.0927 0.184646 no bad Rsad2 OK 0.2729 0.444081 no bad Tdgf1 OK 0.29915 0.476437 no bad Gadd45g OK 5.00E05 0.000206 yes ok Gsto1 OK 5.00E05 0.000206 yes ok Ddit4 OK 0.0264 0.061887 no ok Vwa5a OK 0.00995 0.026034 yes ok 1700097N02Rik OK 0.15375 0.282115 no ok Beta-s NO TEST 1 1 no bad Stmn1 OK 0.5642 0.747904 no ok Top2a OK 0.26455 0.433403 no ok 5830411N06Rik OK 0.0064 0.017537 yes bad Pxt1 OK 0.02205 0.052787 no ok Mir1932 NO TEST 1 1 no ok
TABLE-US-00003 TABLE 3 Genes differentially expressed in activated Ezh2/ CD8 T cells versus WT CD8 T cells (fold changes >1.5, or <1.5) Activated Activated WT Ezh2/ fold gene_id locus CD8 CD8 change test_stat Xist chrX: 103431516- 26.8128 0.0221 0.000824 13.6563 103484957 Acvrl1 chr15: 101128536- 5.7217 1.45649 0.254557 4.22102 101145336 Dntt chr19: 41029274- 11.7614 3.27165 0.27817 3.86352 41059525 Tlr1 chr5: 64924679- 9.80037 2.8643 0.292265 4.27162 64933558 Ccdc164 chr5: 30341662- 13.7634 4.12708 0.299858 3.84333 30366708 Matk chr10: 81257544- 22.0966 7.77785 0.351993 4.05463 81262981 Tespa1 chr10: 130322851- 23.8355 8.54216 0.358379 4.24969 130362642 Dapl1 chr2: 59484652- 126.459 47.4318 0.375077 5.78612 59505020 Id3 chr4: 136143821- 63.3329 24.4144 0.385494 4.73159 136145392 St6gal1 chr16: 23224739- 39.9614 15.6625 0.391941 4.02221 23360350 Cd101 chr3: 100993528- 7.58971 2.99384 0.39446 3.21875 101029495 Lst1 chr17: 35185094- 28.1189 11.2901 0.401513 4.70168 35188440 Fam183b chr11: 58792801- 14.0809 5.65756 0.401792 2.03605 58801960 Tbxa2r chr10: 81328730- 20.8714 8.49938 0.407226 3.82905 81335172 Ephx1 chr1: 180989555- 45.7984 18.7142 0.408622 3.96693 181017495 Igfbp4 chr11: 99041259- 74.0214 32.0504 0.432988 3.59721 99052643 Casp1 chr9: 5298516- 5.93312 2.60335 0.438783 2.71242 5307281 Cd226 chr18: 89197426- 21.2687 9.39293 0.441633 3.27388 89270327 Ifngr2 chr16: 91547093- 6.80989 3.07272 0.451213 2.80499 91564007 Amz2 chr11: 109425945- 17.5616 8.05377 0.458604 3.25821 109438148 Gbp10 chr5: 105215698- 6.22054 2.91952 0.469335 2.83066 105239533 Ifi203 chr1: 173920402- 32.4039 15.3686 0.474283 3.59399 173942492 Sh3bp5 chr14: 31373963- 28.4269 13.5145 0.475412 3.33857 31436033 Arl5c chr11: 97989579- 27.0579 12.9065 0.476996 3.18114 97996173 Trp53inp1 chr4: 11156440- 41.6773 20.0366 0.480757 3.5361 11174377 N4bp2l1 chr5: 150571642- 8.19176 3.94537 0.481628 2.62387 150594525 Slamf6 chr1: 171917536- 19.1223 9.27956 0.485274 3.24661 171943868 Abcg1 chr17: 31057693- 7.9424 3.8716 0.487461 2.91507 31117981 H2-Oa chr17: 34083842- 15.6575 7.64058 0.487979 2.21573 34095309 Synpo chr18: 60593989- 6.0411 2.95647 0.489391 2.59004 60624305 Iigp1 chr18: 60376028- 55.8167 27.3721 0.490393 3.25623 60392629 Smpdl3a chr10: 57794543- 12.8627 6.34526 0.493308 2.84829 57811830 Pbx4 chr8: 69832703- 9.05181 4.48091 0.495027 2.36801 69872292 4930417O13Rik chr6: 125265524- 25.2016 12.4778 0.495117 2.89143 125273777 Arrdc3 chr13: 80883421- 11.2828 5.59091 0.495525 3.21841 80896043 A430093F15Rik chr19: 10740946- 21.0268 10.4374 0.496385 3.01299 10786043 Ltb chr17: 35194506- 350.01 173.791 0.496532 3.8411 35196305 Kdm6b chr11: 69398517- 8.93597 4.44157 0.497046 2.92245 69413675 Nr4a1 chr15: 101266845- 60.7444 30.6008 0.503763 2.96855 101274794 Igflr1 chr7: 30565426- 27.3959 13.9354 0.508668 3.01332 30567962 Bambi-ps1 chr2: 122466582- 5.80406 2.95341 0.508852 2.14009 122467797 Cd68 chr11: 69664370- 7.23455 3.7192 0.514089 2.20753 69666062 Sytl1 chr4: 133253089- 24.4842 12.9216 0.527752 2.75051 133263087 Rasgef1a chr6: 118066384- 5.0176 2.65118 0.528375 2.13087 118091546 Ipcef1 chr10: 6788600- 39.072 20.7888 0.532064 2.72394 7038209 Aldoc chr11: 78324197- 53.4865 28.6425 0.535509 2.65134 78326760 Mettl20 chr6: 149141512- 9.82863 5.29497 0.538729 2.03603 149151170 Pvr chr7: 19903577- 13.1702 7.09726 0.538887 2.61951 19921143 Btla chr16: 45224336- 21.5079 11.5985 0.539264 2.71756 45252895 Gm14446 chr19: 34592887- 7.30804 3.9476 0.540172 2.05915 34601968 I730030J21Rik chr15: 100730504- 36.9513 19.9735 0.540536 2.0674 100732737 Ccr7 chr11: 99144198- 415.017 224.875 0.541846 2.88505 99155077 Tox chr4: 6687385- 8.32052 4.53155 0.544623 2.42095 6990723 Pacsin1 chr17: 27655681- 13.9847 7.63612 0.546033 2.15223 27711106 Pecam1 chr11: 106654217- 26.0214 14.2983 0.549483 2.60043 106715281 2610019F03Rik chr8: 13952007- 5.49499 3.02221 0.549994 2.12343 13974777 Tspan32 chr7: 143005045- 38.1264 20.9806 0.55029 2.53946 143019485 Slamf1 chr1: 171767131- 17.9823 10.0225 0.557353 2.64965 171801184 Ncf1 chr5: 134220259- 56.5338 31.6122 0.559174 2.65812 134229625 Chd3 chr11: 69343272- 32.0566 17.9952 0.561356 2.53321 69369426 A430107P09Rik chr14: 53665939- 8.11815 4.56342 0.562125 2.35453 53668335 Ccng2 chr5: 93267572- 44.7678 25.231 0.563597 2.79351 93276231 Adamts6 chr13: 104287872- 10.1634 5.73183 0.563969 2.45808 104494763 Klf3 chr5: 64803522- 7.08401 3.99973 0.564614 2.1218 64830129 Sfn chr4: 133600555- 21.4176 12.1044 0.56516 2.42766 133602168 Fyb chr15: 6579870- 89.7224 51.0287 0.56874 2.55185 6663312 Bcl11b chr12: 107910402- 16.8982 9.61098 0.568756 2.56449 108003414 Arhgef18 chr8: 3393007- 16.3763 9.33476 0.570018 2.49437 3456600 Zfp36 chr7: 28376783- 28.4037 16.2835 0.573288 2.59919 28379228 Sertad3 chr7: 27473839- 13.5293 7.76889 0.574225 2.1988 27477364 P2ry10 chrX: 107089334- 60.9674 35.0462 0.574835 2.99378 107104970 Cpm chr10: 117629499- 5.42913 3.12669 0.575909 2.14945 117687352 Fut7 chr2: 25423693- 13.8057 7.99901 0.5794 1.96196 25426373 Serpine1 chr5: 137061505- 7.55716 4.38047 0.579644 2.03463 137072272 Slfn1 chr11: 83116844- 62.1912 36.1695 0.581586 2.79286 83122659 Per1 chr11: 69098955- 16.9178 9.84586 0.581983 2.14154 69109957 Trib3 chr2: 152337424- 11.2776 6.5676 0.582359 2.10319 152344060 Nr4a3 chr4: 48051247- 40.8464 24.0451 0.588672 2.27983 48083352 Tnfsf14 chr17: 57189491- 14.6153 8.63551 0.590855 2.05461 57194186 Slc35d3 chr10: 19847916- 6.96276 4.11528 0.591042 1.90249 19851459 Ddb2 chr2: 91202911- 24.2494 14.3647 0.592375 1.71434 91237066 Cbx4 chr11: 119077570- 17.4991 10.3816 0.593263 2.40502 119086237 Cdkn1b chr6: 134920400- 41.0625 24.4032 0.594293 2.66753 134925525 Gbp8 chr5: 105014152- 19.4071 11.5549 0.595394 2.32878 105053561 Irgm2 chr11: 58214976- 32.9768 19.7659 0.599388 2.54205 58222783 Il6st chr13: 112464069- 11.7091 7.03028 0.600411 2.3056 112506860 Hivep2 chr10: 13966378- 6.32435 3.79954 0.600779 2.27123 14151378 Slc43a2 chr11: 75531693- 11.2124 6.73955 0.601083 2.28204 75577572 Socs2 chr10: 95411489- 40.1215 24.195 0.603043 2.07087 95416857 Rab37 chr11: 115091430- 14.0946 8.50233 0.603234 1.83725 115162240 Plcxd2 chr16: 45959260- 7.60021 4.58773 0.603632 2.34244 46010413 Abhd8 chr8: 71456699- 39.9242 24.1173 0.604076 2.36373 71463657 Rara chr11: 98937695- 18.4409 11.1462 0.604426 2.10711 98974942 H2-DMa chr17: 34122831- 31.8286 19.2781 0.605684 2.35984 34139101 Ms4a4c chr19: 11407660- 44.1784 26.817 0.607016 2.61765 11427246 Klf2 chr8: 72319061- 30.5281 18.5362 0.607183 2.38207 72321654 Slc35g1 chr19: 38395979- 27.5071 16.7432 0.608686 2.52292 38405607 H2afv chr11: 6427225- 55.0864 33.6144 0.610211 2.55414 6444443 Dhx58 chr11: 100694883- 22.2092 13.5611 0.610606 2.01669 100704271 Inadl chr4: 98395825- 5.43573 3.33099 0.612797 1.76363 98719603 Orai2 chr5: 136147460- 19.0761 11.6942 0.613028 2.23503 136170656 Zfp36l1 chr12: 80107759- 44.5626 27.3272 0.613231 2.54889 80113013 Gbp6 chr5: 105270701- 28.1942 17.3324 0.61475 2.30571 105293699 Spry1 chr3: 37639949- 17.9025 11.0101 0.615006 2.09947 37644599 Syt11 chr3: 88744700- 8.17066 5.03275 0.615954 2.04147 88772599 Tgtp1 chr11: 48985328- 13.7508 8.48572 0.617108 2.17441 48992246 Tecpr1 chr5: 144195346- 37.069 22.908 0.617984 2.23256 144223578 A430078G23Rik chr8: 3353414- 10.347 6.40214 0.618745 2.0022 3390299 Igtp chr11: 58199555- 287.776 178.094 0.618863 2.19267 58207592 Plekhg2 chr7: 28359603- 14.5291 9.03047 0.621544 1.96741 28372662 Itgb7 chr15: 102215994- 168.174 104.746 0.622842 2.21237 102231935 Cd2 chr3: 101275907- 273.564 170.478 0.623176 2.56738 101287939 Sh2b3 chr5: 121817214- 14.1339 8.81637 0.623774 1.99447 121836801 Folr4 chr9: 14885813- 59.2334 36.9788 0.62429 2.04978 14903951 Poldip3 chr15: 83125977- 42.5386 26.6307 0.626035 2.20794 83149336 Gprin3 chr6: 59352460- 13.7482 8.62714 0.627509 1.89057 59426290 Utrn chr10: 12382187- 17.1981 10.8008 0.628022 2.04827 12861735 Ifi27l2a chr12: 103442166- 1057.33 664.555 0.62852 3.27231 103443680 Itga6 chr2: 71787082- 17.1293 10.7703 0.628763 2.11924 71856758 Plcg1 chr2: 160731309- 46.1988 29.1174 0.630264 2.11194 160872990 Samhd1 chr2: 157097528- 200.104 126.192 0.630632 2.00425 157135222 Ing2 chr8: 47667177- 10.9264 6.89415 0.630965 2.01829 47675159 Mov10 chr3: 104794833- 29.734 18.7712 0.631302 1.95304 104818563 Samd9l chr6: 3372257- 24.2586 15.4032 0.634958 2.1744 3399571 Lbh chr17: 72918304- 44.8844 28.5321 0.63568 2.29748 72941946 Setx chr2: 29124991- 33.7821 21.4827 0.635919 2.09918 29182471 Elk4 chr1: 132007604- 12.9397 8.23066 0.63608 2.08021 132025684 BC021614 chr19: 4057486- 88.7244 56.4459 0.636193 2.63224 4059294 Gm8369 chr19: 11492037- 39.1506 24.9472 0.637212 2.34139 11512577 Fam189b chr3: 89183224- 21.8838 13.9761 0.638652 2.12633 89189289 Tpcn1 chr5: 120534156- 29.6809 18.9567 0.638682 2.12959 120588613 Ifi47 chr11: 49037659- 207.521 132.687 0.639392 2.13659 49135387 Ccdc64 chr5: 115649285- 38.994 24.9939 0.640969 2.03094 115731559 Gbp2 chr3: 142620662- 276.832 177.675 0.641815 1.93224 142638008 Dlg4 chr11: 70018604- 21.5293 13.8399 0.642839 1.83776 70045531 Bzrap1 chr11: 87760540- 7.39547 4.77492 0.645656 1.67045 87785928 Rnf167 chr11: 70647588- 33.6504 21.7349 0.645902 2.08938 70651414 Kbtbd11 chr8: 15011024- 43.5808 28.1491 0.645905 2.03415 15033332 Rab3ip chr10: 116905783- 14.4626 9.35141 0.64659 1.95408 116950380 Ikbke chr1: 131254601- 32.8494 21.2506 0.646909 1.97952 131279563 Fam117a chr11: 95337017- 16.3142 10.5657 0.647636 1.898 95381872 Inpp4b chr8: 81715199- 31.855 20.6541 0.64838 2.10628 82122561 Irf1 chr11: 53770013- 116.768 75.8866 0.649893 1.92697 53778374 Lrig1 chr6: 94500313- 12.2592 7.97305 0.650372 1.74419 94700145 Rhoh chr5: 65863568- 28.6812 18.6966 0.651877 2.13345 65896700 Ift80 chr3: 68892498- 21.4493 13.9901 0.652242 2.09083 69004570 Entpd5 chr12: 84373856- 12.4169 8.11037 0.653171 1.93447 84409029 Dpp4 chr2: 62330072- 43.4738 28.4219 0.653773 2.03036 62412231 Nfatc1 chr18: 80606204- 50.749 33.2851 0.655876 1.9194 80713071 Pou2f2 chr7: 25091114- 15.1923 9.96514 0.655935 1.70721 25132460 Ndrg2 chr14: 51905270- 38.1583 25.0596 0.656726 1.72257 51913488 Tob2 chr15: 81848269- 18.0119 11.8294 0.656757 1.97269 81858326 Oas3 chr5: 120753097- 25.4059 16.6884 0.656872 1.88667 120777659 Pink1 chr4: 138313409- 18.6235 12.2361 0.657027 1.84682 138326296 Sbk1 chr7: 126272618- 10.3896 6.83189 0.65757 1.7857 126294999 Tap1 chr17: 34187555- 201.064 132.34 0.658202 1.81972 34197225 2810474O19Rik chr6: 149309413- 11.2458 7.40256 0.658251 1.9478 149335663 Amica1 chr9: 45079182- 30.2547 19.9287 0.658698 1.83515 45135606 Gm12250 chr11: 58183842- 50.4354 33.2642 0.65954 1.97167 58190198 1600014C10Rik chr7: 38183216- 19.6014 12.9357 0.659935 1.89973 38197565 Mib2 chr4: 155654469- 9.12179 6.03242 0.66132 1.61086 155669254 Irgm1 chr11: 48865248- 93.2485 61.682 0.661479 2.06522 48871346 Ptpn18 chr1: 34459745- 47.0495 31.1992 0.663115 2.00384 34473779 Gbp9 chr5: 105078393- 26.6683 17.7046 0.663882 1.98214 105110292 Mndal chr1: 173857219- 54.1633 35.9747 0.664189 1.99902 173880187 2410006H16Rik chr11: 62602876- 392.404 260.795 0.664608 3.20568 62604806 Map4k2 chr19: 6341249- 91.0205 60.6027 0.665813 1.98209 6353527 Slc17a9 chr2: 180725338- 22.9225 15.2625 0.665828 1.94403 180742278 Chd7 chr4: 8690920- 14.7703 22.211 1.503765 1.66579 8866809 Agpat4 chr17: 12119283- 16.6713 25.123 1.506958 1.90163 12219640 Pdia6 chr12: 17266594- 107.518 163.012 1.516135 1.9583 17324730 Slc25a24 chr3: 109123148- 10.6296 16.2706 1.530678 2.06077 109168409 Scd1 chr19: 44394449- 11.744 17.9825 1.531211 1.96681 44407709 Smim3 chr18: 60474190- 12.4183 19.0471 1.533795 1.93415 60501983 Ptprj chr2: 90429755- 4.2026 6.45077 1.534945 1.77672 90580647 Gpr65 chr12: 98268634- 38.9042 59.7607 1.536099 2.2777 98276722 Ctla2a chr13: 60934154- 38.4191 59.0806 1.537791 1.94518 60936625 Phlpp1 chr1: 106171868- 3.32283 5.12474 1.542279 1.78313 106394245 Nabp1 chr1: 51469487- 68.6757 106.025 1.54385 2.3354 51478399 Bcl3 chr7: 19808461- 18.3651 28.4507 1.549171 2.00674 19822755 Flot1 chr17: 35823356- 26.4843 41.1893 1.555233 2.06612 35832787 Cldn25 chr16: 58727909- 21.5502 33.6494 1.561441 2.03186 58734247 Ctsd chr7: 142375915- 117.559 184.481 1.569264 2.24616 142387870 Myo5a chr9: 75071205- 5.68235 8.94302 1.573824 2.17027 75223687 Bag2 chr1: 33745483- 9.02784 14.2099 1.574007 1.86395 33757750 Kif1b chr4: 149176320- 4.85228 7.63767 1.574037 2.01582 149307698 Mctp2 chr7: 72077829- 4.11933 6.48469 1.574212 1.91323 72306595 Zfp608 chr18: 54888044- 3.87891 6.11051 1.575314 1.86375 54990180 Dusp5 chr19: 53529317- 31.3183 49.34 1.575436 2.2228 53541322 Itgb1 chr8: 128685653- 42.854 68.1988 1.59142 2.29666 128733579 Inppl1 chr7: 101818312- 4.74242 7.55018 1.592051 1.79668 101838226 Capn2 chr1: 182467258- 30.9555 49.5738 1.601455 2.1841 182517483 Ly6c2 chr15: 75108160- 175.294 281.427 1.605457 2.86289 75111949 Rgs2 chr1: 143999337- 8.68437 13.9715 1.60881 1.97598 144004149 Rnh1 chr7: 141160325- 76.8756 124.114 1.614474 2.13301 141172851 Fhl2 chr1: 43123073- 12.9542 21.0138 1.62216 2.16361 43163961 Dmwd chr7: 19076199- 6.56466 10.6501 1.622334 1.86217 19082775 Farp1 chr14: 121035573- 3.96594 6.44394 1.62482 1.91341 121283726 Slc39a14 chr14: 70303466- 9.56639 15.5549 1.625994 2.23651 70351424 P4ha2 chr11: 54100923- 8.39933 13.6795 1.628638 1.61648 54131667 Tspan3 chr9: 56135883- 26.2001 42.7128 1.630254 2.56607 56161070 Osgin2 chr4: 15997120- 9.09216 14.8275 1.630797 2.27681 16013877 Mt1 chr8: 94179088- 401.703 655.694 1.632287 3.2458 94180327 Gstt1 chr10: 75783812- 13.7323 22.4645 1.635891 2.14778 75798584 Pcyt1a chr16: 32430920- 11.6551 19.0817 1.637193 2.25729 32475065 Cobll1 chr2: 65088338- 3.5294 5.77861 1.637281 1.92477 65238626 Tec chr5: 72755722- 5.84722 9.60695 1.642995 1.84149 72868448 Ero1lb chr13: 12565882- 3.38798 5.58087 1.647255 2.06642 12609528 Klrc1 chr6: 129674858- 41.034 68.0485 1.658343 1.93116 129678910 Cdc14b chr13: 64192544- 5.1598 8.56258 1.65948 2.22247 64274988 Nln chr13: 104023438- 5.61253 9.33047 1.662437 2.19714 104109614 Trerf1 chr17: 47140941- 3.30264 5.50909 1.668086 1.78906 47359458 Sdf2l1 chr16: 17130137- 54.0271 90.2748 1.670916 2.7347 17132383 Fkbp5 chr17: 28399094- 46.564 77.9946 1.674996 2.42306 28486112 Osbpl3 chr6: 50293326- 9.22649 15.4632 1.675958 2.31895 50456170 Fam129a chr1: 151571372- 11.9485 20.0435 1.677484 2.31551 151719347 Gucy1a3 chr3: 82092426- 5.15219 8.66426 1.681666 2.17677 82145877 Plxnd1 chr6: 115954810- 3.41602 5.74903 1.682961 2.11943 115995005 Dennd1b chr1: 138963708- 4.82567 8.13485 1.685745 2.44437 139176042 Ube2e3 chr2: 78869046- 19.0113 32.1628 1.691773 2.54713 78920583 Chst12 chr5: 140505608- 21.0791 35.6835 1.692832 2.40647 140525238 Srgap3 chr6: 112717971- 6.89024 11.7104 1.699557 2.12556 112947266 Ctnna1 chr18: 35118911- 25.4877 43.3358 1.700263 2.52378 35254775 Gmds chr13: 31819585- 14.4159 24.5238 1.70116 2.38696 32338544 Nme4 chr17: 26091744- 10.8593 18.4947 1.703118 2.19529 26095470 Nphp1 chr2: 127740731- 3.42866 5.88637 1.716817 1.86883 127788854 Abcd3 chr3: 121758909- 12.8811 22.1511 1.719663 2.73416 121815215 Fam20a chr11: 109672925- 7.38744 12.7349 1.723862 2.18714 109722256 Scmh1 chr4: 120405280- 4.34688 7.51418 1.728636 2.03556 120530199 Atp2b4 chr1: 133702673- 9.55719 16.5449 1.731146 2.52369 133753747 Mt2 chr8: 94172617- 284.062 493.773 1.738258 3.82003 94173567 Cdr2 chr7: 120957036- 5.34904 9.30363 1.73931 2.09423 120982312 Dgat1 chr15: 76502014- 24.8378 43.3427 1.745025 2.59877 76511818 Sec24d chr3: 123267495- 5.62744 9.82327 1.745602 2.35207 123365636 Batf chr12: 85686719- 26.2455 45.8874 1.748389 2.71379 85709087 Adk chr14: 21052573- 17.2605 30.249 1.752495 2.4386 21448569 Ctsl chr13: 64363213- 3.74523 6.56525 1.752966 2.06795 64370306 Podnl1 chr8: 84125988- 7.44807 13.092 1.757777 2.20742 84132517 Slc16a13 chr11: 70216791- 3.89426 6.85213 1.759548 2.12616 70220994 Fasl chr1: 161780691- 12.7103 22.4564 1.766782 2.34342 161788495 Gnb5 chr9: 75306287- 4.27864 7.57499 1.77042 1.89903 75345923 Athl1 chr7: 140941580- 7.00262 12.4098 1.77217 2.41241 140947658 Cd9 chr6: 125460265- 32.1545 57.1001 1.775806 3.11526 125494755 Kctd11 chr11: 69878263- 3.43969 6.11343 1.777322 2.06033 69880985 Irf5 chr6: 29526624- 4.64554 8.25699 1.777403 1.81066 29537320 Nedd9 chr13: 41309915- 20.6483 36.8256 1.78347 2.63725 41487320 Reep1 chr6: 71707680- 3.96192 7.06979 1.784437 2.36149 71810705 Fgl2 chr5: 21292960- 10.0853 17.9972 1.784495 2.46158 21424677 Arhgef25 chr10: 127182520- 5.36294 9.5744 1.785289 1.8832 127190054 Prkd3 chr17: 78949404- 8.73737 15.6359 1.789543 2.73523 79020816 Sypl chr12: 32953944- 5.09911 9.14031 1.79253 2.76305 32979502 Ggt1 chr10: 75573592- 3.46413 6.21196 1.793226 1.98981 75586182 Jdp2 chr12: 85599104- 4.22403 7.58506 1.795693 1.72542 85639878 Neb chr2: 52136646- 3.46746 6.25304 1.803348 2.34709 52338798 Fah chr7: 84585158- 6.24535 11.2867 1.80721 2.17012 84605942 Cltb chr13: 54592938- 9.89955 17.918 1.809987 2.43277 54611272 Snx10 chr6: 51523902- 5.91387 10.7138 1.811633 2.26874 51590670 Tgm2 chr2: 158116404- 13.6661 24.8797 1.820544 2.47071 158146392 Galnt10 chr11: 57645441- 3.04644 5.56587 1.827011 2.22321 57787500 Tmem180 chr19: 46356879- 6.36308 11.6708 1.834145 2.47292 46375254 Raph1 chr1: 60483184- 4.88375 8.98028 1.838808 2.81761 60566765 Itga5 chr15: 103344285- 2.84999 5.25693 1.844545 2.24877 103366748 Ckb chr12: 111669354- 20.5296 37.8886 1.845559 2.70664 111672338 Emp1 chr6: 135362930- 11.2888 20.8748 1.849148 2.47666 135383173 Hopx chr5: 77086985- 39.6767 73.3719 1.849243 2.76993 77115123 Gsn chr2: 35256358- 23.3956 43.2951 1.850568 2.40042 35307902 Erc1 chr6: 119570795- 2.91537 5.39742 1.85137 2.4224 119848150 Gsto1 chr19: 47854988- 22.0163 40.8322 1.854635 3.04207 47864788 Spry2 chr14: 105891946- 3.37564 6.27895 1.860078 2.18273 105896819 Tspan6 chrX: 133891069- 3.55596 6.63057 1.864637 2.3644 133898429 Rhob chr12: 8497758- 3.89781 7.28695 1.869501 2.30729 8499985 Klhl5 chr5: 65131230- 7.58729 14.2097 1.872835 2.82009 65168142 Slc16a10 chr10: 40033534- 7.36569 13.8214 1.876462 2.56802 40142254 Gpr160 chr3: 30855949- 3.07493 5.77041 1.876596 1.90069 30897192 0610010F05Rik chr11: 23573775- 4.69774 8.84359 1.882522 2.78239 23633631 Gcat chr15: 79030873- 11.8834 22.5486 1.897487 2.59256 79043558 Tubb6 chr18: 67390730- 54.1231 102.735 1.89817 3.05572 67402749 Kctd17 chr15: 78428627- 9.4774 18.0029 1.899564 2.6571 78439303 Dstn chr2: 143915330- 16.3477 31.1156 1.903362 3.22736 143943324 Skap2 chr6: 51859164- 8.21398 15.6473 1.904963 2.66026 52012549 Ncs1 chr2: 31245922- 4.20489 8.03434 1.910713 2.62995 31295471 Lysmd2 chr9: 75625731- 3.75403 7.22399 1.924331 2.2162 75637773 Lgalsl chr11: 20823354- 3.88908 7.49705 1.927718 2.71928 20831108 Axl chr7: 25756499- 8.22942 15.8814 1.929826 2.60229 25788733 Ppfibp1 chr6: 146888493- 4.84964 9.36894 1.931886 2.66045 147032023 Ctla2b chr13: 60895350- 9.89059 19.1807 1.939289 2.17814 60897447 Nek6 chr2: 38511696- 14.4253 28.0404 1.943831 2.96254 38587490 Dusp14 chr11: 84048044- 3.08742 6.02014 1.949892 2.18121 84068357 Rab11fip4 chr11: 79591211- 3.41157 6.65258 1.950008 2.30509 79694012 Ier3 chr17: 35821712- 23.0807 45.1091 1.954411 3.36098 35822911 Ggt7 chr2: 155490379- 5.73512 11.231 1.958287 2.66498 155514846 Abhd5 chr9: 122351615- 3.17359 6.27814 1.978245 2.61134 122381523 Rnf130 chr11: 50025330- 16.8571 33.351 1.978452 2.84692 50104733 Lilrb4 chr10: 51490974- 3.9617 7.87077 1.986716 2.32171 51496611 Lama5 chr2: 180176372- 3.14139 6.26056 1.99293 2.95964 180225859 Prnp chr2: 131909927- 9.33462 18.7267 2.006151 2.95325 131938431 Pmaip1 chr18: 66458603- 9.0896 18.3585 2.019727 3.25256 66465558 Cd44 chr2: 102811141- 32.2371 65.1427 2.020735 3.4343 102901665 Ptpn3 chr4: 57190840- 2.97575 6.0319 2.02702 2.9043 57301837 Serpinb9 chr13: 33004540- 52.562 106.615 2.028369 3.4584 33017955 Prkar2b chr12: 31958478- 3.10405 6.29692 2.028608 2.64764 32061279 Tsc22d1 chr14: 76415820- 2.47839 5.04549 2.035792 1.92602 76507766 Pdgfb chr15: 79995875- 2.71451 5.53332 2.038432 2.45448 80014808 Tubb2a chr13: 34074279- 13.6877 27.996 2.045339 3.04204 34078008 6720401G13Rik chrX: 50555743- 4.51046 9.22918 2.046176 2.83062 50635258 Ptpla chr2: 14026830- 8.72474 17.8607 2.047126 2.35883 14056035 Tnfsf11 chr14: 78277445- 8.11518 16.8125 2.071736 3.25459 78308043 Tnfsf4 chr1: 161395437- 4.88034 10.1126 2.072124 2.70347 161418206 H1f0 chr15: 79028211- 27.4108 57.1683 2.085611 3.47033 79030500 Slc25a33 chr4: 149744035- 4.23268 8.83904 2.088287 2.76013 149774267 Rhoc chr3: 104789033- 6.01402 12.5725 2.090532 2.6907 104794459 Hip1 chr5: 135406518- 3.63899 7.60892 2.090938 3.12878 135545122 Tdrkh chr3: 94413317- 3.66323 7.70964 2.104606 2.76504 94431499 Tmbim1 chr1: 74285033- 6.18107 13.2187 2.138575 2.40472 74353692 Napsa chr7: 44572444- 6.02195 12.8995 2.142091 2.90148 44586846 Cyfip1 chr7: 55842070- 2.66988 5.72558 2.144498 2.13651 55962493 Hmox1 chr8: 75093617- 4.77482 10.2442 2.145464 2.72707 75100593 Pros1 chr16: 62854333- 5.06057 10.8608 2.146149 3.13083 62929340 Serpinb6a chr13: 33917917- 42.5435 91.3699 2.147681 3.40426 34002794 Trim16 chr11: 62820252- 2.48985 5.37266 2.157828 2.69273 62842948 Luzp1 chr4: 136469760- 2.93924 6.34363 2.158262 3.21933 136549318 Fam213a chr14: 40993739- 8.78798 19.0233 2.164689 3.14175 41013775 Ccbl2 chr3: 142701079- 3.04393 6.59984 2.168188 2.78194 142744910 Smo chr6: 29735496- 3.31696 7.22013 2.176726 2.93639 29761366 Spire1 chr18: 67488208- 3.00329 6.56944 2.18742 3.02716 67552721 Sccpdh chr1: 179668230- 4.26003 9.4297 2.213532 2.90094 179687184 Scamp1 chr13: 94201432- 3.23738 7.19263 2.22174 3.33055 94285281 Adap1 chr5: 139271875- 10.9558 25.0504 2.286483 3.61951 139325464 Bmi1 chr2: 18677017- 16.0747 36.7897 2.288671 4.33961 18686629 Snx8 chr5: 140340302- 2.29558 5.27979 2.299978 2.79324 140389247 Cenpv chr11: 62524943- 11.6688 26.8611 2.301956 3.5057 62539261 Erdr1 chrY: 90785441- 92.797 214.099 2.307179 4.91218 90816465 Eomes chr9: 118478188- 12.6459 29.2546 2.31336 3.2629 118486132 Errfi1 chr4: 150855090- 5.01439 11.6143 2.3162 3.51602 150868880 Hbegf chr18: 36504926- 3.49191 8.1076 2.321826 3.06217 36515805 Serpinf1 chr11: 75410028- 6.42015 14.9286 2.325273 2.89742 75422623 Abcg2 chr6: 58596671- 3.44092 8.05489 2.340911 3.29539 58692451 Dapk2 chr9: 66158225- 3.02041 7.09597 2.349347 2.65609 66272242 Spp1 chr5: 104435110- 28.8109 67.7179 2.350422 3.56009 104441053 H2-Aa chr17: 34282750- 2.77585 6.59137 2.374543 2.80979 34287771 Tmem40 chr6: 115729136- 2.31488 5.53297 2.390181 2.1129 115762466 Ccl4 chr11: 83662583- 258.104 619.718 2.401041 4.71837 83664683 Swap70 chr7: 110221702- 3.05215 7.35261 2.408993 3.37302 110283506 Ifng chr10: 118441046- 319.393 772.319 2.418077 3.90623 118445892 Scn1b chr7: 31116523- 2.34019 5.67268 2.424034 2.66519 31126945 Apobr chr7: 126585007- 2.30775 5.59461 2.424269 2.88247 126589092 Emilin2 chr17: 71252175- 8.50577 20.6249 2.424807 3.78357 71310965 Vcl chr14: 20929432- 4.16254 10.2982 2.474025 3.87046 21033673 Sgk1 chr10: 21882183- 3.73584 9.25241 2.476667 3.26218 21999902 Tjp2 chr19: 24094501- 2.21591 5.49655 2.480498 3.06618 24225026 Arsb chr13: 93771678- 9.48056 23.6322 2.492701 4.32173 93943016 Dennd3 chr15: 73512559- 2.03118 5.10603 2.513818 3.2672 73572242 Fam129b chr2: 32876133- 2.53589 6.37845 2.515264 2.09404 32961255 Ceacam1 chr7: 25376818- 2.55418 6.554 2.565998 2.36757 25566417 Itga3 chr11: 95044481- 2.46548 6.37386 2.585243 3.22523 95076714 Ccl3 chr11: 83647842- 250.512 648.893 2.590266 4.50365 83649378 Stard10 chr7: 101321318- 8.47423 22.0998 2.607885 3.83894 101346312 Entpd1 chr19: 40659793- 2.01219 5.24984 2.609024 3.56895 40741602 Mid1 chrX: 169685246- 4.12376 11.1887 2.713227 3.54394 169990797 Efemp2 chr19: 5474689- 1.84258 5.02967 2.729695 2.63386 5481854 Prdm1 chr10: 44437174- 2.77051 7.57763 2.735093 3.85459 44458687 Csrp2 chr10: 110920175- 5.68316 15.5727 2.740141 3.76563 110939514 Spats2 chr15: 99126844- 3.53571 9.77594 2.764924 3.58286 99212466 Myo1e chr9: 70207349- 3.82537 10.6416 2.781841 3.78239 70400067 Ift43 chr12: 86082560- 2.65717 7.43115 2.796631 2.2847 86162459 Nrgn chr9: 37544492- 24.104 68.0857 2.824665 4.88461 37552745 Pctp chr11: 89983416- 2.61247 7.39146 2.82929 3.50806 90002894 Bag3 chr7: 128523582- 2.07973 5.9825 2.876571 3.4665 128546979 Ryk chr9: 102834919- 2.46276 7.18477 2.917373 3.71111 102908307 Gadd45g chr13: 51846674- 43.4029 127.932 2.947537 5.39775 51848474 Smpdl3b chr4: 132732965- 2.90604 8.70416 2.995195 3.80438 132757171 Adam8 chr7: 139978940- 12.9773 40.2267 3.099767 4.76905 139992488 Runx2 chr17: 44495986- 4.34811 13.7306 3.157822 4.1811 45119284 Cth chr3: 157894247- 3.07432 9.73245 3.165712 3.96382 157925063 Id2 chr12: 25093798- 63.0066 199.93 3.173159 6.50736 25096092 Tnfsf10 chr3: 27317076- 6.94075 22.1575 3.192375 5.38444 27339665 Cxcr6 chr9: 123789509- 12.1359 38.9543 3.209837 2.54777 123851899 Crabp2 chr3: 87948692- 18.0116 58.0143 3.220958 5.01067 87953372 S100a6 chr3: 90612893- 53.0816 171.446 3.229856 6.65053 90614414 Map6 chr7: 99267446- 3.46948 11.3069 3.258956 3.74398 99337137 Pde8a chr7: 81213803- 2.17636 7.18374 3.30081 4.14457 81333622 Ell2 chr13: 75707483- 2.77676 9.19774 3.312407 4.56307 75772358 Srxn1 chr2: 152105523- 3.31915 11.0287 3.322755 3.8982 152111376 Ccl5 chr11: 83525778- 52.4865 175.015 3.334499 7.56866 83530518 Gpx7 chr4: 108400216- 1.83837 6.17318 3.357972 3.65413 108406713 Selp chr1: 164115263- 1.59363 5.49058 3.445325 3.78354 164220274 Myo10 chr15: 25622549- 3.53444 12.468 3.527583 4.69374 25813671 Ckap4 chr10: 84526304- 1.71625 6.08647 3.546362 4.19768 84533888 Ifitm2 chr7: 140954838- 42.7743 157.797 3.689052 7.61179 140955961 Ccr5 chr9: 124121542- 10.2945 38.3143 3.721799 6.30623 124127183 Prf1 chr10: 61297835- 129.906 487.964 3.756294 5.05892 61304263 Igf2bp3 chr6: 49085217- 1.44062 5.52608 3.835913 4.75033 49214954 Lgals3 chr14: 47373859- 75.3478 315.005 4.180687 6.38291 47386167 Ttc39c chr18: 12643532- 4.70147 19.7382 4.198314 5.03647 12737052 Il3 chr11: 54265084- 2.13122 9.11579 4.277269 4.12395 54267279 AA467197 chr2: 122637886- 43.8157 187.769 4.28543 5.90123 122641076 Myh10 chr11: 68691914- 1.33851 5.79402 4.328689 4.63453 68816624 Lad1 chr1: 135818597- 2.48991 10.8046 4.339353 4.91941 135833341 Havcr2 chr11: 46454930- 3.76472 16.4422 4.367446 5.43393 46481254 Lat2 chr5: 134600264- 2.01795 8.81871 4.370142 3.94515 134615023 S100a4 chr3: 90603769- 15.9347 70.0231 4.394381 7.73292 90606045 H2-Q10 chr17: 35470088- 5.10764 22.8331 4.470388 5.02038 35474563 Upp1 chr11: 9118007- 6.48824 29.5207 4.549885 4.74157 9136170 Calcb chr7: 114718642- 1.38498 6.36413 4.59508 4.20872 114723365 Plcg2 chr8: 117498290- 1.38826 6.43605 4.636062 5.16012 117635142 Lmna chr3: 88481148- 2.43471 11.3255 4.651706 3.65595 88503332 Chit1 chr1: 134111241- 2.06936 9.94087 4.803846 4.80329 134151436 Tmem37 chr1: 120067376- 1.09256 5.25542 4.810177 4.38566 120073780 Sytl2 chr7: 90348698- 2.39279 11.8286 4.943422 5.52709 90410439 Adamts14 chr10: 61197111- 2.55895 12.7494 4.982293 5.50909 61273438 Chst11 chr10: 82985496- 2.64222 13.6239 5.156242 6.61072 83195891 Gem chr4: 11704446- 12.2011 63.3889 5.195311 7.51212 11714993 2900026A02Rik chr5: 113086322- 1.03929 5.54978 5.339964 5.76562 113163313 Csf2 chr11: 54247269- 1.4989 8.15492 5.440616 4.47628 54249899 Stk32c chr7: 139103637- 0.923139 5.11068 5.536177 3.54504 139242973 Batf3 chr1: 191098413- 8.84974 49.3933 5.581334 6.33029 191108943 Mt3 chr8: 94152606- 5.90125 33.4046 5.66058 7.17418 94154148 Serpine2 chr1: 79794320- 17.4602 100.586 5.760883 7.8606 79858665 Prr5 chr15: 84680997- 0.961404 5.67609 5.903948 5.05891 84703673 Rgs8 chr1: 153653036- 0.929534 5.6 6.024535 5.69151 153697665 Gatm chr2: 122594472- 1.27825 8.34666 6.52976 6.05789 122611277 Ccl1 chr11: 82176665- 7.40731 49.7403 6.715012 7.98813 82179812 Slc16a11 chr11: 70213909- 2.07066 15.4949 7.483069 6.61717 70216414 Cd63 chr10: 128908918- 2.23541 17.0974 7.648464 5.0973 128912818 Ifitm3 chr7: 141009589- 8.69548 67.1853 7.726473 9.25523 141010744 Fkbp11 chr15: 98724367- 1.87125 14.6648 7.836883 6.22162 98728198 Tmem163 chr1: 127490341- 1.38221 10.9741 7.93951 6.62558 127678021 Prkcdbp chr7: 105480615- 2.57694 20.9413 8.12642 6.73589 105482197 2810025M15Rik chr1: 157135182- 0.697929 5.67704 8.134141 3.46419 157420236 Nkain1 chr4: 130530130- 1.51265 13.0996 8.660018 6.81582 130574036 Lrrk1 chr7: 66258746- 0.841171 8.08538 9.612022 7.89001 66388341 Sdc1 chr12: 8771395- 1.27189 13.3531 10.49864 7.19758 8793687 Il10 chr1: 131019844- 0.755523 8.36882 11.07688 5.99925 131024970 Tnfrsf8 chr4: 145268975- 1.78896 27.1958 15.20201 8.54566 145315147 Gzmk chr13: 113171873- 0.394432 6.43821 16.32272 6.4391 113180897 Ccl9 chr11: 83572916- 0.756583 12.8457 16.97853 9.37958 83578636 Ccr2 chr9: 124102182- 0.711057 12.307 17.30803 9.08693 124109140 Serpinb9b chr13: 33027413- 0.831403 15.3289 18.43749 7.82488 33040558 Ifitm1 chr7: 140967428- 6.39798 143.439 22.41947 9.64438 140969827 Filip1 chr9: 79815561- 0.418097 10.0961 24.14764 7.77259 79977882 Atp6v0d2 chr4: 19876837- 0.174812 5.8094 33.23243 7.88156 19922566 Cdkn2a chr4: 89274472- 0.468105 15.6505 33.43367 6.32084 89294619 Gzmc chr14: 56231400- 6.07045 390.705 64.36168 15.6087 56234656 Gzma chr13: 113093826- 1.86409 172.475 92.52556 15.2708 113100981 Gzme chr14: 56117618- 0.114213 13.2098 115.6587 7.10335 56120625 Gzmd chr14: 56129567- 0.098476 14.4692 146.9305 6.60812 56132593 Mir1199 chr8: 84011514- 0 14.5971 1048576 #NAME? 84011633 gene_id status p_value q_value significant RNA_level Xist OK 5.00E05 0.000206 yes ok Acvrl1 OK 5.00E05 0.000206 yes ok Dntt OK 5.00E05 0.000206 yes ok Tlr1 OK 5.00E05 0.000206 yes ok Ccdc164 OK 5.00E05 0.000206 yes ok Matk OK 5.00E05 0.000206 yes ok Tespa1 OK 5.00E05 0.000206 yes ok Dapl1 OK 5.00E05 0.000206 yes ok Id3 OK 5.00E05 0.000206 yes ok St6gal1 OK 5.00E05 0.000206 yes ok Cd101 OK 5.00E05 0.000206 yes ok Lst1 OK 0.00025 0.000925 yes ok Fam183b OK 0.00045 0.001589 yes ok Tbxa2r OK 5.00E05 0.000206 yes ok Ephx1 OK 5.00E05 0.000206 yes ok Igfbp4 OK 5.00E05 0.000206 yes ok Casp1 OK 0.00015 0.000577 yes ok Cd226 OK 5.00E05 0.000206 yes ok Ifngr2 OK 0.0001 0.000396 yes ok Amz2 OK 5.00E05 0.000206 yes ok Gbp10 OK 5.00E05 0.000206 yes ok Ifi203 OK 5.00E05 0.000206 yes ok Sh3bp5 OK 5.00E05 0.000206 yes ok Arl5c OK 5.00E05 0.000206 yes ok Trp53inp1 OK 5.00E05 0.000206 yes ok N4bp2l1 OK 5.00E05 0.000206 yes ok Slamf6 OK 5.00E05 0.000206 yes ok Abcg1 OK 5.00E05 0.000206 yes ok H2-Oa OK 0.0001 0.000396 yes ok Synpo OK 5.00E05 0.000206 yes ok Iigp1 OK 5.00E05 0.000206 yes ok Smpdl3a OK 5.00E05 0.000206 yes ok Pbx4 OK 0.0005 0.001749 yes ok 4930417O13Rik OK 0.0002 0.000753 yes ok Arrdc3 OK 5.00E05 0.000206 yes ok A430093F15Rik OK 5.00E05 0.000206 yes ok Ltb OK 5.00E05 0.000206 yes ok Kdm6b OK 5.00E05 0.000206 yes ok Nr4a1 OK 5.00E05 0.000206 yes ok Igflr1 OK 5.00E05 0.000206 yes ok Bambi-ps1 OK 0.00215 0.006555 yes ok Cd68 OK 0.0029 0.008584 yes ok Sytl1 OK 5.00E05 0.000206 yes ok Rasgef1a OK 0.00065 0.00222 yes ok Ipcef1 OK 5.00E05 0.000206 yes ok Aldoc OK 5.00E05 0.000206 yes ok Mettl20 OK 0.00095 0.00313 yes ok Pvr OK 5.00E05 0.000206 yes ok Btla OK 5.00E05 0.000206 yes ok Gm14446 OK 0.00025 0.000925 yes ok I730030J21Rik OK 0.0005 0.001749 yes ok Ccr7 OK 5.00E05 0.000206 yes ok Tox OK 5.00E05 0.000206 yes ok Pacsin1 OK 0.00015 0.000577 yes ok Pecam1 OK 5.00E05 0.000206 yes ok 2610019F03Rik OK 0.0009 0.002983 yes ok Tspan32 OK 5.00E05 0.000206 yes ok Slamf1 OK 0.0001 0.000396 yes ok Ncf1 OK 5.00E05 0.000206 yes ok Chd3 OK 5.00E05 0.000206 yes ok A430107P09Rik OK 0.00065 0.00222 yes ok Ccng2 OK 0.0001 0.000396 yes ok Adamts6 OK 5.00E05 0.000206 yes ok Klf3 OK 0.00085 0.002831 yes ok Sfn OK 0.00015 0.000577 yes ok Fyb OK 5.00E05 0.000206 yes ok Bcl11b OK 5.00E05 0.000206 yes ok Arhgef18 OK 5.00E05 0.000206 yes ok Zfp36 OK 0.00015 0.000577 yes ok Sertad3 OK 0.0014 0.004444 yes ok P2ry10 OK 5.00E05 0.000206 yes ok Cpm OK 0.00065 0.00222 yes ok Fut7 OK 0.0006 0.002064 yes ok Serpine1 OK 0.00115 0.003718 yes ok Slfn1 OK 5.00E05 0.000206 yes ok Per1 OK 0.0001 0.000396 yes ok Trib3 OK 0.0006 0.002064 yes ok Nr4a3 OK 0.00055 0.001907 yes ok Tnfsf14 OK 0.0009 0.002983 yes ok Slc35d3 OK 0.0032 0.009387 yes ok Ddb2 OK 0.0024 0.007242 yes ok Cbx4 OK 5.00E05 0.000206 yes ok Cdkn1b OK 5.00E05 0.000206 yes ok Gbp8 OK 0.0002 0.000753 yes ok Irgm2 OK 0.00015 0.000577 yes ok Il6st OK 0.0003 0.001095 yes ok Hivep2 OK 0.0001 0.000396 yes ok Slc43a2 OK 5.00E05 0.000206 yes ok Socs2 OK 0.00055 0.001907 yes ok Rab37 OK 0.00215 0.006555 yes ok Plcxd2 OK 0.00015 0.000577 yes ok Abhd8 OK 0.0002 0.000753 yes ok Rara OK 0.00015 0.000577 yes ok H2-DMa OK 0.00015 0.000577 yes ok Ms4a4c OK 0.00035 0.001262 yes ok Klf2 OK 0.0005 0.001749 yes ok Slc35g1 OK 0.0001 0.000396 yes ok H2afv OK 0.0001 0.000396 yes ok Dhx58 OK 0.001 0.003276 yes ok Inadl OK 0.002 0.006139 yes ok Orai2 OK 0.0003 0.001095 yes ok Zfp36l1 OK 5.00E05 0.000206 yes ok Gbp6 OK 0.0003 0.001095 yes ok Spry1 OK 0.00095 0.00313 yes ok Syt11 OK 0.0008 0.002681 yes ok Tgtp1 OK 0.00095 0.00313 yes ok Tecpr1 OK 0.0001 0.000396 yes ok A430078G23Rik OK 0.00145 0.004587 yes ok Igtp OK 0.00035 0.001262 yes ok Plekhg2 OK 0.0003 0.001095 yes ok Itgb7 OK 0.0003 0.001095 yes ok Cd2 OK 0.00025 0.000925 yes ok Sh2b3 OK 0.0019 0.00586 yes ok Folr4 OK 0.0002 0.000753 yes ok Poldip3 OK 0.00065 0.00222 yes ok Gprin3 OK 0.00185 0.005722 yes ok Utrn OK 0.0002 0.000753 yes ok Ifi27l2a OK 0.00115 0.003718 yes ok Itga6 OK 0.00065 0.00222 yes ok Plcg1 OK 0.00035 0.001262 yes ok Samhd1 OK 0.00095 0.00313 yes ok Ing2 OK 0.00205 0.006278 yes ok Mov10 OK 0.0006 0.002064 yes ok Samd9l OK 0.0002 0.000753 yes ok Lbh OK 0.00065 0.00222 yes ok Setx OK 0.0008 0.002681 yes ok Elk4 OK 0.001 0.003276 yes ok BC021614 OK 0.00145 0.004587 yes ok Gm8369 OK 0.00185 0.005722 yes ok Fam189b OK 0.00125 0.00401 yes ok Tpcn1 OK 0.0005 0.001749 yes ok Ifi47 OK 0.00135 0.004299 yes ok Ccdc64 OK 0.0009 0.002983 yes ok Gbp2 OK 0.00195 0.005998 yes ok Dlg4 OK 0.00135 0.004299 yes ok Bzrap1 OK 0.00305 0.008984 yes ok Rnf167 OK 0.00145 0.004587 yes ok Kbtbd11 OK 0.001 0.003276 yes ok Rab3ip OK 0.0022 0.006693 yes ok Ikbke OK 0.00065 0.00222 yes ok Fam117a OK 0.00255 0.007648 yes ok Inpp4b OK 0.00065 0.00222 yes ok Irf1 OK 0.0003 0.001095 yes ok Lrig1 OK 0.00235 0.007104 yes ok Rhoh OK 0.0004 0.001426 yes ok Ift80 OK 0.001 0.003276 yes ok Entpd5 OK 0.00095 0.00313 yes ok Dpp4 OK 0.0007 0.002375 yes ok Nfatc1 OK 0.00085 0.002831 yes ok Pou2f2 OK 0.00225 0.006828 yes ok Ndrg2 OK 0.0026 0.007782 yes ok Tob2 OK 0.00115 0.003718 yes ok Oas3 OK 0.0014 0.004444 yes ok Pink1 OK 0.00265 0.007917 yes ok Sbk1 OK 0.0031 0.009118 yes ok Tap1 OK 0.0013 0.004153 yes ok 2810474O19Rik OK 0.0012 0.003865 yes ok Amica1 OK 0.00325 0.009517 yes ok Gm12250 OK 0.0014 0.004444 yes ok 1600014C10Rik OK 0.0016 0.005017 yes ok Mib2 OK 0.0034 0.009909 yes ok Irgm1 OK 0.00095 0.00313 yes ok Ptpn18 OK 0.00205 0.006278 yes ok Gbp9 OK 0.0013 0.004153 yes ok Mndal OK 0.00095 0.00313 yes ok 2410006H16Rik OK 0.0017 0.0053 yes ok Map4k2 OK 0.00085 0.002831 yes ok Slc17a9 OK 0.00305 0.008984 yes ok Chd7 OK 0.0023 0.006967 yes ok Agpat4 OK 0.00305 0.008984 yes ok Pdia6 OK 0.00105 0.003422 yes ok Slc25a24 OK 0.0017 0.0053 yes ok Scd1 OK 0.00255 0.007648 yes ok Smim3 OK 0.00305 0.008984 yes ok Ptprj OK 0.00245 0.007377 yes ok Gpr65 OK 0.0014 0.004444 yes ok Ctla2a OK 0.0008 0.002681 yes ok Phlpp1 OK 0.0032 0.009387 yes ok Nabp1 OK 0.00045 0.001589 yes ok Bcl3 OK 0.00145 0.004587 yes ok Flot1 OK 0.001 0.003276 yes ok Cldn25 OK 0.00075 0.002528 yes ok Ctsd OK 0.00025 0.000925 yes ok Myo5a OK 0.00015 0.000577 yes ok Bag2 OK 0.0033 0.009647 yes ok Kif1b OK 0.00065 0.00222 yes ok Mctp2 OK 0.0024 0.007242 yes ok Zfp608 OK 0.00195 0.005998 yes ok Dusp5 OK 0.00185 0.005722 yes ok Itgb1 OK 0.00015 0.000577 yes ok Inppl1 OK 0.0016 0.005017 yes ok Capn2 OK 0.00025 0.000925 yes ok Ly6c2 OK 0.0005 0.001749 yes ok Rgs2 OK 0.00225 0.006828 yes ok Rnh1 OK 0.0003 0.001095 yes ok Fhl2 OK 0.0013 0.004153 yes ok Dmwd OK 0.00255 0.007648 yes ok Farp1 OK 0.00135 0.004299 yes ok Slc39a14 OK 5.00E05 0.000206 yes ok P4ha2 OK 0.0026 0.007782 yes ok Tspan3 OK 0.00025 0.000925 yes ok Osgin2 OK 0.00085 0.002831 yes ok Mt1 OK 0.00025 0.000925 yes ok Gstt1 OK 0.0032 0.009387 yes ok Pcyt1a OK 0.0001 0.000396 yes ok Cobll1 OK 0.0007 0.002375 yes ok Tec OK 0.0016 0.005017 yes ok Ero1lb OK 0.00145 0.004587 yes ok Klrc1 OK 0.0012 0.003865 yes ok Cdc14b OK 0.0005 0.001749 yes ok Nln OK 0.0005 0.001749 yes ok Trerf1 OK 0.00095 0.00313 yes ok Sdf2l1 OK 5.00E05 0.000206 yes ok Fkbp5 OK 0.0001 0.000396 yes ok Osbpl3 OK 5.00E05 0.000206 yes ok Fam129a OK 5.00E05 0.000206 yes ok Gucy1a3 OK 0.00045 0.001589 yes ok Plxnd1 OK 0.00035 0.001262 yes ok Dennd1b OK 5.00E05 0.000206 yes ok Ube2e3 OK 0.0004 0.001426 yes ok Chst12 OK 5.00E05 0.000206 yes ok Srgap3 OK 0.00015 0.000577 yes ok Ctnna1 OK 5.00E05 0.000206 yes ok Gmds OK 0.00025 0.000925 yes ok Nme4 OK 0.00255 0.007648 yes ok Nphp1 OK 0.0019 0.00586 yes ok Abcd3 OK 0.0001 0.000396 yes ok Fam20a OK 0.0004 0.001426 yes ok Scmh1 OK 0.0006 0.002064 yes ok Atp2b4 OK 5.00E05 0.000206 yes ok Mt2 OK 5.00E05 0.000206 yes ok Cdr2 OK 0.0005 0.001749 yes ok Dgat1 OK 5.00E05 0.000206 yes ok Sec24d OK 0.0001 0.000396 yes ok Batf OK 0.00015 0.000577 yes ok Adk OK 5.00E05 0.000206 yes ok Ctsl OK 0.0022 0.006693 yes ok Podnl1 OK 0.0003 0.001095 yes ok Slc16a13 OK 0.00115 0.003718 yes ok Fasl OK 0.0001 0.000396 yes ok Gnb5 OK 0.00145 0.004587 yes ok Athl1 OK 0.0001 0.000396 yes ok Cd9 OK 5.00E05 0.000206 yes ok Kctd11 OK 0.0013 0.004153 yes ok Irf5 OK 0.001 0.003276 yes ok Nedd9 OK 5.00E05 0.000206 yes ok Reep1 OK 0.0003 0.001095 yes ok Fgl2 OK 0.0001 0.000396 yes ok Arhgef25 OK 0.0006 0.002064 yes ok Prkd3 OK 5.00E05 0.000206 yes ok Sypl OK 5.00E05 0.000206 yes ok Ggt1 OK 0.00255 0.007648 yes ok Jdp2 OK 0.00215 0.006555 yes ok Neb OK 5.00E05 0.000206 yes ok Fah OK 0.0006 0.002064 yes ok Cltb OK 0.00015 0.000577 yes ok Snx10 OK 0.0003 0.001095 yes ok Tgm2 OK 5.00E05 0.000206 yes ok Galnt10 OK 0.0004 0.001426 yes ok Tmem180 OK 0.00015 0.000577 yes ok Raph1 OK 5.00E05 0.000206 yes ok Itga5 OK 0.00015 0.000577 yes ok Ckb OK 5.00E05 0.000206 yes ok Emp1 OK 0.0006 0.002064 yes ok Hopx OK 5.00E05 0.000206 yes ok Gsn OK 5.00E05 0.000206 yes ok Erc1 OK 5.00E05 0.000206 yes ok Gsto1 OK 5.00E05 0.000206 yes ok Spry2 OK 0.00125 0.00401 yes ok Tspan6 OK 0.0017 0.0053 yes ok Rhob OK 0.0003 0.001095 yes ok Klhl5 OK 5.00E05 0.000206 yes ok Slc16a10 OK 5.00E05 0.000206 yes ok Gpr160 OK 0.0024 0.007242 yes ok 0610010F05Rik OK 5.00E05 0.000206 yes ok Gcat OK 0.0001 0.000396 yes ok Tubb6 OK 5.00E05 0.000206 yes ok Kctd17 OK 5.00E05 0.000206 yes ok Dstn OK 5.00E05 0.000206 yes ok Skap2 OK 0.00015 0.000577 yes ok Ncs1 OK 5.00E05 0.000206 yes ok Lysmd2 OK 0.0012 0.003865 yes ok Lgalsl OK 5.00E05 0.000206 yes ok Axl OK 5.00E05 0.000206 yes ok Ppfibp1 OK 5.00E05 0.000206 yes ok Ctla2b OK 0.00025 0.000925 yes ok Nek6 OK 5.00E05 0.000206 yes ok Dusp14 OK 0.00175 0.005442 yes ok Rab11fip4 OK 0.0001 0.000396 yes ok Ier3 OK 5.00E05 0.000206 yes ok Ggt7 OK 5.00E05 0.000206 yes ok Abhd5 OK 5.00E05 0.000206 yes ok Rnf130 OK 5.00E05 0.000206 yes ok Lilrb4 OK 0.0007 0.002375 yes ok Lama5 OK 5.00E05 0.000206 yes ok Prnp OK 5.00E05 0.000206 yes ok Pmaip1 OK 5.00E05 0.000206 yes ok Cd44 OK 5.00E05 0.000206 yes ok Ptpn3 OK 5.00E05 0.000206 yes ok Serpinb9 OK 5.00E05 0.000206 yes ok Prkar2b OK 5.00E05 0.000206 yes ok Tsc22d1 OK 0.0016 0.005017 yes ok Pdgfb OK 0.0002 0.000753 yes ok Tubb2a OK 5.00E05 0.000206 yes ok 6720401G13Rik OK 5.00E05 0.000206 yes ok Ptpla OK 5.00E05 0.000206 yes ok Tnfsf11 OK 5.00E05 0.000206 yes ok Tnfsf4 OK 5.00E05 0.000206 yes ok H1f0 OK 5.00E05 0.000206 yes ok Slc25a33 OK 5.00E05 0.000206 yes ok Rhoc OK 0.00035 0.001262 yes ok Hip1 OK 5.00E05 0.000206 yes ok Tdrkh OK 5.00E05 0.000206 yes ok Tmbim1 OK 0.00025 0.000925 yes ok Napsa OK 5.00E05 0.000206 yes ok Cyfip1 OK 0.00055 0.001907 yes ok Hmox1 OK 5.00E05 0.000206 yes ok Pros1 OK 5.00E05 0.000206 yes ok Serpinb6a OK 5.00E05 0.000206 yes ok Trim16 OK 5.00E05 0.000206 yes ok Luzp1 OK 5.00E05 0.000206 yes ok Fam213a OK 5.00E05 0.000206 yes ok Ccbl2 OK 0.0001 0.000396 yes ok Smo OK 5.00E05 0.000206 yes ok Spire1 OK 5.00E05 0.000206 yes ok Sccpdh OK 5.00E05 0.000206 yes ok Scamp1 OK 5.00E05 0.000206 yes ok Adap1 OK 5.00E05 0.000206 yes ok Bmi1 OK 5.00E05 0.000206 yes ok Snx8 OK 5.00E05 0.000206 yes ok Cenpv OK 5.00E05 0.000206 yes ok Erdr1 OK 5.00E05 0.000206 yes ok Eomes OK 5.00E05 0.000206 yes ok Errfi1 OK 5.00E05 0.000206 yes ok Hbegf OK 5.00E05 0.000206 yes ok Serpinf1 OK 5.00E05 0.000206 yes ok Abcg2 OK 5.00E05 0.000206 yes ok Dapk2 OK 5.00E05 0.000206 yes ok Spp1 OK 5.00E05 0.000206 yes ok H2-Aa OK 0.0004 0.001426 yes ok Tmem40 OK 0.0005 0.001749 yes ok Ccl4 OK 5.00E05 0.000206 yes ok Swap70 OK 5.00E05 0.000206 yes ok Ifng OK 5.00E05 0.000206 yes ok Scn1b OK 0.0001 0.000396 yes ok Apobr OK 5.00E05 0.000206 yes ok Emilin2 OK 5.00E05 0.000206 yes ok Vcl OK 5.00E05 0.000206 yes ok Sgk1 OK 5.00E05 0.000206 yes ok Tjp2 OK 5.00E05 0.000206 yes ok Arsb OK 5.00E05 0.000206 yes ok Dennd3 OK 5.00E05 0.000206 yes ok Fam129b OK 0.003 0.008852 yes ok Ceacam1 OK 0.00025 0.000925 yes ok Itga3 OK 5.00E05 0.000206 yes ok Ccl3 OK 5.00E05 0.000206 yes ok Stard10 OK 5.00E05 0.000206 yes ok Entpd1 OK 5.00E05 0.000206 yes ok Mid1 OK 5.00E05 0.000206 yes ok Efemp2 OK 5.00E05 0.000206 yes ok Prdm1 OK 5.00E05 0.000206 yes ok Csrp2 OK 5.00E05 0.000206 yes ok Spats2 OK 5.00E05 0.000206 yes ok Myo1e OK 5.00E05 0.000206 yes ok Ift43 OK 0.0001 0.000396 yes ok Nrgn OK 5.00E05 0.000206 yes ok Pctp OK 5.00E05 0.000206 yes ok Bag3 OK 5.00E05 0.000206 yes ok Ryk OK 5.00E05 0.000206 yes ok Gadd45g OK 5.00E05 0.000206 yes ok Smpdl3b OK 5.00E05 0.000206 yes ok Adam8 OK 5.00E05 0.000206 yes ok Runx2 OK 5.00E05 0.000206 yes ok Cth OK 5.00E05 0.000206 yes ok Id2 OK 5.00E05 0.000206 yes ok Tnfsf10 OK 5.00E05 0.000206 yes ok Cxcr6 OK 0.0001 0.000396 yes ok Crabp2 OK 5.00E05 0.000206 yes ok S100a6 OK 5.00E05 0.000206 yes ok Map6 OK 5.00E05 0.000206 yes ok Pde8a OK 5.00E05 0.000206 yes ok Ell2 OK 5.00E05 0.000206 yes ok Srxn1 OK 5.00E05 0.000206 yes ok Ccl5 OK 5.00E05 0.000206 yes ok Gpx7 OK 5.00E05 0.000206 yes ok Selp OK 5.00E05 0.000206 yes ok Myo10 OK 5.00E05 0.000206 yes ok Ckap4 OK 5.00E05 0.000206 yes ok Ifitm2 OK 5.00E05 0.000206 yes ok Ccr5 OK 5.00E05 0.000206 yes ok Prf1 OK 5.00E05 0.000206 yes ok Igf2bp3 OK 5.00E05 0.000206 yes ok Lgals3 OK 5.00E05 0.000206 yes ok Ttc39c OK 5.00E05 0.000206 yes ok Il3 OK 5.00E05 0.000206 yes ok AA467197 OK 5.00E05 0.000206 yes ok Myh10 OK 5.00E05 0.000206 yes ok Lad1 OK 5.00E05 0.000206 yes ok Havcr2 OK 5.00E05 0.000206 yes ok Lat2 OK 5.00E05 0.000206 yes ok S100a4 OK 5.00E05 0.000206 yes ok H2-Q10 OK 5.00E05 0.000206 yes ok Upp1 OK 5.00E05 0.000206 yes ok Calcb OK 5.00E05 0.000206 yes ok Plcg2 OK 5.00E05 0.000206 yes ok Lmna OK 5.00E05 0.000206 yes ok Chit1 OK 5.00E05 0.000206 yes ok Tmem37 OK 5.00E05 0.000206 yes ok Sytl2 OK 5.00E05 0.000206 yes ok Adamts14 OK 5.00E05 0.000206 yes ok Chst11 OK 5.00E05 0.000206 yes ok Gem OK 5.00E05 0.000206 yes ok 2900026A02Rik OK 5.00E05 0.000206 yes ok Csf2 OK 5.00E05 0.000206 yes ok Stk32c OK 0.0001 0.000396 yes ok Batf3 OK 5.00E05 0.000206 yes ok Mt3 OK 5.00E05 0.000206 yes ok Serpine2 OK 5.00E05 0.000206 yes ok Prr5 OK 5.00E05 0.000206 yes ok Rgs8 OK 5.00E05 0.000206 yes ok Gatm OK 5.00E05 0.000206 yes ok Ccl1 OK 5.00E05 0.000206 yes ok Slc16a11 OK 5.00E05 0.000206 yes ok Cd63 OK 5.00E05 0.000206 yes ok Ifitm3 OK 5.00E05 0.000206 yes ok Fkbp11 OK 5.00E05 0.000206 yes ok Tmem163 OK 5.00E05 0.000206 yes ok Prkcdbp OK 5.00E05 0.000206 yes ok 2810025M15Rik OK 5.00E05 0.000206 yes ok Nkain1 OK 5.00E05 0.000206 yes ok Lrrk1 OK 5.00E05 0.000206 yes ok Sdc1 OK 5.00E05 0.000206 yes ok Il10 OK 5.00E05 0.000206 yes ok Tnfrsf8 OK 5.00E05 0.000206 yes ok Gzmk OK 5.00E05 0.000206 yes ok Ccl9 OK 5.00E05 0.000206 yes ok Ccr2 OK 5.00E05 0.000206 yes ok Serpinb9b OK 5.00E05 0.000206 yes ok Ifitm1 OK 5.00E05 0.000206 yes ok Filip1 OK 5.00E05 0.000206 yes ok Atp6v0d2 OK 5.00E05 0.000206 yes ok Cdkn2a OK 5.00E05 0.000206 yes ok Gzmc OK 5.00E05 0.000206 yes ok Gzma OK 5.00E05 0.000206 yes ok Gzme OK 0.00135 0.004299 yes ok Gzmd OK 0.00295 0.008719 yes ok Mir1199 OK 0.00285 0.008452 yes ok
[0277] To assess the impact of Ezh2 deficiency on TF expression in memory precursor cells, T.sub.CMP and T.sub.EFF were isolated from WT and Ezh2.sup./ Pmel-1 cell recipients 4 days after activation. As compared to WT T.sub.CMP, Ezh2.sup./ T.sub.CMP had lower levels of Id3, but higher expression of Id2 and Eomes (
Akt-Mediated Phosphorylation of Ezh2 Impairs its Capacity to Regulate Memory CD8+ T Cells
[0278] During immune response, upon antigen activation, normal CD8+ T cells express high levels of Ezh2, however, they still undergo a programmed differentiation into terminal T.sub.EFF. This points to a mechanism that might modify Ezh2 function in T cells. To test it, TCR-activated Pmel-1 cells were evaluated and it was found that they expressed 42- and 23-fold higher cellular Ezh2 protein 3 days and 7 days after culture, respectively, than T.sub.N (
[0279] To determine the molecular mechanisms that reduced T cell Ezh2 function during expansion, ChIP analysis was performed. In CD8+ T.sub.N, Ezh2 bound to the promoter region of Id3, Id2, Prdm1 and Eomes (
[0280] To determine if T.sub.CMP and T.sub.EFF differentially modify Ezh2 function, T.sub.EFF and T.sub.CMP were recovered from WT Pmel-1 cell recipients 7 days after activation. As compared to T.sub.N, T.sub.EFF expressed higher levels of Ezh2 (
[0281] Phosphatidylinositol 3-kinase (PI3K)/Akt promotes the proliferation and differentiation of activated CD8+ T cells (Kim and Suresh, 2014, Front Immunol, 4:20). In cancer cells, Akt is reported to phosphorylate Ezh2 at serine 21 (pEzh2S21), thereby suppressing Ezh2 enzymatic activity in cancer cells (Cha et al., 2005, Science, 310:306-310). To determine if Akt phosphorylation of Ezh2 caused Ezh2 dissociation from these TF loci, highly purified T.sub.CMP and T.sub.EFF were obtained from B6 mice receiving Pmel-1 cells 7 days after activation, with T.sub.N as controls. T.sub.EFF and T.sub.CMP had 8.3-fold and 3.7-fold more pEzh2S21, respectively, than T.sub.N (
[0282] To establish a specific effect of Akt-mediated phosphorylation of Ezh2 on its function, Pmel-1 cells were infected with retrovirus encoding Akt-phosphorylation resistant Ezh2 in which the serine at amino acid 21 was replaced by alanine (named Ezh2S21A). After 7 days, Pmel-1 cells expressing Ezh2S21A significantly increased H3K27me3 compared to GFP control (
[0283] To examine the impact of Ezh2 phosphorylation by Akt on CD8+ T cell differentiation, retrovirus encoding a phosphor-mimetic Ezh2 were made in which serine 21 was replaced by aspartate (named Ezh2S21D) (Cha et al., 2005, Science, 310:306-310), and introduced both Ezh2S21A and Ezh2S21D into activated Ezh2/ Pmel-1 cells (
Akt-Insensitive Ezh2 Augments T Cell Memory Recall Response and Antitumor Efficacy
[0284] Adoptive immunotherapy for cancer requires sufficient amplification and persistence of tumor-specific T cells to eradicate the tumor (Rosenberg and Restifo, 2015, Science, 348:62-68; Restifo et al., 2012, Nat Rev Immunol, 12:269-281; Jensen and Riddell, 2014, Immunol Rev, 257:127-144; Vonderheide and June, 2014, Immunol Rev, 257:7-13). However, current in vitro methods to expand cells to sufficient numbers impair the maintenance of memory properties in these ex vivo cultured T cells (Restifo et al., 2012, Nat Rev Immunol, 12:269-281; Jensen and Riddell, 2014, Immunol Rev, 257:127-144). Akt activation occurs in activated T cells not only during ex vivo expansion but also during in vivo replication after transfer (Kim and Suresh, 2014, Front Immunol, 4:20). Data from recent studies indicate that ex vivo treatment of expanding CD8.sup.+ T cells with an Akt inhibitor led to an increased frequency of memory phenotype cells and improved antitumor immunity in vivo (Crompton et al., 2015, Cancer Res, 75, 296-305; van der Waart et al., 2014, Blood, 124:3490-3500). Indeed, transfer of Pmel-1 cells treated by MK2206 during ex vivo culture induced greater anti-tumor activity than untreated Pmel-1 cells, but was less potent than Ezh2.sub.S21A-transduced Pmel-1 cells for controlling tumor growth (
[0285] Enhanced tumor immunity by Ezh2S21A-Pmel-1 cells could result from increased expression of overall Ezh2 protein. To test it, it was assessed whether overexpressing normal Ezh2 in Pmel-1 cells, which is susceptible to Akt phosphorylation, may influence their antitumor activity. Transfer of Pmel-1 cells expressing Ezh2S21A had dramatically enhanced capacity to inhibit tumor growth compared to either Ezh2 or GFP control (
Critical Role of Id3 in Ezh2-Regulated Memory Recall Response
[0286] Previous studies suggested that the phenotype of Id3-deficient T cells resemble that of Ezh2 inhibition (Tong et al., 2014, J Immunol, 192:5012-5022; He et al., 2013, Blood, 122:4119-4128; He et al., 2012, Blood, 119:1274-1282). Id3 is not required for the initial proliferation of antigen-driven T cells. However, Id3 deficiency leads to the impairment of forming CD8+ memory T cells (Ji et al., 2011, Nat Immunol, 12:1230-1237; Yang et al., 2011, Nat Immunol, 12:1221-1229). To understand whether Id3 mediates regulation of the memory recall response by Ezh2, Id3 was retrovirally introduced into Ezh2/ Pmel-1 cells (
[0287] To assess the direct impact of Ezh2 on Id3 activation, the promoter region of the Id3-gene (ranging from 1.5 kb upstream of the transcription start site (TSS) to +0.5 Kb down-stream of the TSS) was cloned into the pGL3 luciferase reporter vector and constructed an Id3-specific pGL3 reporter (Id3-pGL). While overexpressing Ezh2S21A activated Id3 rather than Id2 transcription, phosphomimetic Ezh2S21D was unable to activate Id3 (
[0288] To better understand the mechanism by which Ezh2 stimulated Id3 transcription, the influence of Ezh2 on histone modification states was assessed at the promoter region of Id3. H3K4me3 and RNA polymerase II (Pol II) binding are known to be associated with gene activation. The Id3 locus was marked by both H3K27me3 and H3K4me3 in CD8+ T.sub.N. This is agreement with a recent study showing that TFs (e.g., Tbx21, Prdm1, Eomes and Irf4) known to play key roles in effector and memory differentiation are bivalent for both H3K27me3+ and H3K4me3+ histone methylation under nave state (Russ et al., 2014, Immunity, 41:853-865). The amount of Ezh2 at Id3 locus in CD8+ T.sub.N was associated with high levels of H3K4me3 and Pol II (
[0289] In conclusion, the experimental results presented demonstrate that Ezh2 functions as a key molecular gatekeeper for generating memory CD8 T cells, restraining terminal differentiation and maintaining recall response capability (
[0290] Memory T cells are under active investigation in the context of inhibitory checkpoint blockade therapy and vaccination (Rosenberg and Restifo, 2015, Science, 348:62-68; Jensen and Riddell, 2014, Immunol Rev, 257:127-144; Sadelain, 2009, Cancer J, 15:451-455; Vonderheide and June, 2014, Immunol Rev, 257:7-13; Wherry et al., 2007, Immunity, 27:670-684; Scholler et al., 2012, Sci Transl Med, 4:132ra153; Gattinoni et al., 2011, Nat Med, 17:1290-1297; Hinrichs, 2016, Clin Cancer Res, 22:1559-1564). In ACT it appears that minimally differentiated CD8.sup.+ T cells, including nave and central memory T cells, exhibit superior persistence and enhanced antitumor activity compared with highly differentiated effector T cells (Rosenberg and Restifo, 2015, Science, 348:62-68; Restifo et al., 2012, Nat Rev Immunol, 12:269-281; Crompton et al., 2014, Immunol Rev, 257:264-276; Klebanoff et al., 2016, J Clin Invest, 126:318-334). The goal therefore would be to generate cellular products rich in less-differentiated memory cells, however, the mechanisms that restrain effector differentiation and maintain memory potential of T cells remains poorly understood. Epigenetic alterations appear to play an important role in T cell fate decisions. In addition, T cell signal strength, which determines the quantity and quality of T cell response and includes signals from the TCR, costimulatory molecules and cytokines, is also believed to be epigenetically controlled. However, the epigenetic regulator(s), responsible for the conversion of these signals into the transcriptional programs that generate and maintain memory T cells, has not been fully identified (Fearon, 2007, Adv Immunol, 96:103-139; Gattinoni et al., 2009, Nat Med, 15:808-813; Gerlach et al., 2013, Science, 340:635-639; Buchholz et al., 2013, Science, 340:630-635; Ahmed et al., 2009, Nat Rev Immunol, 9:662-668; Kaech et al., 2002, Nat Rev Immunol, 2:251-262; Zhang et al., 2002, The Journal of clinical investigation, 109:1335-1344). The observation that Ezh2 regulates both precursor and mature memory cells has profound implications towards the development of new strategies to optimize the expansion and quality of therapeutic T cells for ACT. Further, these investigations reveal that Ezh2 activity augments the capacity of transferred T cells to continually produce tumor-destroying T.sub.EFF in vivo.
[0291] Histone modifications occur in T cells early after antigen priming (Araki et al., 2009, Immunity, 30:912-925; Russ et al., 2014, Immunity, 41:853-865; Wei et al., 2009, Immunity, 30:155-167). Recent studies suggested that CD8.sup.+ T cells significantly decreased the amount of H3K27me3 at the promoter regions of genes associated with cell proliferation, differentiation and survival within 24 hours (Russ et al., 2014, Immunity, 41:853-865). It was found that 3 days after TCR engagement Ezh2 was highly induced in CD8.sup.+ T cells, however, its function on activating Id3 and repressing Id2, Eomes and Prdm1 was markedly decreased. It has been shown that low expression of Id3 and high levels of Id2, Blimp-1, Eomes and T-bet are associated with enhanced effector differentiation but decreased memory potential (Chang et al., 2014, Nat Immunol, 15:1104-1115; Kaech and Cui, 2012, Nat Rev Immunol, 12:749-761; Paley et al., 2012, Science, 338:1220-1225; Ji et al., 2011, Nat Immunol, 12:1230-1237; Yang et al., 2011, Nat Immunol, 12:1221-1229; Masson et al., 2013, J Immunol 190, 4585-4594; Pearce et al., 2003, Science 302, 1041-1043). In line with these observations, the data suggest that through coordinating the expression of these major TFs in activated CD8.sup.+ T cells Ezh2 plays essential roles in preserving T.sub.CMP and preventing precocious effector differentiation. To further investigate the mechanism by which unphosphorylated Ezh2 maintained the recall response capacity in memory CD8.sup.+ T cells, the data demonstrate that Ezh2 directly bound to the promoter region of Id3 and activated Id3 transcription in a dose-dependent manner. Furthermore, introduction of Id3 into activated CD8.sup.+ T cells lacking Ezh2 rescued the generation of memory T cells with improved recall response capacity for producing effector cells upon antigen reencounter. These data agree with other groups' findings that high expression of Id3 preferentially guides the memory development..sup.33-34 Thus, Ezh2 targets Id3 to regulate memory formation and function of CD8.sup.+ T cells. How the Ezh2-Id3 pathway cooperates with Ezh2 repression of other major TFs to regulate memory cells is a subject of future work.
[0292] Given that the phosphorylation state of Ezh2 determines its capacity to maintain CD8.sup.+ T cell memory, it is essential to identify when and at which differentiation stage(s) activated CD8.sup.+ T cells modify Ezh2 function by Akt-mediated phosphorylation. Antigen-driven CD8.sup.+ T cells undergo progressive differentiation from T.sub.N to T.sub.CMP and T.sub.EFF (Rosenberg and Restifo, 2015, Science, 348:62-68; Jensen and Riddell, 2014, Immunol Rev, 257:127-144; Sadelain, 2009, Cancer J, 15:451-455; Vonderheide and June, 2014, Immunol Rev, 257:7-13; Wherry et al., 2007, Immunity, 27:670-684; Scholler et al., 2012, Sci Transl Med, 4:132ra153; Gattinoni et al., 2011, Nat Med, 17:1290-1297; Hinrichs, 2016, Clin Cancer Res, 22:1559-1564). It was observed that Ezh2 was phosphorylated as T cells differentiated and showed decreased function in the context of regulating these major TFs. Notably, T.sub.CMP showed intermediate grades in the expression of phosphorylated Ezh2 and Ezh2-targeted TFs between T.sub.EFF and T.sub.N. This suggests that phosphorylation of Ezh2 initially occurs in the T.sub.CMP stage and is further increased upon effector differentiation. Furthermore, the data revealed that similar expression patterns of phosphorylated Ezh2 and its-targeted TFs occurred in ex vivo expanding CD8.sup.+ T cells 3 days after activation and peaked by 7 days when full-fledged T.sub.EFF developed. Consequently, T cells expressing high levels of phosphorylated Ezh2 displayed significantly impaired capacity to produce T.sub.CMP in vivo after transfer and to inhibit tumor growth. These changes were consistent with Akt activity in T.sub.N, T.sub.CMP and T.sub.EFF. The data provide molecular insights into the mechanism how the quantity and quality of T cell memory is epigenetically programmed during initial expansion phase (Gattinoni et al., 2009, Nat Med, 15:808-813; Gerlach et al., 2013, Science, 340:635-639; Buchholz et al., 2013, Science, 340:630-635).
[0293] This study has significant implications in optimizing the expansion and quality of therapeutic T cells used for treating cancer and chronic infections. The capability of tumor-reactive T cells to replicate and persist in vivo is crucial for effectively controlling tumor growth and eliminating virus-infected cells (Rosenberg and Restifo, 2015, Science, 348:62-68; Jensen and Riddell, 2014, Immunol Rev, 257:127-144; Sadelain, 2009, Cancer J, 15:451-455; Vonderheide and June, 2014, Immunol Rev, 257:7-13; Wherry et al., 2007, Immunity, 27:670-684; Scholler et al., 2012, Sci Transl Med, 4:132ra153; Gattinoni et al., 2011, Nat Med, 17:1290-1297; Hinrichs, 2016, Clin Cancer Res, 22:1559-1564). In support of this, the data demonstrate that Akt-unphosphorylated Ezh2 mediated epigenetic effects are critically involved in regulating both the quantity and quality of memory precursor cells and their differentiation into mature memory cells. These data support the observation that ex vivo treatment of expanding CD8.sup.+ T cells with certain Akt inhibitors led to increased frequency of memory precursor cells and improved antitumor immunity in vivo after infusion (Crompton et al., 2015, Cancer Res, 75, 296-305; van der Waart et al., 2014, Blood, 124:3490-3500). However, ex vivo Akt inhibitor treatment resulted in a transient effect and did not prevent reactivation of Akt in CD8.sup.+ T cells in vivo upon antigen rechallenge. These findings suggest that the prolonged presence of Akt-insensitive Ezh2 in tumor-reactive CD8.sup.+ T cells is required for them to preserve their memory properties in vivo when signals activating Akt persist. It is reasonable to assume that continual treatment with Akt inhibitors might extend its effect on promoting memory T cells in vivo. However, effective cancer immunotherapy requires collective efforts of both effector and memory T cells (Rosenberg and Restifo, 2015, Science, 348:62-68; Restifo et al., 2012, Nat Rev Immunol, 12:269-281; Vonderheide and June, 2014, Immunol Rev, 257:7-13). Systemic administration of Akt inhibitors may reduce the production of effector T cells and cause adverse effects. T cell-specific expression of Akt-insensitive EZH2 or a molecule specifically blocking the Ezh2 and Akt interaction could be a wise option to improve the antitumor efficacy of tumor-reactive T cells. It will be interesting to investigate whether an inducible system able to conditionally express functional Ezh2 in T cells would selectively prolong and enhance the Ezh2 effect in tumor-reactive T cells in vivo.
[0294] These findings together with Kakaradov's studies (Kakaradov et al., 2017, Nature immunology 18, 422-432) indicate that the impact of Ezh2 on antigen-driven CD8.sup.+ T cells may vary at different activation state and differentiation stage. Ezh2 was crucial for the survival and expansion of activated CD8.sup.+ T cells later after antigen priming. By day 5 after activation, Ezh2 deficiency selectively increased apoptosis in effector T cells rather than T.sub.CM-like cells (Kakaradov et al., 2017, Nature immunology 18, 422-432). However, early after antigen priming (e.g., by day 3) Ezh2 was dispensable for survival of antigen-primed CD8.sup.+ T cells (Kakaradov et al., 2017, Nature immunology 18, 422-432). Importantly, it was also identified that loss of Ezh2 caused preferential decrease of T.sub.CMP pool independent of cell apoptosis early during expansion, while markedly increasing the fraction of terminal T.sub.EFF. Since both the first division of activated CD8.sup.+ T cells and their subsequent differentiation early after antigen priming may influence the ratio of T.sub.CMP and T.sub.EFF (Gerlach et al., 2013, Science, 340:635-639; Buchholz et al., 2013, Science, 340:630-635; Kakaradov et al., 2017, Nature immunology, 18:422-432; Chang et al., 2007, Science, 315:1687-1691), without being bound by a particular theory, it is proposed that Ezh2 is important for preserving the T.sub.CMP pool and restraining precocious terminal differentiation. Interestingly, Kakaradov's studies showed that Ezh2 deficiency caused no difference in the production of terminal KLRG1.sup.hi cells. They observed that despite the presence of Ezh2, as many as 75% of P14 CD8.sup.+ T cells had undergone terminal differentiation (e.g. expression of KLRG1.sup.hi) at day 4 after LCMV infection and only 1% of activated P14 CD8.sup.+ T cells were T.sub.CMP-like phenotype 7 days after infection (Kakaradov et al., 2017, Nature immunology, 18:422-432). In contrast, the data herein demonstrate that WT Pmel-1 cells consisted of less than 10% KLRG1.sup.hi cells and approximately 50% T.sub.CMP at the peak of effector response. Loss of Ezh2 led to production of 4-fold more terminal KLRG1.sup.hi cells, accompanied with increased expression of 370-fold more p19.sup.Adtranscript.
[0295] In conclusion, Ezh2 is the epigenetic regulator essential for the development and maintenance of memory T cells and associated antitumor immunity. Ezh2 targets Id3 to regulate memory cell formation and function of CD8.sup.+ T cells. Ezh2 also silences Id2, Prdm1 and Eomes in antigen-driven CD8.sup.+ T cells to temper effector differentiation. Akt mediates phosphorylation of Ezh2, which in turn eases Ezh2 transcriptional control, causing enhanced effector differentiation at the expense of memory T cells. In a preclinical mouse model, T cell-specific expression of an Akt-insensitive Ezh2 mutant markedly prolonged the in vivo persistence of T cells with memory potential, augmenting their ability to inhibit tumor growth. As such, Akt-mediated Ezh2 phosphorylation serves as a critical target to potentiate anti-tumor immunotherapeutic strategies, and, more broadly, an enhanced understanding of biology of T cell responses.
Example 2: A Method to Produce Multipotent CAR Cells
[0296] EZH2, which catalyzes trimethylation of histone H3 at lysine 27 (H3K27me3) and acts primarily as a gene silencer, is essential for the development and maintenance of memory T cells and their-mediated antitumor immunity. EZH2 silences transcription factors (TFs) ID2, PRDM1, TBX21 and EOMES while activating ID3, guiding the population expansion and differentiation of nave T cells into memory cells, including T.sub.SCM and TCM. Ezh2 also controls the recall response capability of memory T cells upon antigen encounter. Unexpectedly, despite highly expressing EZH2, activated T cells decrease these EZH2 functions along a progressive differentiation path through a mechanism of phosphorylating EZH2 by active AKT. Engineering of T cells with AKT-insensitive EZH2 dramatically improves the generation of functional memory T cells and their antitumor effects. Thus, EZH2 controls memory T cell development and maintenance, whereas signals mediating T cell expansion taper EZH2 function to drive effector differentiation.
[0297] To translate these findings into adoptive cell immunotherapy, human T cells were engineered with lentivrial vector encoding CD19-specific chimeric antigen receptor (CAR) with 4-1BB and CD3 (named BB) signals (
[0298] Further, the effect of combined pharmacologic compounds on producing tumor-resistant CAR T.sub.SCM cells is examined based on modifying EZH2 function in preclinical models of human lymphoma xenografts. Results from these experiments establish a novel culture system for production of long-lasting and cost-effective memory CAR T cells that may be translated into patients with solid tumors in a broad context.
[0299] To establish a novel and clinically relevant pharmacological approach to induce CAR iT.sub.SCM, it was evaluated whether a combined inhibition, including blocking calcinurin regulated Ca2+ signaling, inhibiting demethylation by JMJD3, reducing EZH2 phosphorylation by AKT and inhibiting AP-1-driven differentiation, may facilitate the preservation of iT.sub.SCM upon exposure to persistent and high-dose antigen. To test this possibility, chemical probes are used that selectively inhibit calcinurin (CsA), JMJD3 (GSK-J4), AKT (MEK2206) and AP-1 (TanIIA) to see if each may lead to down-regulation of pro-differentiation TFs and upregulation of pro-memory TFs (
[0300] To assess if ACJA augments the production of less-differentiated CD19-CAR T cells and further facilitates the expansion and enrichment of CD19-CAR iT.sub.SCM, pro-memory cytokines (e.g., IL-21, IL-15 and IL-7, etc.) are added to the culture to determine: A) whether ACJA may improve the capacity of CD19-CAR iT.sub.SCM to acquire the ability to resist high tumor burden; B) the optimal time of adding ACJA to cultures for inducing maximal production and preservation of CD19-CAR iT.sub.SCM in reaction to high-dose antigen (i.e., the optimal dose of each probe and time and duration of ACJA treatment for expanding and sustaining CAR iT.sub.SCM); and C) characterize the biological properties of ACJA-induced CD19-CAR iT.sub.SCM, in particularly their metabolic profiles. Emerging evidence indicate that BB-CAR signaling is able to promote metabolic features associated with T cell proliferation, differentiation and memory development. This is critical for the generation of long-lived memory T cells efficient for eliminating tumor cells or chronic infection in vivo.
[0301] Wishing not to be bound by theory, it is believed that results from these experiments: 1) identify how EZH2 orchestrates the development and maintenance of weakly-differentiated memory CAR T cells in concert with co-signals and Ca2+ signals; 2) establish a novel culture system able to produce long-lasting and cost-effective memory CAR T cells for clinical application; and 3) illuminate a novel epigenetic mechanism by which EZH2 regulates the transcriptional plasticity and stability of human memory CAR T cells. Molecular insights into the fundamentals of human T cells may lead to new strategies to improve adoptive cell immunotherapy for chronic infections and advanced tumors in a broad context. Successful outcome of developing a clinical relevant pharmacological approach and cellular product enriched with CAR iT.sub.SCM will enable the translation of the basic science of into patients, leading to new strategies to improve therapeutic efficacy for lymphoma and other type of solid tumor in a broad context.
[0302] The disclosures of each and every patent, patent application, and publication cited herein are hereby incorporated herein by reference in their entirety. While this invention has been disclosed with reference to specific embodiments, it is apparent that other embodiments and variations of this invention may be devised by others skilled in the art without departing from the true spirit and scope of the invention. The appended claims are intended to be construed to include all such embodiments and equivalent variations.