IMMUNE CELL INHIBITION BY IMMUNE CHECKPOINT ENGAGERS
20250268949 ยท 2025-08-28
Assignee
Inventors
Cpc classification
International classification
A61K35/545
HUMAN NECESSITIES
C07K16/28
CHEMISTRY; METALLURGY
C07K14/705
CHEMISTRY; METALLURGY
A61P37/06
HUMAN NECESSITIES
Abstract
The invention provides cells that have an increased immune checkpoint engagement function (Immune Checkpoint Engager ICE cells). The ICE cells comprise an engager molecule' expressed on a cell surface, wherein said engager molecule engages with an immune checkpoint molecule on an immune cell, wherein said engager molecule is expressed at least at a level that protects said ICE cell from being killed by said immune cell.
Claims
1. An Immune Checkpoint Engager (ICE) cell, comprising an engager molecule expressed on a cell surface, wherein said engager molecule engages with an immune checkpoint molecule on an immune cell, wherein said engager molecule is expressed at least at a level that protects said ICE cell from being killed by said immune cell.
2. The ICE cell of claim 1, wherein said engager molecule is a protein that does not engage SIRP on said immune cell.
3. The ICE cell of claim 2, wherein said engager molecule engages PD-1.
4. The ICE cell of claim 2, wherein said protein comprises an immunoglobulin domain that binds PD-1.
5. The ICE cell of claim 4, wherein said immunoglobulin domain is an antibody VH domain.
6. The ICE cell of claim 5, wherein said antibody VH domain comprises at least a 90% sequence identity to amino acid numbers 146-264 of SEQ ID NO:1.
7. The ICE cell of claim 6, wherein said antibody VH domain comprises the sequence of amino acid numbers 146-264 of SEQ ID NO:1.
8. The ICE cell of claim 4, wherein said immunoglobulin domain is an antibody VL domain.
9. The ICE cell of claim 8, wherein said antibody VL domain comprises at least a 90% sequence identity to amino acid numbers 21-130 of SEQ ID NO:1.
10. The ICE cell of claim 9, wherein said antibody VH domain comprises the sequence of amino acid numbers 21-130 of SEQ ID NO:1.
11. The ICE cell of any one of claims 2-10, wherein said protein is a fusion protein.
12. The ICE cell of claim 11, wherein said fusion protein comprises at least a 90% sequence identity to the IL-2 signal peptide of SEQ ID NO:2.
13. The ICE cell of claim 12, wherein said fusion protein comprises the IL-2 signal peptide of SEQ ID NO:2.
14. The ICE cell of claim 11, wherein said fusion protein comprises at least a 90% sequence identity to the CD8a hinge peptide of SEQ ID NO:3.
15. The ICE cell of claim 14, wherein said fusion protein comprises the CD8a hinge peptide of SEQ ID NO:3.
16. The ICE cell of claim 11, wherein said fusion protein comprises at least a 90% sequence identity to the PDGFR transmembrane domain (TMD) of SEQ ID NO:4.
17. The ICE cell of claim 16, wherein said fusion protein comprises the PDGFR TMD of SEQ ID NO:4.
18. The ICE cell of claim 11, wherein said engager molecule is a protein having at least a 90% sequence identity to SEQ ID NO:1.
19. The ICE cell of claim 18, wherein said engager molecule has the sequence identity of SEQ ID NO:1.
20. The ICE cell of any one of claims 1-11, wherein said engager molecule comprises an antibody Fab or a single chain variable fragment (scFV) that binds to PD-1.
21. The ICE cell of claim 20, wherein said Fab or scFV binds to PD-1 with an affinity measured by its dissociation constant (Kd), wherein said Kd is between about 10.sup.7 and 10.sup.13 M.
22. The ICE cell of any one of claims 1-11, wherein said engager molecule comprises one or more antibody complementarity determining regions (CDRs) that binds to PD-1.
23. The ICE cell of claim 22, wherein said one or more CDRs have at least a 90% sequence identity to any one of SEQ ID NOS:18-23.
24. The PD1 engager cell of any one of claims 1-15, wherein said engager molecule is a fusion protein comprising a heterologous transmembrane domain (TMD).
25. The ICE cell of claim 24, wherein said TMD comprises a single a helix, multiple a helices, or a rolled-up sheet.
26. The ICE cell of claim 24, wherein said heterologous TMD is selected from the group consisting of CD85f, CD349, CD284, CD261, CD172b, CD277, CD186, CD156c, CD304, CD254, CD263, CD267, CD337, CD170, CD283, CD133, CD327, CD205, CD232, CD282, CD16b, CD85i, CD85a, CD85c, CD275, CD108, CD358, CD335, CD218b, CD355, CD336, CD160, CD25, CD4, CD8a, CD235a, CD233, CD230, CD90, CD74, CD3d, CD340, CD236, CD61, CD18, CD54, CD29, CD1a, CD5, CD220, CD2, CD66e, CD51, CD141, CD115, CD42b, CD221, CD271, CD55, CD243, CD98, CD10, CD41, CD14, CD45, CD228, CD16a, CD49e, CD126, CD63, CD48, CD7, CD140b, CD3g, CD117, CD28, CD8b, CD37, CD11b, CD107a, CD331, CD222, CD20, CD79a, CD32, CD143, CD324, CD42c, CD107b, CD56, CD102, CD49d, CD66a, CD142, CD59, CD62L, CD121a, CD122, CD13, CD155, CD119, CD19, CD116, CD46, CD1e, CD1d, CD227, CD44, CD62P, CD104, CD43, CD140a, CD31, CD152, CD326, CD62E, CD36, CD127, CD49b, CD105, CD35, CD223, CD138, CD325, CD58, CD106, CD53, CD120a, CD224, CD21, CD33, CD22, CD120b, CD11a, CD11c, CD363, CD73, CD88, CD204, CD332, CD9, CD203a, CD334, CD333, CD206, CD49f, CD238, CD252, CD89, CD124, CD181, CD182, CD24, CD95, CD40, CD49c, CD159a, CD159c, CD314, CD27, CD123, CD26, CD82, CD121b, CD34, CD38, CD30, CD1b, CD1c, CD154, CD6, CD52, CD132, CD32, CD66b, CD171, CD191, CD197, CD185, CD131, CD50, CD70, CD153, CD144, CD80, CD362, CD68, CD361, CD147, CD309, CD135, CD292, CD103, CD130, CD42d, CD66d, CD66c, CD96, CD110, CD79b, CD200, CD192, CD231, CD86, CD212, CD118, CD146, CD134, CD158a, CD158b1, CD158b2, CD158e, CD158k, CD158j, CD158i, CD178, CD295, CD151, CD97, CD183, CD39, CD239, CD193, CD194, CD195, CD196, CDw198, CDw199, CD296, CD298, CD49a, CD322, CD85g, CD184, CD172a, CD156a, CD339, CD156b, CD213a1, CD129, CD83, CD125, CD241, CD269, CD202b, CD87, CD164, CD136, CD137, CD249, CD69, CD91, CDw210b, CD167a, CD300c, CD157, CD317, CD148, CD161, CD215, CD150, CD11d, CD218a, CD210, CD166, CD162, CD213a2, CD242, CD158g, CD158h, CD279, CD111, CD281, CD226, CD234, CD167b, CD300e, CD276, CD305, CD300g, CD300d, CD109, CD272, CD163, CD302, CD158f1, CD85h, CD85d, CD177, CD158z, CD158f2, CD85j, CD300f, CD92, CD351, CD112, CD100, CD270, CD101, CD297, CD316, CD352, CD217, CD307b, CD307a, CD307c, CD307d, CD307e, CD114, CD180, CD158d, CD273, CD290, CD244, CD169, CD299, CD318, CD360, CD229, CD248, CD354, CD320, CD93, CD319, CD113, CD163b, CD289, CD288, CD329, CD274, CD353, CD172g, CD315, CD280, CD264, CD300a, CD312, CD84, CD344, CD350, CD246, CD201, CD338, CD208, CD257, CD328, CD286, CD357, CD294, CD321, CD265, CD278, ITGA7, ITGA8, ITGA9, ITGA10, ITGA11, CD51, CD41, CD29, CD18, CD61, CD104, CD47 (SEQ ID NO:5), CD64 (SEQ ID NO:6), and PDGFR (SEQ ID NO:4).
27. The ICE cell of claim 24, wherein said TMD comprises a sequence with at least a 90% sequence identity to SEQ ID NO:5 or SEQ ID NO:6.
28. The ICE cell of claim 24, wherein said TMD comprises the sequence of SEQ ID NO:5 or SEQ ID NO:6.
29. The ICE cell of claim 24, wherein said TMD is from a 7 transmembrane protein (7TM) or an immunoglobulin cell-surface protein.
30. The ICE cell of any one of claims 1-29, wherein said engager molecule does not have an intracellular domain (ICD).
31. The ICE cell of any one of claims 1-29, wherein said engager molecule has an intracellular domain from CD16, CD32, CD64, CD8, CD3, CD28, or CD137.
32. The ICE cell of any one of claim 2 or 4-31, wherein said engager molecule has one or more linker or hinge regions connecting ECD, TMD, or ICD sequences.
33. The ICE cell of any one of claim 2 or 4-32, wherein said protein is an antibody, receptor, ligand, or adhesion protein.
34. The ICE cell of any one of claims 1-33, further comprising a reduced or eliminated HLA-I or HLA-II expression.
35. The ICE cell of any one of claims 1-34, wherein said cell is ABO blood group type O.
36. The ICE cell of any one of claims 1-35, wherein said cell is Rhesus factor negative (Rh).
37. The ICE cell of any one of claims 1-36, wherein said cell has a reduced or eliminated ABO blood group antigen selected from the group consisting of A1, A2, and B.
38. The ICE cell of any one of claims 1-37, wherein said cell has a reduced or eliminated Rh protein antigen expression selected from the group consisting of Rh C antigen, Rh E antigen, Kell K antigen (KEL), Duffy (FY) Fya antigen, Duffy Fy3 antigen, Kidd (JK) Jkb antigen, MNS antigen U, and MNS antigen S.
39. The ICE cell of any one of claims 1-38, wherein the cell is a hypoimmunogenic (HI) cell comprising: an endogenous Major Histocompatibility Complex Class I (HLA-I) function that is reduced when compared to an unmodified parental cell and an endogenous Major Histocompatibility Complex Class II (HLA-II) function that is reduced when compared to said unmodified parental cell.
40. The ICE cell of any one of claims 1-39, wherein said engager cell comprises modulated expression of one or more of HLA-I human leukocyte antigens, HLA-II human leukocyte antigens, CD64, CD47, CD38, CCR5, CXCR4, NLRC5, CIITA, B2M, HLA-A, HLA-B, HLA-C, HLA-E, HLA-G, PD-L1, CTLA-4-Ig, CD47, CI-inhibitor, IL-35, RFX-5, RFXAP, RFXANK, NFY-A, NFY-B, NFY-C, IRF-1, OX40, GITR, 4-1BB, CD28, B7-1, B7-2, ICOS, CD27, HVEM, SLAM, CD226, PD1, CTL4, LAG3, TIGIT, TIM3, CD160, BTLA, CD244, CD30, TLT, VISTA, B7-H3, PD-L2, LFA-1, CD2, CD58, ICAM-3, TCRA, TCRB, FOXP3, HELIOS, ST2, PCSK9, APOC3, CD200, FASLG, CLC21, MFGE8, SERPIN B9, TGF, CD73, CD39, LAG3, IL1R2, ACKR2, TNFRSF22, TNFRSF23, TNFRS10, DAD1, PVR, or IFNR1 d39 relative to a parental cell, wherein said engager cell is ABO blood group type O or Rhesus factor negative (Rh).
41. The ICE cell of any one of claims 1-40, further comprising an elevated expression of an antibody Fc receptor on the cell surface, wherein said Fc receptor helps to evade antibody dependent cellular cytotoxicity (ADCC) or complement mediated cytotoxicity (CDC).
42. The ICE cell of claim 41, wherein said Fc receptor is CD16, CD32, CD64, or truncated CD64.
43. The ICE cell of any one of claims 1-42, wherein said cell is pluripotent.
44. The ICE cell of claim 43, wherein said cell is a hypoimmune pluripotent (HIP) cell.
45. The ICE cell of claim 44, wherein said cell is a hypoimmune pluripotent cell having an ABO blood type O (HIPO).
46. The ICE cell of claim 45, wherein said cell is a hypoimmune pluripotent cell is Rh factor negative (HIP).
47. The ICE cell of claim 46, wherein said cell is a hypoimmune pluripotent cell having an ABO blood type O and is Rh factor negative (HIPO).
48. The ICE cell of of any one of claims 43-47, wherein said cell is a pluripotent (PSC) cell, induced PSC (iPSC), or an embryonic stem cell (ESC).
49. The ICE cell of any one of claims 1-42, wherein said engager cell is a specific tissue type.
50. The ICE cell of claim 49 wherein said cell is a chimeric antigen receptor (CAR) cell, a T cell, an NK cell, an endothelial cell, a dopaminergic neuron, a cardiac cell, a pancreatic islet beta cell, thyroid epithelial cells, parathyroid cells, or a retinal pigment epithelium cell.
51. The ICE cell of claim 49, wherein said cell is a CAR-T cell, a CAR-NK cell, a TCR T cell, or a TCR NK cell.
52. The ICE cell of any one of claims 1-42 or 49-51, wherein said engager cell is differentiated from a pluripotent cell.
53. A pharmaceutical composition, comprising the ICE cell of any one of claims 49-52 and a pharmaceutically-acceptable carrier.
54. A medicament, comprising the ICE cell of any one of claims 49-52 and a pharmaceutically-acceptable carrier.
55. A method of treating a disease in a subject, comprising transplanting the ICE cell of any one of claims 49-52 into said subject.
56. The method of claim 55, wherein said disease is Type 1 diabetes, a cardiac disease, a neurological disease, an endocrine disease, cancer, blindness, or a vascular disease.
57. A use of the ICE cell of any one of claims 49-52 for preparing a pharmaceutical composition for treating a disease in a subject.
58. A use of The ICE cell of any one of claims 49-52 for treating a disease in a subject.
59. The use of either one of claim 57 or 58, wherein said disease is Type 1 diabetes, a cardiac disease, a neurological disease, an endocrine disease, cancer, blindness, or a vascular disease.
60. The ICE cell of any one of claims 1-52, further comprising a Signal Regulatory Protein Alpha (SIRP) engager molecule on said cell surface that engages with a SIRP protein on said immune cell, wherein said SIRP- engagement prevents said engager cell from being killed by said immune cell, wherein said SIRP- engager cell surface molecule lacks a functional intracellular domain.
61. The ICE cell of claim 60, wherein said engager molecule is a protein.
62. The ICE cell of claim 61, wherein said protein is a fusion protein.
63. The ICE cell of claim 62, wherein said fusion protein comprises a CD47 extracellular domain (ECD).
64. The ICE cell of any one of claims 60-63, wherein said engager molecule comprises an immunoglobulin superfamily domain.
65. The ICE cell of any one of claims 60-64, wherein said SIRP engager molecule comprises one or more antibody complementarity determining regions (CDRs) that binds to SIRP.
66. The ICE cell of claim 65, wherein said CDRs comprise a sequence having at least a 90% sequence identity to any one of SEQ ID NOS:18-23.
67. The ICE cell of claim 66, wherein said CDRs comprise any one of the sequences of SEQ ID NOS:18-23.
68. The ICE cell of claim 2, wherein said engager molecule engages with one or more immune cell receptors selected from the group consisting of PD-1, TIM3, LILRB3, and LILRB1.
69. The ICE cell of any one of claims 1-53 or 68, further comprising a safety switch.
70. The ICE cell of claim 69, wherein said safety switch is a suicide gene.
71. The ICE cell of claim 70, wherein said suicide gene is (a) a herpes simplex virus thymidine kinase gene (HSV-tk) that has a ganciclovir trigger, (b) an Escherichia coli cytosine deaminase gene (EC-CD) that has a 5-fluorocytosine (5-FC) trigger, or (c) an inducible iCasp9 protein that has an AP1903 trigger.
Description
V. BRIEF DESCRIPTION OF THE DRAWINGS
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VI. DETAILED DESCRIPTION OF THE INVENTION
[0068] The invention provides immune checkpoint engagement (ICE) cells that reduce immunity when transplanted into a subject when compared to a parental cell. In some embodiments the ICE cells have an increased Programmed Cell Death Protein 1 (PD-1) engagement function (PD-1 engager cells) that reduces immunity when transplanted into a subject when compared to a parental cell having an unmodified PD-1 engagement function. In some embodiments, the PD-1 engager cells are hypoimmune cells. In other embodiments, the cells are pluriopotent cells. In other embodiments, the cells are embryonic stem (ES) cells or induced pluripotent stem cells (iPSC). In other embodiments, the PD-1 engager cells are differentiated somatic cells. In other embodiments, the PD-1 engager cells are hypoimmune pluripotent (HIP) cells. In further embodiments, the HIP cells are blood type O (HIPO), Rhesus factor (Rh) negative (HIP) or both type O and Rh (HIPO). In other embodiments, the PD-1 engager cells have been derived or differentiated from HIP, HIP, or HIPO cells. In other embodiments, the PD-1 engager cells comprise an antibody Fc receptor to protect against antibody dependent cellular cytotoxicity (ADCC) or complement dependent cytotoxicity (CDC). In other embodiments, the ICE cells express a ligand that binds to an inhibitory immune cell receptor selected from the group consisting of an LILRB1 engager, an LILRB3 engager, and a TIM3 engager. In other embodiments, the ICE cells are PD-1 engager cells that additionally express a ligand that binds to another inhibitory immune cell receptor selected from the group consisting of CD47, truncated CD47, an LILRB1 engager, an LILRB3 engager, a SIRP engager, and a TIM3 engager.
[0069] It was surprising that agonists for PD-1, TIM3, LILRB3, and LILRB1 all inhibited immune effector cells to protect the therapeutic cells from cell killing. Thus, the instant invention recognized that immune checkpoint engagers, as a class, and not just individual members, are valid targets for agonists to inhibit immune effector cells. Furthermore, the invention now recognizes that this class of agonists must be expressed at threshold levels in order to protect ICE cells from immune cell killing.
[0070] The invention provides compositions and uses for PD-1 agonists to inhibit immune effector cells to generate cell therapeutics in regenerative medicine or immuneoncology with reduce host versus graft rejections. In some embodiments, sequence fragments from a PD-1 agonist antibody (U.S. Pat. No. 10,493,148, incorporated by reference herein in its entirety) were taken and implemented in a newly designed fusion protein (SEQ ID NO: 1). The fusion protein of this embodiment contains the following parts: [0071] (IL-2 or CD8) signal peptide-VL-(GGGGS)3 linker-VH-CD8a hinge-PDGFR TMD
[0072] In other embodiments, the PD-1 engager cells have been derived or differentiated from the aforementioned cells. By way of example, the differentiated PD-1 engager cells may be endothelial cells, cardiomyocytes, hepatocytes, dopaminergic neurons, pancreatic islet cells, retinal pigment epithelium cells, and other cell types used for transplantation and medical therapies. These would include chimeric antigen receptor (CAR) cells and T cell receptor-engineered cells, such as CAR-T cells, TCR T cells, NK cells and CAR-NK cells.
[0073] As used herein, the terms subject or patient refers to any animal, such as a domesticated animal, a zoo animal, or a human. The subject or patient can be a mammal like a dog, cat, bird, livestock, or a human. Specific examples of subjects and patients include, but are not limited to, individuals (particularly human) with a disease or disorder related to the liver, heart, lung, kidney, pancreas, brain, neural tissue, blood, bone, bone marrow, and the like.
[0074] Mammalian cells can be from humans or non-human mammals. Exemplary non-human mammals include, but are not limited to, mice, rats, cats, dogs, rabbits, guinea pigs, hamsters, sheep, pigs, horses, bovines, and non-human primates (e.g., chimpanzees, macaques, and apes).
[0075] By hypo-immunogenic cell, hypoimmune cell, or HI cell herein is meant a cell that gives rise to a reduced immunological rejection response when transferred into an allogeneic host. In preferred embodiments, HI cells do not give rise to an immune response. Thus, hypo-immunogenic refers to a significantly reduced or eliminated immune response when compared to the immune response of a parental (i.e. wt) cell prior to immunoengineering.
[0076] By hypo-immunogenic cell O hypo-immunogenic ORh cell or HIO cell herein is meant a HI cell that is also ABO blood group O and Rhesus Factor Rh. HIO cells may have been generated from O-cells, enzymatically modified to be O, or genetically engineered to be O.
[0077] By HLA or human leukocyte antigen complex herein is meant a gene complex encoding the major histocompatibility complex (MHC) proteins in humans. These cell-surface proteins that make up the HLA complex are responsible for the regulation of the immune response to antigens. In humans, there are two MHCs, class I and class II, HLA-I and HLA-II. HLA-I includes HLA-A, HLA-B, HLA-C, and others. These present peptides from the inside of the cell, and antigens presented by the HLA-I complex attract killer T-cells (also known as CD8+ T-cells or cytotoxic T cells). The HLA-I proteins are associated with -2 microglobulin (B2M). HLA-II includes HLA-DP, HLA-DM, HLA-DOB, HLA-DQ and HLA-DR, and others that present antigens from outside the cell to T lymphocytes. This stimulates CD4+ cells (also known as T-helper cells). It should be understood that the use of either MHC or HLA is not meant to be limiting, as it depends on whether the genes are from humans (HLA) or non-human (MHC). Thus, as it relates to mammalian cells, these terms may be used interchangeably herein.
[0078] By gene knock out herein is meant a process that renders a particular gene inactive in the host cell in which it resides, resulting either in no protein of interest being produced or an inactive form. As will be appreciated by those in the art and further described below, this can be accomplished in a number of different ways, including removing nucleic acid sequences from a gene, or interrupting the sequence with other sequences, altering the reading frame, or altering the regulatory components of the nucleic acid. For example, all or part of a coding region of the gene of interest can be removed or replaced with nonsense sequences, all or part of a regulatory sequence such as a promoter can be removed or replaced, translation initiation sequences can be removed or replaced, etc.
[0079] By gene knock in herein is meant a process that adds a genetic function to a host cell. This causes increased levels of the encoded protein. As will be appreciated by those in the art, this can be accomplished in several ways, including adding one or more additional copies of the gene to the host cell or altering a regulatory component of the endogenous gene increasing expression of the protein is made. This may be accomplished by modifying the promoter, adding a different promoter, adding an enhancer, or modifying other gene expression sequences. -2 microglobulin or 2M or B2M protein refers to the human 2M protein that has the amino acid and nucleic acid sequences shown below; the human gene has accession number RefSeq NM 004048.4.
[0080] CD47 protein protein refers to the human CD47 protein that has the amino acid and nucleic acid sequences shown below; the human gene has accession number RefSeq NM_001777.4.
[0081] Upon ligation to the PD-1 receptor, the natural ligands PD-L1 or PD-L2 expressed on a cell may initiate downstream signaling in the cell with potentially unwanted perturbations of its physiology. To only achieve protection against immune cell killing, some aspects the invention separate the extracellular PD-1-binding function from intracellular signaling in the engineered cell using a PD-1 engager as described herein. In other aspects, the invention provides PD-1 engager fusion proteins with agonistic PD-1 binding activities but lacking unwanted intracellular signaling in the engineered cell. Other aspects provide a PD-1 engager fusion protein comprising a PD-L1 or PD-L2 extracellular domain (ECD). In some aspects of the invention, such a fusion protein would have a homologous or heterologous intracellular domain. In other aspects, the fusion protein would have a truncated intracellular domain or no intracellulard domain.
[0082] The invention provides a PD-1 engager fusion protein that is expressed on an engineered cell and designed to bind to PD-1 on an immune cell in an agonistic manner that activates PD-1 signaling. The effector immune cell can be any immune cell expressing PD-1 and can be from the myeloid lineage (e.g. monocytes, macrophages, or polymorphonuclear cells) as well as the lymphoid lineage (e.g. T cells, B cells, or NK cells).
[0083] The PD-1/PD-L1 pathway is an established immune checkpoint. Although the forced overexpression of PD-L1 on target cells can effectively induce an inhibitory signal in immune effector cells, PD-L1 can induce unwanted signaling in the engineered cells. The invention provides a novel strategy to utilize this immune checkpoint without perturbations of the physiology of the engineered cells. The PD-1 engager proteins disclosed herein do not have any intracellular signaling domain.
[0084] Thus, in some embodiments, the fusion proteins provided herein comprise an extracellular domain (ECD) and a transmembrane domain (TMD) and may or may not comprise an intracellular domain (ICD). The fusion protein typically does not have an ICD and is limited to an ECD and TMD.
[0085] In some aspects, the ECD comprises a PD-L1 or PD-L2 ECD, complementarity-determining regions (CDRs) of an agonistic anti-PD-1 antibody, or a single chain variable fragment (scFv) of an agonistic anti-PD-1 antibody. Regions of interest on the ECD include at least one CDR sequence, where a CDR may be 3, 4, 5, 6, 7, 8, 9, 10, 11, 12 or more amino acids. Alternatively, ECDs of interest contain more than one antibody variable regions. CDRs of anti-PD-1 antibodies are disclosed, for example, in U.S. Pat. No. 10,493,148, incorporated by reference herein in its entirety.
[0086] In some aspects, one or more residues of a sequence are altered to modify binding to achieve a more favored on-rate of binding, a more favored off-rate of binding, or both, such that an optimized binding is achieved.
[0087] In other aspects, the ECD contains linker regions or hinges connecting the sequences provided with either the TMD or with each other. In other aspects, modifications are made within one or more of the linker regions or hinge regions so long as these modifications do not eliminate the binding affinity of the fusion protein with PD-1.
[0088] In some aspects, an ECD has a contiguous sequence of at least about 10 amino acids as set forth in SEQ ID NO:1, at least about 15 amino acids, at least about 20 amino acids, at least about 25 amino acids, at least about 30 amino acids, up to the complete provided region. ECDs also include sequences that differ by up to 1, 2, 3, 4, 5, 6 or more amino acids as compared to the amino acids sequence set forth in SEQ ID NO:1. In other embodiments, an ECD has at least about an 80%, 85%, 90%, 95%, or about 99% sequence identity to the amino acid sequence set forth in SEQ ID NO:1.
[0089] Generally, the transmembrane domain (TMD) of the PD-1 engager fusion protein is not limited to a specific TMD sequence. Preferably, the TMD allows stable anchorage of the fusion protein in the membrane of a cell expressing the fusion protein (e.g. an endothelial cell, a cardiomyocyte, a pancreatic beta cell, a T cell, an NK cell, or a hematopoietic cell, etc). It further allows binding of the ECD to PD-1. In some aspects, the fusion protein does contain an ICD and binding to PD-1 allows signaling via the ICD. This might be beneficial for the engineered cell if such signaling enhances the intrinsic function of this cell. Enhanced functions can, for example, be achieved through enhanced adhesion via the activation of integrins. In other aspects, the fusion protein does not contain an ICD, but rather, is truncated after the TMD. In the latter case, binding of the fusion protein to PD-1 does not result in intracellular signaling in the engineered cell.
[0090] TMDs extend across the cell membrane lipid bilayer as a single a helix, as multiple a helices, or as a rolled-up sheet. Some of these single-pass and multipass proteins have a covalently attached fatty acid chain inserted in the cytosolic lipid monolayer. Other membrane proteins are exposed at only one side of the membrane. Some of these are anchored to the cytosolic surface by an amphipathic a helix that partitions into the cytosolic monolayer of the lipid bilayer through the hydrophobic face of the helix. Others are attached to the bilayer solely by a covalently attached lipid chain-either a fatty acid chain or a prenyl groupin the cytosolic monolayer or, via an oligosaccharide linker, to phosphatidylinositol in the noncytosolic monolayer. (Alberts B, Johnson A, Lewis J, et al., Molecular Biology of the Cell. 4th edition. New York: Garland Science; ISBN-10: 0-8153-3218-1 (2002)).
[0091] In some aspects, an exemplary TMD of the immune checkpoint engager molecule is from CD85f, CD349, CD284, CD261, CD172b, CD277, CD186, CD156c, CD304, CD254, CD263, CD267, CD337, CD170, CD283, CD133, CD327, CD205, CD232, CD282, CD16b, CD85i, CD85a, CD85c, CD275, CD108, CD358, CD335, CD218b, CD355, CD336, CD160, CD25, CD4, CD8a, CD235a, CD233, CD230, CD90, CD74, CD3d, CD340, CD236, CD61, CD18, CD54, CD29, CD1a, CD5, CD220, CD2, CD66e, CD51, CD141, CD115, CD42b, CD221, CD271, CD55, CD243, CD98, CD10, CD41, CD14, CD45, CD228, CD16a, CD49e, CD126, CD63, CD48, CD7, CD140b, CD3g, CD117, CD28, CD8b, CD37, CD11b, CD107a, CD331, CD222, CD20, CD79a, CD32, CD143, CD324, CD42c, CD107b, CD56, CD102, CD49d, CD66a, CD142, CD59, CD62L, CD121a, CD122, CD13, CD155, CD119, CD19, CD116, CD46, CD1e, CD1d, CD227, CD44, CD62P, CD104, CD43, CD140a, CD31, CD152, CD326, CD62E, CD36, CD127, CD49b, CD105, CD35, CD223, CD138, CD325, CD58, CD106, CD53, CD120a, CD224, CD21, CD33, CD22, CD120b, CD11a, CD11c, CD363, CD73, CD88, CD204, CD332, CD9, CD203a, CD334, CD333, CD206, CD49f, CD238, CD252, CD89, CD124, CD181, CD182, CD24, CD95, CD40, CD49c, CD159a, CD159c, CD314, CD27, CD123, CD26, CD82, CD121b, CD34, CD38, CD30, CD1b, CD1c, CD154, CD6, CD52, CD132, CD32, CD66b, CD171, CD191, CD197, CD185, CD131, CD50, CD70, CD153, CD144, CD80, CD362, CD68, CD361, CD147, CD309, CD135, CD292, CD103, CD130, CD42d, CD66d, CD66c, CD96, CD110, CD79b, CD200, CD192, CD231, CD86, CD212, CD118, CD146, CD134, CD158a, CD158b1, CD158b2, CD158e, CD158k, CD158j, CD158i, CD178, CD295, CD151, CD97, CD183, CD39, CD239, CD193, CD194, CD195, CD196, CDw198, CDw199, CD296, CD298, CD49a, CD322, CD85g, CD184, CD172a, CD156a, CD339, CD156b, CD213a1, CD129, CD83, CD125, CD241, CD269, CD202b, CD87, CD164, CD136, CD137, CD249, CD69, CD91, CDw210b, CD167a, CD300c, CD157, CD317, CD148, CD161, CD215, CD150, CD11d, CD218a, CD210, CD166, CD162, CD213a2, CD242, CD158g, CD158h, CD279, CD111, CD281, CD226, CD234, CD167b, CD300e, CD276, CD305, CD300g, CD300d, CD109, CD272, CD163, CD302, CD158f1, CD85h, CD85d, CD177, CD158z, CD158f2, CD85j, CD300f, CD92, CD351, CD112, CD100, CD270, CD101, CD297, CD316, CD352, CD217, CD307b, CD307a, CD307c, CD307d, CD307e, CD114, CD180, CD158d, CD273, CD290, CD244, CD169, CD299, CD318, CD360, CD229, CD248, CD354, CD320, CD93, CD319, CD113, CD163b, CD289, CD288, CD329, CD274, CD353, CD172g, CD315, CD280, CD264, CD300a, CD312, CD84, CD344, CD350, CD246, CD201, CD338, CD208, CD257, CD328, CD286, CD357, CD294, CD321, CD265, CD278, ITGA7, ITGA8, ITGA9, ITGA10, ITGA11, CD51, CD41, CD29, CD18, CD61, and CD104. In other aspects, the TMD of the fusion protein is from CD47 (SEQ ID NO:5), CD64 (SEQ ID NO:6), or PDGFR (SEQ ID No:4).
[0092] In other aspects, the PD-1 engager fusion protein does not have an intracellular domain (ICD) to avoid signaling in the engineered cell. If considered beneficial, however, the ICD of the fusion protein can the ICDs from CD16, CD32, CD64, CD8, CD3, CD28, or CD137.
[0093] CIITA protein protein refers to the human CIITA protein that has the amino acid and nucleic acid sequences shown below; the human gene has the RefSeq accession number NM_000246.4.
[0094] By wild type in the context of a cell means a cell found in nature. However, in the context of cell therapeutics, as used herein, it also means that the cell may contain nucleic acid changes resulting in imortality or a de-differentiated state after reprograming but did not undergo the immune editing procedures of the invention to achieve hypo-immunogenicity, antibody evasion capacities, or express immune checkpoint engagers.
[0095] By syngeneic herein refers to the genetic similarity or identity of a host organism and a cellular transplant where there is immunological compatibility; e.g. no immune response is generated.
[0096] By allogeneic herein refers to the genetic dissimilarity of a host organism and a cellular transplant where an immune response is generated.
[0097] By B2M/ herein is meant that a diploid cell has had the B2M gene inactivated in both chromosomes. As described herein, this can be done in a variety of ways.
[0098] By PD-1 tg, PD-1 transgene, or PD-1+ herein is meant that the host cell expresses PD-1, in some cases by having at least one additional copy of the PD-1 gene or a PD-1 fusion protein gene.
[0099] By CIITA/ herein is meant that a diploid cell has had the CIITA gene inactivated in both chromosomes. As described herein, this can be done in a variety of ways.
[0100] By PD-L1 tg, PD-L1 transgene, or PD-L1+ herein is meant that the host cell expresses PD-L1, in some cases by having at least one additional copy of the PD-L1 gene or a PD-L1 fusion protein gene.
[0101] By PD-L2 tg, PD-L2 transgene. or PD-L2+ herein is meant that the host cell expresses PD-L2, in some cases by having at least one additional copy of the PD-L2 gene or a PD-L2 fusion protein gene.
[0102] By CD47 tg, CD47 transgene, or CD47+ herein is meant that the host cell expresses CD47, in some cases by having at least one additional copy of the CD47 gene or a CD47 fusion protein gene.
[0103] The term percent identity, in the context of two or more nucleic acid or polypeptide sequences, refers to two or more sequences or subsequences that have a specified percentage of nucleotides or amino acid residues that are the same, when compared and aligned for maximum correspondence, as measured using one of the sequence comparison algorithms described below (e.g., BLASTP and BLASTN or other algorithms available to persons of skill) or by visual inspection. Depending on the application, the percent identity can exist over a region of the sequence being compared, e.g., over a functional domain, or, alternatively, exist over the full length of the two sequences to be compared. For sequence comparison, typically one sequence acts as a reference sequence to which test sequences are compared. When using a sequence comparison algorithm, test and reference sequences are input into a computer, subsequence coordinates are designated, if necessary, and sequence algorithm program parameters are designated. The sequence comparison algorithm then calculates the percent sequence identity for the test sequence(s) relative to the reference sequence, based on the designated program parameters.
[0104] Optimal alignment of sequences for comparison can be conducted, e.g., by the local homology algorithm of Smith & Waterman, Adv. Appl. Math. 2:482 (1981), by the homology alignment algorithm of Needleman & Wunsch, J. Mol. Biol. 48:443 (1970), by the search for similarity method of Pearson & Lipman, Proc. Nat'l. Acad. Sci. USA 85:2444 (1988), by computerized implementations of these algorithms (GAP, BESTFIT, FASTA, and TFASTA in the Wisconsin Genetics Software Package, Genetics Computer Group, 575 Science Dr., Madison, Wis.), or by visual inspection (see generally Ausubel et al., infra).
[0105] One example of an algorithm that is suitable for determining percent sequence identity and sequence similarity is the BLAST algorithm, which is described in Altschul et al., J. Mol. Biol. 215:403-410 (1990). Software for performing BLAST analyses is publicly available through the National Center for Biotechnology Information (www.ncbi.nlm.nih.gov/).
[0106] Inhibitors, activators, and modulators affect a function or expression of a biologically-relevant molecule. The term modulator includes both inhibitors and activators. They may be identified using in vitro and in vivo assays for expression or activity of a target molecule.
[0107] Inhibitors are agents that, e.g., inhibit expression or bind to target molecules or proteins. They may partially or totally block stimulation or have protease inhibitor activity. They may reduce, decrease, prevent, or delay activation, including inactivation, desensitizion, or down regulation of the activity of the described target protein. Modulators may be antagonists of the target molecule or protein.
[0108] Activators are agents that, e.g., induce or activate the function or expression of a target molecule or protein. They may bind to, stimulate, increase, open, activate, or facilitate the target molecule activity. Activators may be agonists of the target molecule or protein.
[0109] Homologs are bioactive molecules that are similar to a reference molecule at the nucleotide sequence, peptide sequence, functional, or structural level. Homologs may include sequence derivatives that share a certain percent identity with the reference sequence. Thus, in one embodiment, homologous or derivative sequences share at least a 70 percent sequence identity. In a specific embodiment, homologous or derivative sequences share at least an 80 or 85 percent sequence identity. In a specific embodiment, homologous or derivative sequences share at least a 90 percent sequence identity. In a specific embodiment, homologous or derivative sequences share at least a 95 percent sequence identity. In a more specific embodiment, homologous or derivative sequences share at least an 50, 55, 60, 65, 70, 75, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, or 99 percent sequence identity. Homologous or derivative nucleic acid sequences may also be defined by their ability to remain bound to a reference nucleic acid sequence under high stringency hybridization conditions. Homologs having a structural or functional similarity to a reference molecule may be chemical derivatives of the reference molecule. Methods of detecting, generating, and screening for structural and functional homologs as well as derivatives are known in the art.
[0110] Hybridization generally depends on the ability of denatured DNA to reanneal when complementary strands are present in an environment below their melting temperature. The higher the degree of desired homology between the probe and hybridizable sequence, the higher the relative temperature that can be used. As a result, it follows that higher relative temperatures would tend to make the reaction conditions more stringent, while lower temperatures less so. For additional details and explanation of stringency of hybridization reactions, see Ausubel et al, Current Protocols in Molecular Biology, Wiley Interscience Publishers (1995), incorporated by reference herein in its entirety.
[0111] Stringency of hybridization reactions is readily determinable by one of ordinary skill in the art, and generally is an empirical calculation dependent upon probe length, washing temperature, and salt concentration. In general, longer probes require higher temperatures for proper annealing, while shorter probes need lower temperatures.
[0112] Stringent conditions or high stringency conditions, as defined herein, can be identified by those that: (1) employ low ionic strength and high temperature for washing, for example 0.015 M sodium chloride/0.0015 M sodium citrate/0.1% sodium dodecyl sulfate at 50 C.; (2) employ during hybridization a denaturing agent, such as formamide, for example, 50% (v/v) formamide with 0.1% bovine serum albumin/0.1% Ficoll/0.1% polyvinylpyrrolidone/50 Mm sodium phosphate buffer at Ph 6.5 with 750 Mm sodium chloride, 75 Mm sodium citrate at 42 C.; or (3) overnight hybridization in a solution that employs 50% formamide, 5SSC (0.75 M NaCl, 0.075 M sodium citrate), 50 Mm sodium phosphate (Ph 6.8), 0.1% sodium pyrophosphate, 5Denhardt's solution, sonicated salmon sperm DNA (50 l/ml), 0.1% SDS, and 10% dextran sulfate at 42 C., with a 10 minute wash at 42 C. in 0.2SSC (sodium chloride/sodium citrate) followed by a 10 minute high-stringency wash consisting of 0.1SSC containing EDTA at 55 C.
[0113] As used herein, a pharmaceutically acceptable carrier or therapeutic effective carrier is aqueous or nonaqueous (solid), for example alcoholic or oleaginous, or a mixture thereof, and can contain a surfactant, emollient, lubricant, stabilizer, dye, perfume, preservative, acid or base for adjustment of pH, a solvent, emulsifier, gelling agent, moisturizer, stabilizer, wetting agent, time release agent, humectant, or other component commonly included in a particular form of pharmaceutical composition. Pharmaceutically acceptable carriers are well known in the art and include, for example, aqueous solutions such as water or physiologically buffered saline or other solvents or vehicles such as glycols, glycerol, and oils such as olive oil. A pharmaceutically acceptable carrier can contain physiologically acceptable compounds that act, for example, to stabilize or to increase the absorption of specific inhibitor, for example, carbohydrates, such as glucose, sucrose or dextrans, antioxidants such as ascorbic acid or glutathione, chelating agents, low molecular weight proteins or other stabilizers or excipients.
[0114] The pharmaceutical compositions may be in the form of a sterile injectable preparation, for example, as a sterile injectable aqueous or oleaginous suspension. This suspension may be formulated according to techniques known in the art using suitable dispersing or wetting agents (such as, for example, Tween 80) and suspending agents. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are mannitol, water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose, any bland fixed oil may be employed including synthetic mono- or diglycerides. Fatty acids, such as oleic acid and its glyceride derivatives are useful in the preparation of injectables, as are natural pharmaceutically-acceptable oils, such as olive oil or castor oil, especially in their polyoxyethylated versions. These oil solutions or suspensions may also contain a long-chain alcohol diluent or dispersant such as Ph. Helv or a similar alcohol.
[0115] It is intended that every maximum numerical limitation given throughout this specification includes every lower numerical limitation, as if such lower numerical limitations were expressly written herein. Every minimum numerical limitation given throughout this specification will include every higher numerical limitation, as if such higher numerical limitations were expressly written herein. Every numerical range given throughout this specification will include every narrower numerical range that falls within such broader numerical range, as if such narrower numerical ranges were all expressly written herein.
[0116] As used herein the term modification refers to an alteration that physically differentiates the modified molecule from the parent molecule. In some embodiments, an insertion, deletion, substitution, or other type of amino acid change in a PD-1 engager or a SIRP engager protein. In some embodiments, the modification is in PD-1, PD-L1, PD-L2, SIRP, CD47, CD16, CD32, CD64, truncated CD64, HSVtk, EC-CD, or iCasp9 variant polypeptide is prepared according to the methods described herein and known in the art. Such modifications differentiate them from the corresponding parent that has not been modified according to the methods described herein, such as wild-type proteins, naturally occurring mutant proteins, or other engineered proteins that do not include the modifications of such variant polypeptides. In another embodiment, a variant polypeptide includes one or more modifications that differentiates the function of the variant polypeptide from the unmodified polypeptide. For example, an amino acid change in a variant polypeptide affects its receptor binding profile. In other embodiments, a variant polypeptide comprises substitution, deletion, or insertion modifications, or combinations thereof. In another embodiment, a variant polypeptide includes one or more modifications that increases its affinity for a receptor compared to the affinity of the unmodified polypeptide.
[0117] In one embodiment, a variant polypeptide includes one or more substitutions, insertions, or deletions relative to a corresponding native or parent sequence. In certain embodiments, a variant polypeptide includes 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31-40, 41 to 50, or 51 or more modifications.
[0118] By episomal vector herein is meant a genetic vector that can exist and replicate autonomously in the cytoplasm of a cell; e.g. it is not integrated into the genomic DNA of the host cell. A number of episomal vectors are known in the art and described below.
[0119] By knock out in the context of a gene means that the host cell harboring the knock out does not produce a functional protein product of the gene. As outlined herein, a knock out can result in a variety of ways, from removing all or part of the coding sequence, introducing frameshift mutations such that a functional protein is not produced (either truncated or nonsense sequence), removing or altering a regulatory component (e.g. a promoter) such that the gene is not transcribed, preventing translation through binding to mRNA, etc. Generally, the knock out is effected at the genomic DNA level, such that the cells' offspring also carry the knock out permanently.
[0120] By knock in in the context of a gene means that the host cell harboring the knock in has more functional protein active in the cell. As outlined herein, a knock in can be done in a variety of ways, usually by the introduction of at least one copy of a transgene (tg) encoding the protein into the cell, although this can also be done by replacing regulatory components as well, for example by adding a constitutive promoter to the endogeneous gene. In general, knock in technologies result in the integration of the extra copy of the transgene into the host cell.
VII. CELLS OF THE INVENTION
[0121] The invention provides ICE cells. In some embodiments they are PD-1 engager cells. In other embodiments they are hypoimmune cells. Hypoimmune cells may include HIP cells, HIPO cells, HIPO cells, and others. In other embodiments, the PD-1 engager cells are differentiated somatic cells. In other embodiments, the PD-1 engager cells are hypoimmune pluripotent (HIP) cells. In further embodiments, the HIP cells are blood type O (HIPO), Rhesus factor (Rh) negative (HIP) or both type O and Rh (HIPO). In other embodiments, the PD-1 engager cells have been derived or differentiated from HIP, HIP, or HIPO cells. In other embodiments, the PD-1 engager cells comprise an antibody Fc receptor to protect against antibody dependent cellular cytotoxicity (ADCC) or complement dependent cytotoxicity (CDC).
[0122] The invention provides compositions and methodologies for generating a PD-1 engager cells. In some aspects, the cells are hypoimmune cells. In other aspects, the cells are differentiated somatic cells. In other aspects, the cells are pluripotent cells such as HIP cells, HIP cells, HIPO cells. In other aspects, the PD-1 engager cells are pluripotent (PSC) cells suitable for transplantion and/or differentiation. The PSC cells include induced PSCs (iPSC) or embryonic stem cells (ESC). In other aspects, the cells are of particular tissue types and have differentiated from the aforementioned PD-1 engager cells. By way of example, the differentiated PD-1 engager cells may be endothelial cells, cardiomyocytes, hepatocytes, dopaminergic neurons, pancreatic islet cells, retinal pigment epithelium cells, and other cell types used for transplantation and medical therapies. These would include chimeric antigen receptor (CAR) cells, such as CAR-T cells, CAR-NK cells, TCR T cells, TCR NK cells, TCR innate lymphoid cells (ILCs) and other engineered cell populations. See WO2018/132783, WO2020/018620, WO2020/018615, PCT/US2020/032272, and U.S. patent application Ser. Nos. 16/870,959, and 16/870,960, incorporated by reference herein in their entirety.
[0123] The invention provides PD-1 engager cells having PD-1 engager proteins that interact with PD-1 on the surface of T cells, NK cells, and other immune cells. The immune checkpoint engager molecules prevent cell killing and mitigate adaptive and innate immunity. In some embodiments, the PD-1 engager protein is an anti-PD-1 antibody tethered to the surface of the PD-1 engager cell. In some embodiments, the anti-PD-1 antibody is tethered via its fragment crystallizable (Fc) portion to a cell-surface. In other embodiments, the antigen-binding portion of the anti-PD-1 antibody (scFv) are bound to the cell surface via a transmembrane domain (TMD). In preferred embodiments, the TMD comprises one or more -helices. In other preferred embodiments, the TMD is from a 7 transmembrane protein (7TM). In other preferred embodiments, the TMD is from an immunoglobulin cell-surface protein. In more preferred embodiments, the immunoglobulin cell-surface protein is an antibody, receptor, ligand, or adhesion protein. In some embodiments, the PD-1 engager cell results from a PD-L1 or PD-L2 fusion protein anchored onto the cell surface.
[0124] PD-1 engager protein expression may be accomplished in several ways as will be appreciated by those in the art using knock in or transgenic technologies. In some cases, PD-1 engager protein expression results from one or more transgenes.
[0125] Accordingly, in some embodiments, one or more copies of a PD-1 engager protein expression gene is added to the PD-1 engager cells under the control of an inducible or constitutive promoter, with the latter being preferred. In some embodiments, a lentiviral construct is employed as described herein or known in the art. The genes may integrate into the genome of the host cell under the control of a suitable promoter as is known in the art.
[0126] In some embodiments, the expression of the gene can be increased by altering the regulatory sequences of an endogenous gene locus, for example, by exchanging the endogenous promoter for a constitutive promoter or for a different inducible promoter. This can generally be done using known techniques such as CRISPR.
[0127] Once altered, the presence of sufficient PD-1 engager protein expression can be assayed using known techniques such as those described in the Examples, such as Western blots, ELISA assays or FACS assays using appropriate antibodies. In general, sufficiency in this context means an increase in PD-1 engager protein expression on the cell surface that silences NK cell killing.
[0128] Also within the scope of the invention are polypeptides that are antibodies. The term antibody is meant to include monoclonal antibodies, polyclonal antibodies, humanized antibodies, antibody fragments (e.g., Fc domains), Fab fragments, single chain antibodies, bi- or multi-specific antibodies, Llama antibodies, nano-bodies, diabodies, affibodies, Fv, Fab, F(ab)2, Fab, scFv, scFv-Fc, and the like. Also included in the term are antibody-fusion proteins, such as Ig chimeras. Preferred antibodies include humanized or fully human monoclonal antibodies or fragments thereof.
[0129] The terms antibody and immunoglobulin may include monoclonal antibodies (e.g., full length or intact monoclonal antibodies), polyclonal antibodies, monovalent antibodies, multivalent antibodies, multispecific antibodies (e.g., bispecific antibodies so long as they exhibit the desired biological activity) and may also include certain antibody fragments (as described in greater detail herein). An antibody can be chimeric, human, humanized and/or affinity matured.
[0130] The terms full length antibody, intact antibody and whole antibody are used herein interchangeably to refer to an antibody in its substantially intact form, not antibody fragments as defined below. The terms particularly refer to an antibody with heavy chains that contain the Fc region. Antibody fragments comprise a portion of an intact antibody, preferably comprising the antigen binding region thereof. Examples of antibody fragments include Fab, Fab, F(ab)2, and Fv fragments; diabodies; linear antibodies; single-chain antibody molecules; and multispecific antibodies formed from antibody fragments. The term monoclonal antibody as used herein refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible mutations, e.g., naturally occurring mutations, that may be present in minor amounts. Thus, the modifier monoclonal indicates the character of the antibody as not being a mixture of discrete antibodies.
[0131] In certain embodiments, such a monoclonal antibody typically includes an antibody comprising a polypeptide sequence that binds a target, wherein the target-binding polypeptide sequence was obtained by a process that includes the selection of a single target binding polypeptide sequence from a plurality of polypeptide sequences. For example, the selection process can be the selection of a unique clone from a plurality of clones, such as a pool of hybridoma clones, phage clones, or recombinant DNA clones. It should be understood that a selected target binding sequence can be further altered, for example, to improve affinity for the target, to humanize the target binding sequence, to improve its production in cell culture, to reduce its immunogenicity in vivo, to create a multispecific antibody, etc., and that an antibody comprising the altered target binding sequence is also a monoclonal antibody of this invention. In contrast to polyclonal antibody preparations that typically include different antibodies directed against different determinants (epitopes), each monoclonal antibody of a monoclonal antibody preparation is directed against a single determinant on an antigen. In addition to their specificity, monoclonal antibody preparations are advantageous in that they are typically uncontaminated by other immunoglobulins.
[0132] Antibodies that bind specifically to an antigen have a high affinity for that antigen. Antibody affinities may be measured by a dissociation constant (Kd). In certain embodiments, an antibody provided herein has a dissociation constant (Kd) of equal to or less than about 100 nM, 10 nM, 1 nM, 0.1 nM, 0.01 nM, or 0.001 nM (e.g. 10.sup.7 M or less, from 10.sup.7 M to 10.sup.13 M, from 10.sup.8 M to 10.sup.13 M or from 10.sup.9 M to 10.sup.13 M).
[0133] In one embodiment, Kd is measured by a radiolabeled antigen binding assay (RIA) performed with the Fab version of an antibody of interest and its antigen as described by the following assay. Solution binding affinity of Fabs for antigen is measured by equilibrating Fab with a minimal concentration of (125I)-labeled antigen in the presence of a titration series of unlabeled antigen, then capturing bound antigen with an anti-Fab antibody-coated plate (see, e.g., Chen et al., J. Mol. Biol. 293:865-881 (1999)). To establish conditions for the assay, MICROTITER multi-well plates (Thermo Scientific) are coated overnight with 5 g/ml of a capturing anti-Fab antibody (Cappel Labs) in 50 mM sodium carbonate (pH 9.6), and subsequently blocked with 2% (w/v) bovine serum albumin in PBS for two to five hours at room temperature (approximately 23 C.). In a non-adsorbent plate (Nunc #269620), 100 M or 26 M [125I]-antigen are mixed with serial dilutions of a Fab of interest (e.g., consistent with assessment of the anti-VEGF antibody, Fab-12, in Presta et al., Cancer Res. 57:4593-4599 (1997)). The Fab of interest is then incubated overnight; however, the incubation may continue for a longer period (e.g., about 65 hours) to ensure that equilibrium is reached. Thereafter, the mixtures are transferred to the capture plate for incubation at room temperature (e.g., for one hour). The solution is then removed and the plate washed eight times with 0.1% polysorbate 20 (TWEEN-20@) in PBS. When the plates have dried, 150 l/well of scintillant (MICROSCINT-20; Packard) is added, and the plates are counted on a TOPCOUNT gamma counter (Packard) for ten minutes. Concentrations of each Fab that give less than or equal to 20% of maximal binding are chosen for use in competitive binding assays.
[0134] According to another embodiment, Kd is measured using surface plasmon resonance assays using a BIACORE-2000 or a BIACORER-3000 (BIAcore, Inc., Piscataway, N.J.) at 25 C. with, e.g., immobilized antigen CM5 chips at 10 response units (RU). Briefly, carboxymethylated dextran biosensor chips (CM5, BIACORE, Inc.) are activated with N-ethyl-N-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) and N-hydroxysuccinimide (NHS) according to the supplier's instructions. Antigen is diluted with 10 mM sodium acetate, pH 4.8, to 5 g/ml (70.2 M) before injection at a flow rate of 5 l/minute to achieve approximately 10 response units (RU) of coupled protein. Following the injection of antigen, 1 M ethanolamine is injected to block unreacted groups. For kinetics measurements, two-fold serial dilutions of Fab (0.78 nM to 500 nM) are injected in PBS with 0.05% polysorbate 20 (TWEEN-20) surfactant (PBST) at 25 C. at a flow rate of approximately 25 I/min. Association rates (K.sub.on) and dissociation rates (K.sub.off) are calculated using a simple one-to-one Langmuir binding model (BIACORE Evaluation Software version 3.2) by simultaneously fitting the association and dissociation sensorgrams. The equilibrium dissociation constant (Kd) is calculated as the ratio koff/kon. See, e.g., Chen et al., J. Mol. Biol. 293:865-881 (1999). If the on-rate exceeds 106 M-1 s-1 by the surface plasmon resonance assay above, then the on-rate can be determined by using a fluorescent quenching technique that measures the increase or decrease in fluorescence emission intensity (excitation=295 nm; emission=340 nm, 16 nm band-pass) at 25 C. of a 20 nM anti-antigen antibody (Fab form) in PBS, pH 7.2, in the presence of increasing concentrations of antigen as measured in a spectrometer, such as a stop-flow equipped spectrophometer (Aviv Instruments) or a 8000-series SLM-AMINCO spectrophotometer (ThermoSpectronic) with a stirred cuvette. Other coupling chemistries for the target antigen to the chip surface (e.g., streptavidin/biotin, hydrophobic interaction, or disulfide chemistry) are also readily available instead of the amine coupling methodology (CM5 chip) described above, as will be understood by one of ordinary skill in the art.
[0135] The modifier monoclonal indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requiring production of the antibody by any particular method. For example, the monoclonal antibodies to be used in accordance with the present invention may be made by a variety of techniques, including, for example, the hybridoma method (e.g., Kohler et al, Nature, 256: 495 (1975); Harlow et al, Antibodies: A Laboratory Manual, (Cold Spring Harbor Laboratory Press, 2nd ed. 1988); Hammerling et al., in: Monoclonal Antibodies and T-Cell Hybridomas pp. 563-681 (Elsevier, N.Y., 1981)), recombinant DNA methods (see, e.g., U.S. Pat. No. 4,816,567), phage display technologies (see, e.g., Clackson et al., Nature, 352: 624-628 (1991); Marks et al., J. Mol. Biol. 222: 581-597 (1992); Sidhu et al., J. Mol. Biol. 338(2): 299-310 (2004); Lee et al., J. Mol. Biol. 340(5): 1073-1093 (2004); Fellouse, Proc. Natl. Acad. Sci. USA 101(34): 12467-12472 (2004); and Lee et al., J. Immunol. Methods 284(1-2): 119-132(2004), and technologies for producing human or human-like antibodies in animals that have parts or all of the human immunoglobulin loci or genes encoding human immunoglobulin sequences (see, e.g., WO98/24893; WO96/34096; WO96/33735; WO91/10741; Jakobovits et al., Proc. Natl. Acad. Sci. USA 90: 2551 (1993); Jakobovits et al., Nature 362: 255-258 (1993); Bruggemann et al., Year in Immunol. 7:33 (1993); U.S. Pat. Nos. 5,545,807; 5,545,806; 5,569,825; 5,625,126; 5,633,425; 5,661,016; Marks et al., Bio. Technology 10: 779-783 (1992); Lonberg et al., Nature 368: 856-859 (1994); Morrison, Nature 368: 812-813 (1994); Fishwild et al., Nature Biotechnol. 14: 845-851 (1996); Neuberger, Nature Biotechnol. 14: 826 (1996) and Lonberg and Huszar, Intern. Rev. Immunol. 13: 65-93 (1995). The above patents, publications, and references are incorporated by reference in their entirety.
[0136] Humanized forms of non-human (e.g., murine) antibodies are chimeric antibodies that contain minimal sequence derived from non-human immunoglobulin. In one embodiment, a humanized antibody is a human immunoglobulin (recipient antibody) in which residues from a hypervariable region of the recipient are replaced by residues from a hypervariable region of a non-human species (donor antibody) such as mouse, rat, rabbit, or nonhuman primate having the desired specificity, affinity, and/or capacity. In some instances, framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Furthermore, humanized antibodies may comprise residues that are not found in the recipient antibody or in the donor antibody. These modifications may be made to further refine antibody performance. In general, a humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the hypervariable loops correspond to those of a non-human immunoglobulin, and all or substantially all of the FRs are those of a human immunoglobulin sequence. The humanized antibody optionally will 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); Riechmann et al., Nature 332:323-329 (1988); and Presta, Curr. Op. Struct. Biol. 2:593-596 (1992). See also the following review articles and references cited therein: Vaswani and Hamilton, Ann. Allergy, Asthma & Immunol. 1:105-115 (1998); Harris, Biochem. Soc. Transactions 23: 1035-1038 (1995); Hurle and Gross, Curr. Op. Biotech. 5:428-433 (1994). The foregoing references are incorporated by reference in their entirety.
[0137] A human antibody is one which comprises an amino acid sequence corresponding to that of an antibody produced by a human and/or has been made using any of the techniques for making human antibodies as disclosed herein. Such techniques include screening human-derived combinatorial libraries, such as phage display libraries (see, e.g., Marks et al., J. Mol. Biol, 222: 581-597 (1991) and Hoogenboom et al., Nucl. Acids Res., 19: 4133-4137 (1991)); using human myeloma and mouse-human heteromyeloma cell lines for the production of human monoclonal antibodies (see, e.g., Kozbor, J. Immunol, 133: 3001 (1984); Brodeur et al., Monoclonal Antibody Production Techniques and Applications, pp. 55-93 (Marcel Dekker, Inc., New York, 1987); and Boerner et al., J. Immunol, 147: 86 (1991)); and generating monoclonal antibodies in transgenic animals (e.g., mice) that are capable of producing a full repertoire of human antibodies in the absence of endogenous immunoglobulin production (see, e.g., Jakobovits et al., Proc. Natl. Acad. Sci USA, 90: 2551 (1993); Jakobovits et al., Nature, 362: 255 (1993); Bruggermann et al., Year in Immunol., 7: 33 (1993)). This definition of a human antibody specifically excludes a humanized antibody comprising antigen-binding residues from a non-human animal.
A. Methodologies for Genetic Alterations
[0138] The invention includes methods of modifying nucleic acid sequences within cells or in cell-free conditions to generate PD-1 engager cells. Exemplary technologies include homologous recombination, knock-in, ZFNs (zinc finger nucleases), TALENs (transcription activator-like effector nucleases), CRISPR (clustered regularly interspaced short palindromic repeats)/Cas9, and other site-specific nuclease technologies. These techniques enable double-strand DNA breaks at desired locus sites. These controlled double-strand breaks promote homologous recombination at the specific locus sites. This process focuses on targeting specific sequences of nucleic acid molecules, such as chromosomes, with endonucleases that recognize and bind to the sequences and induce a double-stranded break in the nucleic acid molecule. The double-strand break is repaired either by an error-prone non-homologous end-joining (NHEJ) or by homologous recombination (HR).
[0139] As will be appreciated by those in the art, a number of different techniques can be used to engineer the modified cells of the invention, as well as the engineering them to become hypo-immunogenic as outlined herein.
[0140] In general, these techniques can be used individually or in combination. For example, in the generation of the PD-1 engager cells, CRISPR may be used to express PD-1 engager proteins such as anti-PD-1 immunoglobulins. In another example, viral techniques (e.g. lentivirus) are used to express PD-1 engager proteins.
a. CRISPR Technologies
[0141] In one embodiment, the cells are manipulated using clustered regularly interspaced short palindromic repeats)/Cas (CRISPR) technologies as is known in the art. CRISPR can be used to generate the PD-1 engager cells. There are a large number of techniques based on CRISPR, see for example Doudna and Charpentier, Science doi:10.1126/science.1258096, hereby incorporated by reference. CRISPR techniques and kits are sold commercially.
b. TALEN Technologies
[0142] In some embodiments, the cells of the invention are made using Transcription Activator-Like Effector Nucleases (TALEN) methodologies. TALEN are restriction enzymes combined with a nuclease that can be engineered to bind to and cut practically any desired DNA sequence. TALEN kits are sold commercially.
c. Zinc Finger Technologies
[0143] In one embodiment, the cells are manipulated using Zn finger nuclease technologies. Zn finger nucleases are artificial restriction enzymes generated by fusing a zinc finger DNA-binding domain to a DNA-cleavage domain. Zinc finger domains can be engineered to target specific desired DNA sequences and this enables zinc-finger nucleases to target unique sequences within complex genomes. By taking advantage of endogenous DNA repair machinery, these reagents can be used to precisely alter the genomes of higher organisms, similar to CRISPR and TALENs.
d. Viral Based Technologies
[0144] There are a wide variety of viral techniques that can be used to generate some embodiments of the PD-I engager cells of the invention including, but not limited to, the use of retroviral vectors, lentiviral vectors, adenovirus vectors and Sendai viral vectors. Episomal vectors used in the generation of ithe cells are described below.
[0145] For all of these technologies, well known recombinant techniques are used, to generate recombinant nucleic acids as outlined herein. In certain embodiments, the recombinant nucleic acids that encode a PD-1 engager protein, e.g. an anti-PD-1 immunoglobulin, may be operably linked to one or more regulatory nucleotide sequences in an expression construct. Regulatory nucleotide sequences will generally be appropriate for the host cell and subject to be treated. Numerous types of appropriate expression vectors and suitable regulatory sequences are known in the art for a variety of host cells. Typically, the one or more regulatory nucleotide sequences may include, but are not limited to, promoter sequences, leader or signal sequences, ribosomal binding sites, transcriptional start and termination sequences, translational start and termination sequences, and enhancer or activator sequences. Constitutive or inducible promoters as known in the art are also contemplated. The promoters may be either naturally occurring promoters, or hybrid promoters that combine elements of more than one promoter. An expression construct may be present in a cell on an episome, such as a plasmid, or the expression construct may be inserted in a chromosome. In a specific embodiment, the expression vector includes a selectable marker gene to allow the selection of transformed host cells. Certain embodiments include an expression vector comprising a nucleotide sequence encoding a variant polypeptide operably linked to at least one regulatory sequence. Regulatory sequence for use herein include promoters, enhancers, and other expression control elements. In certain embodiments, an expression vector is designed for the choice of the host cell to be transformed, the particular variant polypeptide desired to be expressed, the vector's copy number, the ability to control that copy number, or the expression of any other protein encoded by the vector, such as antibiotic markers.
[0146] Examples of suitable mammalian promoters include, for example, promoters from the following genes: ubiquitin/S27a promoter of the hamster (WO 97/15664), Simian vacuolating virus 40 (SV40) early promoter, adenovirus major late promoter, mouse metallothionein-I promoter, the long terminal repeat region of Rous Sarcoma Virus (RSV), mouse mammary tumor virus promoter (MMTV), Moloney murine leukemia virus Long Terminal repeat region, the early promoter of human Cytomegalovirus (CMV), the eukaryotic translation elongation factor 1 (EF-1), and the chicken -Actin promoter coupled with CMV early enhancer (CAG). Examples of other heterologous mammalian promoters are the actin, immunoglobulin or heat shock promoter(s).
[0147] In additional embodiments, promoters for use in mammalian host cells can be obtained from the genomes of viruses such as polyoma virus, fowlpox virus (UK 2,211,504 published 5 Jul. 1989), bovine papilloma virus, avian sarcoma virus, cytomegalovirus, a retrovirus, hepatitis-B virus and Simian Virus 40 (SV40). In further embodiments, heterologous mammalian promoters are used. Examples include the actin promoter, an immunoglobulin promoter, and heat-shock promoters. The early and late promoters of SV40 are conveniently obtained as an SV40 restriction fragment which also contains the SV40 viral origin of replication. Fiers et al., Nature 273: 113-120 (1978). The immediate early promoter of the human cytomegalovirus is conveniently obtained as a HindIII E restriction fragment. Greenaway, P. J. et al., Gene 18: 355-360 (1982). The foregoing references are incorporated by reference in their entirety.
[0148] In some embodiments, the PD-1 engager cells are derived from stem cells.
[0149] The term pluripotent cells refers to cells that can self-renew and proliferate while remaining in an undifferentiated state and that can, under the proper conditions, be induced to differentiate into specialized cell types. The term pluripotent cells, as used herein, encompass embryonic stem cells (ESC) and other types of stem cells, including fetal, amnionic, or somatic stem cells. Exemplary human stem cell lines include the H9 human embryonic stem cell line. Additional exemplary stem cell lines include those made available through the National Institutes of Health Human Embryonic Stem Cell Registry and the Howard Hughes Medical Institute HUES collection (as described in Cowan, C. A. et. al, New England J. Med. 350:13. (2004), incorporated by reference herein in its entirety.)
[0150] Pluripotent stem cells as used herein have the potential to differentiate into any of the three germ layers: endoderm (e.g. the stomach linking, gastrointestinal tract, lungs, etc), mesoderm (e.g. muscle, bone, blood, urogenital tissue, etc) or ectoderm (e.g. epidermal tissues and nervous system tissues). The term pluripotent stem cells, as used herein, also encompasses induced pluripotent stem cells, or iPSCs, a type of pluripotent stem cell derived from a non-pluripotent cell. Examples of parent cells include somatic cells that have been reprogrammed to induce a pluripotent, undifferentiated phenotype by various means. Such iPS or iPSC cells can be created by inducing the expression of certain regulatory genes or by the exogenous application of certain proteins. Methods for the induction of iPS cells are known in the art and are further described below. (See, e.g., Zhou et al., Stem Cells 27 (11): 2667-74 (2009); Huangfu et al., Nature Biotechnol. 26 (7): 795 (2008); Woltjen et al., Nature 458 (7239): 766-770 (2009); and Zhou et al., Cell Stem Cell 8:381-384 (2009); each of which is incorporated by reference herein in their entirety.) The generation of induced pluripotent stem cells (iPSCs) is outlined below. As used herein, hiPSCs are human induced pluripotent stem cells, and miPSCs are murine induced pluripotent stem cells.
[0151] Pluripotent stem cell characteristics refer to characteristics of a cell that distinguish pluripotent stem cells from other cells. The ability to give rise to progeny that can undergo differentiation, under the appropriate conditions, into cell types that collectively demonstrate characteristics associated with cell lineages from all of the three germinal layers (endoderm, mesoderm, and ectoderm) is a pluripotent stem cell characteristic. Expression or non-expression of certain combinations of molecular markers are also pluripotent stem cell characteristics. For example, human pluripotent stem cells express at least several, and in some embodiments, all of the markers from the following non-limiting list: SSEA-3, SSEA-4, TRA-1-60, TRA-1-81, TRA-2-49/6E, ALP, Sox2, E-cadherin, UTF-1, Oct4, Rex1, and Nanog. Cell morphologies associated with pluripotent stem cells are also pluripotent stem cell characteristics. As described herein, cells do not need to pass through pluripotency to be reprogrammed into endodermal progenitor cells and/or hepatocytes.
B. Generation of Hypo-Immunogenic PD-1 Engager Cells
[0152] Generating HI cells is done with as few as three genetic changes, resulting in minimal disruption of cellular activity but conferring immunosilencing to the cells. The techniques are disclosed in WO2018/132783, WO2020/018620, WO2020/018615, PCT/US2020/032272, and U.S. patent application Ser. Nos. 16/870,959, and 16/870,960, incorporated by reference herein in their entirety. The techniques are discussed briefly below.
[0153] As discussed herein, one embodiment utilizes a reduction or elimination in the protein activity of MHC I and II (HLA I and II when the cells are human). This can be done by altering genes encoding their components. In one embodiment, the coding region or regulatory sequences of the gene are disrupted using CRISPR. In another embodiment, gene translation is reduced using interfering RNA technologies. Another embodiment is a change in a gene that regulates susceptibility to macrophage phagocytosis. This may be a knock in of a gene using viral technologies.
1. HLA-I Reduction
[0154] The HI PD-1 engager cells of the invention include a reduction in MHC I function (HLA I when the cells are derived from human cells).
[0155] As will be appreciated by those in the art, the reduction in function can be accomplished in a number of ways, including removing nucleic acid sequences from a gene, interrupting the sequence with other sequences, or altering the regulatory components of the nucleic acid. For example, all or part of a coding region of the gene of interest can be removed or replaced with nonsense sequences, frameshift mutations can be made, all or part of a regulatory sequence such as a promoter can be removed or replaced, translation initiation sequences can be removed or replaced, etc.
[0156] As will be appreciated by those in the art, the successful reduction of the MHC I function (HLA I when the cells are derived from human cells) in the PD-1 engager cells can be measured using techniques known in the art and as described below; for example, FACS techniques using labeled antibodies that bind the HLA complex; for example, using commercially available HLA-A,B,C antibodies that bind to the the alpha chain of the human major histocompatibility HLA Class I antigens.
a. B2M Alteration
[0157] In one embodiment, the reduction in HLA-I activity is done by disrupting the expression of the -2 microglobulin gene in the HI PD-1 engager cell, as disclosed herein. This alteration is generally referred to herein as a gene knock out, and in the cells of the invention it is done on both alleles in the host cell. Generally, the techniques to do both disruptions is the same.
[0158] A particularly useful embodiment uses CRISPR technology to disrupt the gene. Another embodiment uses programmable transcriptional memory by CRISPR-based epigenome editing (Nuez J K, Cell. 184:2503-2519 (2021), incorporated by reference herein in its entirety). In some cases, CRISPR technology is used to introduce small deletions/insertions into the coding region of the gene, such that no functional protein is produced, often the result of frameshift mutations that result in the generation of stop codons such that truncated, non-functional proteins are made.
[0159] Accordingly, a useful technique is to use CRISPR sequences designed to target the coding sequence of the B2M gene in mouse or the B2M gene in human. After gene editing, the transfected PD-1 engager cell cultures are dissociated to single cells. Single cells are expanded to full-size colonies and tested for CRISPR edit by screening for presence of aberrant sequence from the CRISPR cleavage site. Clones with deletions in both alleles are picked. Such clones did not express B2M as demonstrated by PCR and did not express HLA-I as demonstrated by FACS analysis.
[0160] Assays to test whether the B2M gene has been inactivated are known and described herein. In one embodiment, the assay is a Western blot of cells lysates probed with antibodies to the B2M protein. In another embodiment, reverse transcriptase polymerase chain reactions (rt-PCR) confirms the presence of the inactivating alteration.
[0161] In addition, the cells can be tested to confirm that the HLA I complex is not expressed on the cell surface. This may be assayed by FACS analysis using antibodies to one or more HLA cell surface components as discussed above.
2. HLA-II Reduction
[0162] In some embodiments, in addition to a reduction in HLA I, the HI PD-1 engager cells of the invention may also lack MHC II function (HLA II from human-derived cells).
[0163] As will be appreciated by those in the art, the reduction in function can be accomplished in a number of ways, including removing nucleic acid sequences from a gene, adding nucleic acid sequences to a gene, disrupting the reading frame, interrupting the sequence with other sequences, or altering the regulatory components of the nucleic acid. In one embodiment, all or part of a coding region of the gene of interest can be removed or replaced with nonsense sequences. In another embodiment, regulatory sequences such as a promoter can be removed or replaced, translation initiation sequences can be removed or replaced, etc.
[0164] The successful reduction of the MHC II (HLA II) function in the PD-1 engager cells or their derivatives can be measured using techniques known in the art such as Western blotting using antibodies to the protein, FACS techniques, rt-PCR techniques, etc.
a. CIITA Alteration
[0165] In one embodiment, the reduction in HLA-II activity is done by disrupting the expression of the CIITA gene in the PD-1 engager cell, as shown herein. This alteration is generally referred to herein as a gene knock out, and in the PD-1 engager cells of the invention it is done on both alleles in the host cell.
[0166] Assays to test whether the CIITA gene has been inactivated are known and described herein. In one embodiment, the assay is a Western blot of cells lysates probed with antibodies to the CIITA protein. In another embodiment, reverse transcriptase polymerase chain reactions (rt-PCR) confirms the presence of the inactivating alteration.
[0167] In addition, the cells can be tested to confirm that the HLA II complex is not expressed on the cell surface. Again, this assay is done as is known in the art. Exemplary analyses include Western Blots or FACS analysis using commercial antibodies that bind to human HLA Class II HLA-DR, DP and most DQ antigens as outlined below.
[0168] A particularly useful embodiment uses CRISPR technology to disrupt the CIITA gene. CRISPRs ae designed to target the coding sequence of the CIITA gene, an essential transcription factor for all MHC II molecules. After gene editing, the transfected cell cultures are dissociated into single cells. They are expanded to full-size colonies and tested for successful CRISPR editing by screening for the presence of an aberrant sequence from the CRISPR cleavage site. Clones with deletions that do not express CIITA are determined by PCR and may be shown not to express MHC II/HLA-II by FACS analysis. Another embodiment uses programmable transcriptional memory by CRISPR-based epigenome editing.
3. Blood Type O Rh Negative Cells
[0169] Blood products can be classified into different groups according to the presence or absence of antigens on the surface of every red blood cell in a person's body (ABO Blood Type). The A, B, AB, and A1 antigens are determined by the sequence of oligosaccharides on the glycoproteins of erythrocytes. The genes in the blood group antigen group provide instructions for making antigen proteins. Blood group antigen proteins serve a variety of functions within the cell membrane of red blood cells. These protein functions include transporting other proteins and molecules into and out of the cell, maintaining cell structure, attaching to other cells and molecules, and participating in chemical reactions.
[0170] The Rhesus Factor (Rh) blood group is the second most important blood group system, after the ABO blood group system. The Rh blood group system consists of 49 defined blood group antigens, among which five antigens, D, C, c, E, and e, are the most important. Rh(D) status of an individual is normally described with a positive or negative suffix after the ABO type. The terms Rh factor, Rh positive, and Rh negative refer to the Rh(D) antigen only. Antibodies to Rh antigens can be involved in hemolytic transfusion reactions and antibodies to the Rh(D) and Rh(c) antigens confer significant risk of hemolytic disease of the fetus and newborn. ABO antibodies develop in early life in every human. However, rhesus antibodies in Rh humans develop only when the person is sensitized. This occurs by giving birth to a rh+ baby or by receiving an Rh+ blood transfusion.
[0171] This invention provides PD-1 engager cells having an ABO blood type O and/or Rhesus Factor negative (O) populations of pluripotent (PSCO) cells suitable for transplantion and/or differentiation. The PSCO cells include induced iPSCs (iPSCO), embryonic ESCs (ESCO), and cells differentiated from those cells, including O endothelial cells, O cardiomyocytes, O hepatocytes, O dopaminergic neurons, O pancreatic islet cells, O retinal pigment epithelium cells, and other O cell types used for transplantation and medical therapies. These would include O chimeric antigen receptor (CAR) cells, such as CAR-T cells, CAR-NK cells, and other engineered cell populations. In some embodiments, the cells are not hematopoietics stem cells. The invention further provides universally acceptable off-the-shelf ESCOs and PSCOs and derivatives thereof for generating or regenerating specific tissues and organs.
[0172] Another aspect of the invention provides methods of generating populations of PSCO, iPSCO, ESCO and other O cells for transplantation. The invention also provides methods of treating diseases, disorders, and conditions that benefit from the transplantation of pluripotent or differentiated cells.
[0173] In some embodiments of the invention, the ABO blood group type O results from a reduced ABO blood group protein expression. In other aspects, the ABO blood group is endogenously type O. In some aspects of the invention, the HIPO cell has an ABO blood group type O that results from a disruption in human Exon 7 of the ABO gene. In some embodiments, both alleles of Exon 7 of the ABO gene are disrupted. In some embodiments, the disruption in both alleles of Exon 7 of the ABO gene results from a Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR)/Cas9 reaction that disrupts both of the alleles. Another embodiment uses programmable transcriptional memory by CRISPR-based epigenome editing to inactivate this gene.
[0174] In other aspects, the ABO blood group type O results from an enzymatic modification of an ABO gene product on a surface of the cell. In a preferred aspect, the enzymatic modification removes a carbohydrate from the ABO gene product. In another preferred aspect, the enzymatic modification removes a carbohydrate from an ABO A1 antigen, A2 antigen, or B antigen.
[0175] In some embodiments of the invention, the Rh blood group is endogenously type Rh. In another aspect, the Rh blood group results from reducing or eliminating Rh protein expression. In another aspect, the type Rh results from disrupting the gene encoding Rh C antigen, Rh E antigen, Kell K antigen (KEL), Duffy (FY) Fya antigen, Duffy Fy3 antigen, Kidd (JK) Jkb antigen, or/and or Kidd SLC14A1. In some embodiments the disruption results from a CRISPR/Cas9 reaction that disrupts both alleles of the gene encoding Rh C antigen, Rh E antigen, Kell K antigen (KEL), Duffy (FY) Fya antigen, Duffy Fy3 antigen, Kidd (JK) Jkb antigen, or/and or Kidd SLC14A1.
[0176] In some embodiments of the invention, the O cells (e.g., PSCO, iPSCO, ESCO and cells derived therefrom) of the invention are of mammalian origin, for example, human, bovine, porcine, chicken, turkey, horse, sheep, goat, donkey, mule, duck, goose, buffalo, camel, yak, llama, alpaca, mouse, rat, dog, cat, hamster, or guinea pig origin.
[0177] In a specific embodiment, the invention provides hypoimmune PD-1 engager cells with an ABO blood type O Rhesus Factor negative (HIPO) cells that evade rejection by the host allogeneic immune system and avoid blood antigen type rejection. In some embodiments, the HIPO cells are engineered to reduce or eliminate HLA-I and HLA-II expression, increase expression of an endogenous protein that reduces the susceptibility of the pluripotent cell to macrophage phagocytosis, and comprise a universal blood group O Rh (O) blood type. The universal blood type may be achieved by eliminating ABO blood group A and B antigens and Rh factor expression, or by starting with an O cell line. These novel HIPO cells evade host immune rejection because they have an impaired antigen presentation capacity, protection from innate immune clearance, and lack blood group rejection.
4. Suicide Genes
[0178] In some embodiments, the invention provides HI PD-1 engager cells that comprise a suicide gene or suicide switch. These are incorporated to function as a safety switch that can cause the death of the cells should they grow and divide in an undesired manner. The suicide gene ablation approach includes a suicide gene in a gene transfer vector encoding a protein that results in cell killing only when activated by a specific compound. A suicide gene may encode an enzyme that selectively converts a nontoxic compound into highly toxic metabolites. The result is specifically eliminating cells expressing the enzyme. In some embodiments, the suicide gene is the herpesvirus thymidine kinase (HSV-tk) gene and the trigger is ganciclovir. In other embodiments, the suicide gene is the Escherichia coli cytosine deaminase (EC-CD) gene and the trigger is 5-fluorocytosine (5-FC) (Barese et al., Mol. Therap. 20(10):1932-1943 (2012), Xu et al., Cell Res. 8:73-8 (1998), both incorporated herein by reference in their entirety.
[0179] In other embodiments, the suicide gene is an inducible Caspase protein. An inducible Caspase protein comprises at least a portion of a Caspase protein capable of inducing apoptosis. In preferred embodiments, the inducible Caspase protein is iCasp9. It comprises the sequence of the human FK506-binding protein, FKBP12, with an F36V mutation, connected through a series of amino acids to the gene encoding human caspase 9. FKBP12-F36V binds with high affinity to a small-molecule dimerizing agent, AP1903. Thus, the suicide function of iCasp9 in the instant invention is triggered by the administration of a chemical inducer of dimerization (CID). In some embodiments, the CID is the small molecule drug AP1903. Dimerization causes the rapid induction of apoptosis. (See WO2011146862; Stasi et al, N. Engl. J. Med 365; 18 (2011); Tey et al., Biol. Blood Marrow Transplant. 13:913-924 (2007), each of which are incorporated by reference herein in their entirety.)
[0180] In other embodiments, a binding epitope for existing CAR T cells is included into the extracellular structure of the Engager cell as safety strategy. Such a binding epitope can be CD19, the CD19 ectodomain, or specific anti-CD19 binding regions from, e.g, CAR T cells FMC63, 4G7-2E3 or 3B10. (See Klesmith J R, et al., Biochemistry. 3; 58(48):4869-4881 (2019), incorporated by reference herein in its entirety.) To eliminate the PD-1-Engager cells, a CAR T cell targeting the incorporated anti-CD19 binding region is used. The CAR T cells detect the incorporated binding epitope and kill the Engager cell. Binding regions can be chosen from other CAR T cell targets such as CD20, CD22, CD38, CD123, CS1, CD171, BCMA, MUC16, ROR1, AXL 2, B7-H3, CD147, CD171, CD20, CD44v6, CD70, CEA, CLDN18.2, CLDN6, DLL3, DR5, EGFR, EGFRvIII, EpCAM, ErbB, FR, GD2, gp100, GPC3, HER2, IL-13R2, LFA1, MMP2, MSLN, MUC1, MUC1*, MUC16ecto, NECTIN4, NKG2D, NKG2DL, PSCA, PSMA, ROR2, TM4SF1, TnMUCI, or WT1.
5. Fc Sequestration
[0181] If an antibody binds to an unprotected cell via its Fab regions, the Fc can be bound by NK cells (mostly via their CD16 receptor), macrophages (mostly via CD16, CD32, or CD64), B-cells (mostly via CD32), or granulocytes (mostly via CD16, CD32, or CD64). These can mediate antibody-dependent cellular cytotoxicity (ADCC). If complement binds to the Fe, it can cause complement dependent cytotoxicity (CDC).
[0182] In some embodiments, the PD-1 engager cells of the invention comprise elevated levels of receptors that recognize the Fc portion of IgG. Receptors that recognize the Fc portion of IgG are divided into four different classes: FcRI (CD64), FcRII (CD32), FcRIII (CD16), and FcRIV. This reduces the propensity for the cell transplant recipient's immune system to reject allogeneic material. The cells expressing elevated CD16, CD32, CD64, or truncated CD64 evade ADCC or CDC. Fe Sequestration is disclosed in WO2021076427, incorporated by reference herein in its entirety.
6. SIRP Engager Cells
[0183] In some embodiments, the cells of the invention additionally have an increased Signal Regulatory Protein Alpha (SIRP) engagement function (PD-1/SIRP engager cells) that resist innate immunity when transplanted into a subject when compared to a parental cell having an unmodified SIRP engagement function. In some embodiments, the PD-1/SIRP engager cells are hypoimmune cells. In other embodiments, the PD-1/SIRP engager cells are differentiated somatic cells. In other embodiments, the PD-1/SIRP engager cells are pluripotent cells or hypoimmune pluripotent (HIP) cells. In further embodiments, the HIP cells are blood type O (HIPO), Rhesus factor (Rh) negative (HIP) or both type O and Rh (HIPO). In other embodiments, the PD-1/SIRP engager cells have been derived or differentiated from HIP, HIP, or HIPO cells. In other embodiments, the PD-1/SIRP engager cells comprise an antibody Fc receptor to protect against antibody dependent cellular cytotoxicity (ADCC) or complement dependent cytotoxicity (CDC). SIRP engager cells are described in PCT/US21/62008, incorporated by reference herein in its entirety.
7. Assays for HI Phenotypes
[0184] Once the HI cells have been generated, they may be assayed for their hypo-immunogenicity as is generally described herein.
[0185] For example, hypo-immunogenicity are assayed using a number of techniques. One exemplary technique includes transplantation into allogeneic hosts and monitoring for HI PD-1 engager cell survival. The cells may be transduced to express luciferase and can then be followed using bioluminescence imaging. Similarly, the T cell or B cell response of the host animal to the HI PD-1 engager cells are tested to confirm that they do not cause an immune reaction in the host animal. T cell function is assessed by Elispot, Elisa, FACS, PCR, or mass cytometry (CYTOF). B cell response or antibody response is assessed using FACS or luminex. Additionally, or alternatively, the cells may be assayed for their ability to avoid innate immune responses, e.g. NK cell killing. NK cell cytolytic activity is assessed in vitro or in vivo using techniques known in the art.
C. Generation of Hypoimmune (HI) O PD-1 Engager Cells
[0186] In some aspects of the invention, the PD-1 engager cells generated as above will already be ABO blood group O and Rh factor negative () cells because the process will have started with NK cells having an O blood type.
[0187] Other aspects of the invention involve the enzymatic conversion of A and B antigens. In preferred aspects, the B antigen is converted to O using an enzyme. In more preferred aspects, the enzyme is an -galactosidase. This enzyme eliminates the terminal galactose residue of the B antigen. Other aspects of the invention involve the enzymatic conversion of A antigen to O. In preferred aspects, the A antigen is converted to O using an -N-acetylgalactosaminidase. Enzymatic conversion is discussed, e.g., in Olsson et al., Transfusion Clinique etBiologique 11:33-39 (2004); U.S. Pat. Nos. 4,427,777, 5,606,042, 5,633,130, 5,731,426, 6,184,017, 4,609,627, and 5,606,042; and Int'l Pub. No. WO9923210, each of which are incorporated by reference herein in their entirety.
[0188] Other embodiments of the invention involve genetically engineering the cells by knocking out the ABO gene Exon 7 or silencing the SLC14A1 (JK) gene. Other embodiments of the invention involve knocking out the C and E antigens of the Rh blood group system (RH), K in the Kell system (KEL), Fya and Fy3 in the Duffy system (FY), Jkb in the Kidd system (JK), or U and S in the MNS blood group system. Any knockout methodology known in the art or described herein, such as CRISPR, talens, or homologous recombination, may be employed.
[0189] Techniques for generating hypoimmune ABO blood group O Rh Factor () cells are described in Provisional App. No. 62/846,399 which is incorporated by reference herein in its entirety.
D. Embodiments of the Invention
[0190] The PD-I engager cells, or derivatives thereof, of the invention may be used to treat, for example, Type 1 diabetes, cardiac diseases, neurological diseases, cancer, blindness, vascular diseases, and other diseases/disorders that respond to regenerative medicine therapies. In particular, the invention contemplates using the PD-I engager cells for differentiation into any cell type. Thus, provided herein are iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, and HIPO PD-1 engager cells, or derivatives or differentiated cells thereof, that exhibit pluripotency but do not result in a host immune response or a markedly mitigated immune response when transplanted into an allogeneic host such as a human patient.
[0191] In one aspect, the present invention provides a PD-I engager cell, or derivative thereof, comprising a nucleic acid encoding a chimeric antigen receptor (CAR), wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated and a PD-1 engager molecule is provided on the cell surface. The CAR can comprise an extracellular domain, a transmembrane domain, and an intracellular signaling domain. In some embodiments, the extracellular domain binds to an antigen selected from the group consisting of CD19, CD20, CD22, CD38, CD123, CS1, CD171, BCMA, MUC16, ROR1, WT1, AXL 2. B7-H3, CD147, CD171, CD20, CD44v6, CD70, CEA, CLDN18.2, CLDN6, DLL3, DR5, EGFR, EGFRvIII, EpCAM, ErbB, FR, GD2, gp100, GPC3, HER2, IL-13R2, LFA1, MMP2, MSLN, MUC1, MUC1*, MUC16ecto, NECTIN4, NKG2D, NKG2DL, PSCA, PSMA, ROR2, TM4SF1, and TnMUCI. In certain embodiments, the extracellular domain comprises a single chain variable fragment (scFv). In some embodiments, the transmembrane domain comprises CD3, CD4, CD8, CD28, 4-1BB, OX40, ICOS, CTLA-4, PD-1, LAG-3, CD64, PDGF, and BTLA. In certain embodiments, the intracellular signaling domain comprises CD3, CD28, 4-1BB, OX40, ICOS, CTLA-4, PD-1, LAG-3, and BTLA.
[0192] In certain embodiments, the CAR comprises an anti-CD19 scFv domain, a CD28 transmembrane domain, and a CD3 zeta signaling intracellular domain. In some embodiments, the CAR comprises an anti-CD19 scFv domain, a CD28 transmembrane domain, a 4-1BB signaling intracellular domain, and a CD3 zeta signaling intracellular domain.
[0193] In another aspect of the invention, provided is an isolated PD-1 engager CAR-T cell or hypoimmune CAR-T cell produced by in vitro differentiation of any one of the pluripotent cells described herein. In some embodiments, the CAR-T cell is a cytotoxic HIPO CAR-T cell.
[0194] In some aspects, the invention provides a PD-1 engager NK or CAR-NK cell, or an iPSC-derived NK cell.
[0195] In various embodiments, the in vitro differentiation comprises culturing the PD-1 engager cell, or derivative thereof, carrying a CAR construct in a culture media comprising one or more growth factors or cytokines selected from the group consisting of bFGF, EPO, Flt3L, IGF, IL-3, IL-6, IL-15, GM-CSF, SCF, and VEGF. In some embodiments, the culture media further comprises one or more growth factors or cytokines selected from the group consisting of a BMP activator, a GSK3 inhibitor, a ROCK inhibitor, a TGF receptor/ALK inhibitor, and a NOTCH activator.
[0196] In particular embodiments, the isolated PD-1 engager CAR-T or CAR-NK cells are produced by in vitro differentiation of any one of iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cells carrying the CAR-T constructs. In other embodiments, they are used to treat cancer.
[0197] In another aspect of the invention, provided is a method of treating a patient with cancer by administering a composition comprising a therapeutically effective amount of any of the isolated PD-1 engager CAR-T CAR-NK cells described herein. In some embodiments, the composition further comprises a therapeutically effective carrier.
[0198] In some embodiments, the administration step comprises intravenous administration, subcutaneous administration, intranodal administration, intratumoral administration, intrathecal administration, intrapleural administration, and intraperitoneal administration. In certain instances, the administration further comprises a bolus or by continuous perfusion.
[0199] In some embodiments, the cancer is a blood cancer selected from the group consisting of leukemia, lymphoma, and myeloma. In various embodiments, the cancer is a solid tumor cancer or a liquid tumor cancer.
[0200] In another aspect, the present invention provides a method of making any one of the isolated PD-1 engager CAR-T CAR-NK cells described herein. The method includes in vitro differentiating of any one of the iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cells of the invention. In vitro differentiation may comprise culturing the cells in a culture media comprising one or more growth factors or cytokines selected from the group consisting of bFGF, EPO, Flt3L, IGF, IL-2, IL-3, IL-6, IL-7, IL-15, GM-CSF, SCF, and VEGF. In some embodiments, the culture media further comprises one or more growth factors or cytokines selected from the group consisting of a BMP activator, a GSK3 inhibitor, a ROCK inhibitor, a TGF receptor/ALK inhibitor, and a NOTCH activator.
[0201] In some embodiments, the in vitro differentiating comprises culturing the iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cells on feeder cells. In various embodiments, the in vitro differentiating comprises culturing in simulated microgravity. In certain instances, the culturing in simulated microgravity is for at least 72 hours.
[0202] In some aspects, provided herein is an isolated, engineered hypoimmune cardiac cell (hypoinmmuinogenic cardiac cell), for example a cardiomyocyte, differentiated from an iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cell.
[0203] Cardiomyocytes were previously thought to lack ABO blood group antigens. Differentiation of an ABO blood group type B human embryonic stem cell line into cardiomyocyte-like cells was observed to result in the loss of the B antigen, suggesting that loss of these antigens may occur early during human embryogenesis. See, e.g., Mlne et al., Transplantation. 86(10):1407-13 (2008), incorporated by reference herein in its entirety. Other studies also reported that differentiation of induced human pluripotent stem cells into cardiomyocyte-like cells caused the progressive loss of the ABO blood group type A antigen in these cells. See, e.g., Salj et al., Scientific Reports. 13072: 1-14 (2017). Surprisingly, however, the inventors determined that cardiomyocytes express ABO blood group antigens that can cause rejection of such cells to an unmatched recipient.
[0204] Accordingly, in some aspects, provided herein is a method of treating a patient suffering from a heart condition or disease. The method comprises administering a composition comprising a therapeutically effective amount of a population of any one of the isolated PD-1 engager cardiac cells derived from iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cells as described herein. In some embodiments, the composition further comprises a therapeutically effective carrier.
[0205] In some embodiments, the administration comprises implantation into the patient's heart tissue, intravenous injection, intraarterial injection, intracoronary injection, intramuscular injection, intraperitoneal injection, intramyocardial injection, trans-endocardial injection, trans-epicardial injection, or infusion.
[0206] In some embodiments, the heart condition or disease is selected from the group consisting of pediatric cardiomyopathy, age-related cardiomyopathy, dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, chronic ischemic cardiomyopathy, peripartum cardiomyopathy, inflammatory cardiomyopathy, other cardiomyopathy, myocarditis, myocardial ischemic reperfusion injury, ventricular dysfunction, heart failure, congestive heart failure, coronary artery disease, end stage heart disease, atherosclerosis, ischemia, hypertension, restenosis, angina pectoris, rheumatic heart, arterial inflammation, or cardiovascular disease.
[0207] In some aspects, provided herein is a method of producing a population of cardiac cells from a population of PD-1 engager cells by in vitro differentiation, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated and a PD-1 engager molecule is provided on the cell surface. The method comprises: (a) culturing a population of PD-1 engager cells in a culture medium comprising a GSK inhibitor; (b) culturing the population of PD-1 engager cells in a culture medium comprising a WNT antagonist to produce a population of pre-cardiac cells; and (c) culturing the population of pre-cardiac cells in a culture medium comprising insulin to produce a population of O hypoimmune cardiac cells. In some embodiments, the GSK inhibitor is CHIR-99021, a derivative thereof, or a variant thereof. In some instances, the GSK inhibitor is at a concentration ranging from about 2 M to about 10 M. In some embodiments, the WNT antagonist is IWR1, a derivative thereof, or a variant thereof. In some instances, the WNT antagonist is at a concentration ranging from about 2 M to about 10 M.
[0208] In some aspects, provided herein is an isolated, engineered PD-1 engager endothelial cell differentiated from an iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cell. In other aspects, the isolated, engineered O or O hypoimmune endothelial cell is selected from the group consisting of a capillary endothelial cell, vascular endothelial cell, aortic endothelial cell, brain endothelial cell, and renal endothelial cell.
[0209] In some aspects provided herein is a method of treating a patient suffering from a vascular condition or disease. In some embodiments, the method comprises administering a composition comprising a therapeutically effective amount of a population of isolated, engineered PD-1 engager endothelial cells.
[0210] In some embodiments, the method comprises administering a composition comprising a therapeutically effective amount of a population of any one of the isolated, engineered PD-1 engager endothelial cells described herein. In some embodiments, the composition further comprises a therapeutically effective carrier. In some embodiments, the administration comprises implantation into the patient's heart tissue, intravenous injection, intraarterial injection, intracoronary injection, intramuscular injection, intraperitoneal injection, intramyocardial injection, trans-endocardial injection, trans-epicardial injection, or infusion.
[0211] In some embodiments, the vascular condition or disease is selected from the group consisting of vascular injury, cardiovascular disease, vascular disease, ischemic disease, myocardial infarction, congestive heart failure, hypertension, ischemic tissue injury, limb ischemia, stroke, neuropathy, and cerebrovascular disease.
[0212] In some aspects, provided herein is a method of producing a population of PD-1 engager endothelial cells from a population of iPSC, ESC, HIP, iPSCO, ESCO, HIPO, iPSCO, ESCO, or HIPO PD-1 engager cells by in vitro differentiation, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated and a PD-1 engager molecule is provided on the cell surface. The method comprises: (a) culturing the cells in a first culture medium comprising a GSK inhibitor; (b) culturing the population of cells in a second culture medium comprising VEGF and bFGF to produce a population of pre-endothelial cells; and (c) culturing the population of pre-endothelial cells in a third culture medium comprising a ROCK inhibitor and an ALK inhibitor to produce a population of hypoimmune endothelial cells.
[0213] In some embodiments, the GSK inhibitor is CHIR-99021, a derivative thereof, or a variant thereof. In some instances, the GSK inhibitor is at a concentration ranging from about 1 M to about 10 M. In some embodiments, the ROCK inhibitor is Y-27632, a derivative thereof, or a variant thereof. In some instances, the ROCK inhibitor is at a concentration ranging from about 1 M to about 20 M. In some embodiments, the ALK inhibitor is SB-431542, a derivative thereof, or a variant thereof. In some instances, the ALK inhibitor is at a concentration ranging from about 0.5 M to about 10 M.
[0214] In some embodiments, the first culture medium comprises from 2 M to about 10 M of CHIR-99021. In some embodiments, the second culture medium comprises 50 ng/ml VEGF and 10 ng/ml bFGF. In other embodiments, the second culture medium further comprises Y-27632 and SB-431542. In various embodiments, the third culture medium comprises 10 M Y-27632 and 1 M SB-431542. In certain embodiments, the third culture medium further comprises VEGF and bFGF. In particular instances, the first culture medium and/or the second medium is absent of insulin.
[0215] In some aspects, provided herein is an isolated, engineered PD-1 engager dopaminergic neuron (DN) differentiated from PD-1 engager cell, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated, a PD-1 engager molecule is provided on the cell surface, and the neuron is blood type O and Rh.
[0216] In some embodiments, the isolated PD-1 engager dopaminergic neuron is selected from the group consisting of a neuronal stem cell, neuronal progenitor cell, immature dopaminergic neuron, and mature dopaminergic neuron.
[0217] In some aspects, provided herein is a method of treating a patient suffering from a neurodegenerative disease or condition. In some embodiments, the method comprises administering a composition comprising a therapeutically effective amount of a population of any one of the isolated PD-1 engager dopaminergic neurons. In some embodiments, the composition further comprises a therapeutically effective carrier. In some embodiments, the population of the isolated hypoimmune dopaminergic neurons is on a biodegradable scaffold. In some embodiments, the administration may comprise transplantation or injection. In some embodiments, the neurodegenerative disease or condition is selected from the group consisting of Parkinson's disease, Huntington disease, and multiple sclerosis.
[0218] In some aspects, provided herein is a method of producing a population of PD-1 engager dopaminergic neurons from a population of PD-1 engager cells by in vitro differentiation, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated, a PD-1 engager molecule is provided on the cell surface, the blood group is O and Rh. In some embodiments, the method comprises (a) culturing the population of cells in a first culture medium comprising one or more factors selected from the group consisting of sonic hedgehog (SHH), BDNF, EGF, bFGF, FGF8, WNT1, retinoic acid, a GSK30 inhibitor, an ALK inhibitor, and a ROCK inhibitor to produce a population of immature dopaminergic neurons; and (b) culturing the population of immature dopaminergic neurons in a second culture medium that is different than the first culture medium to produce a population of dopaminergic neurons.
[0219] In some embodiments, the GSK inhibitor is CHIR-99021, a derivative thereof, or a variant thereof. In some instances, the GSK inhibitor is at a concentration ranging from about 2 M to about 10 M. In some embodiments, the ALK inhibitor is SB-431542, a derivative thereof, or a variant thereof. In some instances, the ALK inhibitor is at a concentration ranging from about 1 M to about 10 M. In some embodiments, the first culture medium and/or second culture medium are absent of animal serum.
[0220] In some embodiments, the method also comprises isolating the population of hypoimmune dopaminergic neurons from non-dopaminergic neurons. In some embodiments, the method further comprises cryopreserving the isolated population of hypoimmune dopaminergic neurons.
[0221] In some aspects, provided herein is an isolated PD-1 engager hypoimmune pancreatic islet cell differentiated from a PD-1 engager cell, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated, a PD-1 engager molecule is provided on the cell surface, the blood type is O and Rh.
[0222] In some embodiments, the isolated PD-1 engager pancreatic islet cell is selected from the group consisting of a pancreatic islet progenitor cell, immature pancreatic islet cell, and mature pancreatic islet cell.
[0223] In some aspects, provided herein is a method of treating a patient suffering from diabetes. The method comprises administering a composition comprising a therapeutically effective amount of a population of any one of the isolated PD-1 engager pancreatic islet cells described herein. In some embodiments, the composition further comprises a therapeutically effective carrier. In some embodiments, the population of the isolated hypoimmune pancreatic islet cells is on a biodegradable scaffold. In some instances, the administration comprises transplantation or injection.
[0224] In some aspects, provided herein is a method of producing a population of PD-1 engager pancreatic islet cells from a population of HIPO cells by in vitro differentiation, wherein endogenous 3-2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated, a PD-1 engager molecule is provided on the cell surface, the blood type is O and Rh in the HIPO cells. The method comprises: (a) culturing the population of PD-1 engager cells in a first culture medium comprising one or more factors selected from the group consisting insulin-like growth factor (IGF), transforming growth factor (TGF), fibroblast growth factor (EGF), epidermal growth factor (EGF), hepatocyte growth factor (HGF), sonic hedgehog (SHH), and vascular endothelial growth factor (VEGF), transforming growth factor- (TGF) superfamily, bone morphogenic protein-2 (BMP2), bone morphogenic protein-7 (BMP7), a GSK30 inhibitor, an ALK inhibitor, a BMP type 1 receptor inhibitor, and retinoic acid to produce a population of immature pancreatic islet cells; and (b) culturing the population of immature pancreatic islet cells in a second culture medium that is different than the first culture medium to produce a population of hypoimmune pancreatic islet cells.
[0225] In some embodiments, the GSK inhibitor is CHIR-99021, a derivative thereof, or a variant thereof. In some instances, the GSK inhibitor is at a concentration ranging from about 2 M to about 10 M. In some embodiments, the ALK inhibitor is SB-431542, a derivative thereof, or a variant thereof. In some instances, the ALK inhibitor is at a concentration ranging from about 1 M to about 10 M. In some embodiments, the first culture medium and/or second culture medium are absent of animal serum.
[0226] In some embodiments, the method also comprises isolating the population of PD-1 engager pancreatic islet cells from non-pancreatic islet cells. In some embodiments, the method further comprises cryopreserving the isolated population of hypoimmune pancreatic islet cells.
[0227] In some aspects, provided herein is an isolated, engineered PD-1 engager retinal pigmented epithelium (RPE) cell differentiated from a PD-1 engager cell, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated, a PD-1 engager molecule is provided on the cell surface, the blood type is O and Rh.
[0228] In some embodiments, the isolated PD-1 engager cell RPE cell is selected from the group consisting of an RPE progenitor cell, immature RPE cell, mature RPE cell, and functional RPE cell.
[0229] In some aspects, provided herein is a method of treating a patient suffering from an ocular condition. The method comprises administering a composition comprising a therapeutically effective amount of a population of any one of a population of the isolated PD-1 engager cell RPE cells described herein. In some embodiments, the composition further comprises a therapeutically effective carrier. In some embodiments, the population of the isolated hypoimmune RPE cells is on a biodegradable scaffold. In some embodiments, the administration comprises transplantation or injection to the patient's retina. In some embodiments, the ocular condition is selected from the group consisting of wet macular degeneration, dry macular degeneration, juvenile macular degeneration, Leber's Congenital Ameurosis, retinitis pigmentosa, and retinal detachment.
[0230] In some aspects, provided herein is a method of producing a population of PD-1 engager retinal pigmented epithelium (RPE) cells from a population of PD-1 engager cells by in vitro differentiation, wherein endogenous -2 microglobulin (B2M) gene activity and endogenous class II transactivator (CIITA) gene activity have been eliminated and a PD-1 engager molecule is provided on the cell surface. The method comprises: (a) culturing the population of PD-1 engager cells in a first culture medium comprising any one of the factors selected from the group consisting of activin A, bFGF, BMP4/7, DKK1, IGF1, noggin, a BMP inhibitor, an ALK inhibitor, a ROCK inhibitor, and a VEGFR inhibitor to produce a population of pre-RPE cells; and (b) culturing the population of pre-RPE cells in a second culture medium that is different than the first culture medium to produce a population of hypoimmune RPE cells.
[0231] In some embodiments, the ALK inhibitor is SB-431542, a derivative thereof, or a variant thereof. In some instances, the ALK inhibitor is at a concentration ranging from about 2 M to about 10 M. In some embodiments, the ROCK inhibitor is Y-27632, a derivative thereof, or a variant thereof. In some instances, the ROCK inhibitor is at a concentration ranging from about 1 M to about 10 M.
[0232] In some embodiments, the first culture medium and/or second culture medium are absent of animal serum.
[0233] In some embodiments, the method further comprises isolating the population of PD-1 engager RPE cells from non-RPE cells. In some embodiments, the method further comprises cryopreserving the isolated population of hypoimmune RPE cells.
E. Transplantation of HI PD-1 Engager Cells
[0234] As will be appreciated by those in the art that the HI PD-1 engager cells cells are transplated using techniques known in the art. In general, the HI PD-1 engager cells of the invention are transplanted either intravenously or by injection at particular locations in the patient. When transplanted at particular locations, the cells may be suspended in a gel matrix to prevent dispersion while they take hold.
[0235] In order that the invention described herein may be more fully understood, the following examples are set forth. It should be understood that these examples are for illustrative purposes only and are not to be construed as limiting this invention in any manner.
VIII. EXAMPLES
Example 1: A PD-1 Engager Expressed on Engineered Cells Inhibits NK Cell Killing
[0236] B2M/ CIITA/ iPSC-derived endothelial cells (DKO iECs) underwent rapid killing by IL-2 activated NK cells. The PD-1 engager was expressed on B2M/ CIITA/ iECs using lentiviral transduction. The killing of B2M/ CIITA/ PD-1 engager transgenic iECs (DKO-PD-1 Engager) was significantly mitigated as shown by a bioluminescence imaging (BLI) killing assay. (
Example 2: A PD-1 Engager Expressed on Engineered Cells Inhibits CD8 T Cell Killing
[0237] PBMCs from an allogeneic healthy donor who is HLA-A2 negative were incubated with HLA-A2-positive wild type (wt) iPSC-derived endothelial cells (iECs) for 14 days. Cells were harvested and CD3+CD8+ T cells were sorted using flow cytometry. Wt iECs underwent T cell killing. The PD-1 engager was expressed on wt iECs using lentiviral transduction. The killing of wt PD-1 engager transgenic iECs was significantly mitigated as shown by a BLI killing assay. (
Example 3: A PD-1 Engager Expressed on Engineered Human Pancreatic Beta Cells Inhibits CD8 T Cell Killing
[0238] PBMCs from an allogeneic healthy donor who is HLA-A2 negative were incubated with HLA-A2-positive wild type (wt) iPSC-derived endothelial cells (iECs) for 14 days. Cells were harvested and CD3+CD8+ T cells were sorted using flow cytometry. Human pancreatic beta cells that were HLA-A2 positive were grown on in vitro impedance assay E-plates. In the upper row, the beta cells were not modified. In the bottom row, the beta cells expressed the PD-1 engager. The PD-1 engager was expressed using lentiviral transduction. A PD-1 Engager sequence (SEQ ID NO:24) with CD8a signal peptide (SEQ ID NO:25) and myc-tag (SEQ ID NO:26) for detection in flow cytometry was used. The unmodified beta cells underwent T cell killing. The PD-1 engager transgenic beta cells survived. (
Example 4: The PD-1 Engager Cells Bind Recombinant PD-1
[0239] B2M/ CIITA/ PD-I engager transgenic iECs (DKO-PD-1 Engager) were incubated with a recombinant human PD-1 and a secondary antibody. The flow cytometry histogram shows specific binding of the recombinant human PD-1 to the DKO-PD-1 Engager cells. (
Example 5: Generation of a TIM3 Engager Cell
[0240] Lentivirus preparation. A TIM3 engager (SEQ ID NO:27) was expressed under the enhanced EF1 promoter. It comprised a CD8a signal peptide (SEQ ID NO:28), a myc tag (SEQ ID NO:26), an anti-TIM3 antibody heavy chain variable region (SEQ ID NO:29), a (GGGG).sub.3 linker (SEQ ID NO:30), an anti-TIM3 antibody light chain variable region (SEQ ID NO:31), a CD8a Hinge (SEQ ID NO:3), and a platelet derived growth factor receptor (PDGFR) transmembrane domain (SEQ ID NO:4). An RFP-Blasticidin dual fusion marker was expressed under an RSV promoter.
[0241] The expression lentivector was co-transfected with lentiviral packaging plasmids (Cat #: HT-pack, Gentarget, San Diego) into the lentivirus production cell line (Cat #: TLV-C, Gentarget). The lentivirus was packaged in DMEM medium with 10% serum following GenTarget's virus production protocols. The lentivirus was then concentrated to obtain the desired virus titer. Virus titers were measured via an ELISA P24 assay according to the kit production.
[0242] Lentiviral transduction of the TIM3 engager. In a pre-coated 12-well plate, human induced pluripotent stem cell (iPSC)-derived endothelial cells (iECs) with a double knockout of B2M and CIITA (iECs DKO) were transduced with the lentivirus described above. They were plated at a density of 510.sup.4 and then incubated overnight at 37 C. at 5% CO.sub.2. The next day, cells were incubated overnight at 37 C., 5% CO.sub.2 with lentiviral particles carrying a transgene for the TIM3 engager under the enhanced EF1 promoter (Gentarget, custom product). The lentiviruses further contained an RFP selection marker and were used at a multiplicity of infection of 4. Polybrene (8 g/m, Millipore) was added to the media and the plate was centrifuged at 800 g for 30 min prior to the overnight incubation. Cell populations were sorted on FACSAria (BD Biosciences) using the RFP tag.
[0243] Flow cytometry analysis showing that the TIM3 Engager protein is expression in transduced DKO induced embryonic stem cells (iEC). The TIM3 Engager transgene linked to the red fluorescent protein (RFP) tag was quantified by flow cytometry. The histogram shows the RFP signal of untransduced iECs DKO (left peak) and transduced iECs DKO+TIM3-E (right peak), thus confirming their expression of the TIM3 Engager. (
Example 6: TIM3 Engagement Protects Cells from Immune Cell Killing
[0244] Flow cytometry analysis for TIM3 surface expression on primary human peripheral blood NK cells and macrophages showed that TIM3 engagement protected the cells from NK and macrophage cells.
[0245]
[0246] A BLI killing assay was examined over 2 hours with NK cells. iECs DKO expressing firefly luciferase or iECs DKO+TIM3 engager (TIM3-E) expressing firefly luciferase were plated and allowed to attach for 16 hours. Then, human peripheral blood NK cells were added to the wells and incubated for 2 hours. The percent BLI signal after the incubation is shown. The BLI signal for iECs DKO completely vanished (
[0247]
[0248]
[0249]
Example 7: Generation of a LILRB3 Engager Cell
[0250] Lentivirus preparation. The LILRB3 engager (SEQ ID NO:32) was expressed under the enhanced EF1 promoter. It comprised a CD8a signal peptide (SEQ ID NO:28), a myc tag (SEQ ID NO:26), an anti-LILRB3 antibody heavy chain variable region (SEQ ID NO:33), a (GGGG).sub.3 linker (SEQ ID NO:30), an anti-LILRB3 antibody light chain variable region (SEQ ID NO:34), a CD8a Hinge (SEQ ID NO:3), and a platelet derived growth factor receptor (PDGFR) transmembrane domain (SEQ ID NO:4). An RFP-Blasticidin dual fusion marker was expressed under an RSV promoter.
[0251] The expression lentivector was co-transfected with lentiviral packaging plasmids (Cat #: HT-pack, Gentarget, San Diego) into the lentivirus production cell line (Cat #: TLV-C, Gentarget). The lentivirus was packaged in DMEM medium with 10% serum following GenTarget's virus production protocols. The lentivirus was then concentrated to obtain the desired virus titer. Virus titers were measured via ELISA P24 assay according to the kit production.
[0252] Lentiviral transduction of the LILRB3 engager. In a pre-coated 12-well plate, human induced pluripotent stem cell (iPSC)-derived endothelial cells (iECs) with a double knockout of B2M and CIITA (iECs DKO) were transduced with the lentivirus described above. They were plated at a density of 510.sup.4 and then incubated overnight at 37 C. at 5% CO.sub.2. The next day, cells were incubated overnight at 37 C., 5% CO.sub.2 with lentiviral particles carrying a transgene for the LILRB3 engager under the enhanced EF1 promoter (Gentarget). The lentiviruses further contained an RFP selection marker and were used at a multiplicity of infection of 4. Polybrene (8 g/m, Millipore) was added to the media and the plate was centrifuged at 800 g for 30 min prior to the overnight incubation. Cell populations were sorted on FACSAria (BD Biosciences) using the RFP tag.
[0253] Flow cytometry analysis showing that the LILRB3 Engager protein is expression in transduced DKO induced embryonic stem cells (iEC). The LILRB3 Engager transgene linked to the red fluorescent protein (RFP) tag was quantified by flow cytometry. The histogram shows the RFP signal of untransduced iECs DKO (left peak) and transduced iECs DKO+LILRB3-E (right peak), thus confirming their expression of the LILRB3 Engager (
Example 8: LILRB3 Engagement Protects Cells from Immune Cell Killing
[0254] Flow cytometry analysis for LILRB3 surface expression on primary human peripheral blood NK cells and macrophages showed that LILRB3 is expressed on some NK cells and most macrophages.
[0255]
[0256] A BLI killing assay was examined over 2 hours with NK cells. iECs DKO expressing firefly luciferase or iECs DKO+LILRB3-E expressing firefly luciferase were plated and allowed to attach for 16 hours. Then, human peripheral blood NK cells were added to the wells and incubated for 2 hours. The percent BLI signal after the incubation is shown. The BLI signal for iECs DKO completely vanished (
[0257]
[0258]
[0259]
Example 9: Generation of a LILRB1 Engager Cell
[0260] Lentivirus preparation. The LILRB1 engager (SEQ ID NO:35) was expressed under the enhanced EF1 promoter and an RFP-Blasticidin dual fusion marker was expressed under an RSV promoter. It comprised a CD8a signal peptide (SEQ ID NO:28), a myc tag (SEQ ID NO:26), an anti-LILRB1 antibody heavy chain variable region (SEQ ID NO:36), a (GGGG).sub.3 linker (SEQ ID NO:30), an anti-LILRB1 antibody light chain variable region (SEQ ID NO:37), a CD8a Hinge (SEQ ID NO:3), and a platelet derived growth factor receptor (PDGFR) transmembrane domain (SEQ ID NO:4). An RFP-Blasticidin dual fusion marker was expressed under an RSV promoter.
[0261] The expression lentivector was co-transfected with lentiviral packaging plasmids (Cat #: HT-pack, Gentarget, San Diego) into the lentivirus production cell line (Cat #: TLV-C, Gentarget). The lentivirus was packaged in DMEM medium with 10% serum following GenTarget's virus production protocols. The lentivirus was then concentrated to obtain the desired virus titer. Virus titers were measured via ELISA P24 assay according to the kit production.
[0262] Lentiviral transduction of the LILRB1 engager. In a pre-coated 12-well plate, human induced pluripotent stem cell (iPSC)-derived endothelial cells (iECs) with a double knockout of B2M and CIITA (iECs DKO) were transduced with the lentivirus described above. They were plated at a density of 510.sup.4 and then incubated overnight at 37 C. at 5% CO.sub.2. The next day, cells were incubated overnight at 37 C., 5% CO.sub.2 with lentiviral particles carrying a transgene for the LILRB1 engager under the enhanced EF1a promoter (Gentarget). The lentiviruses further contained an RFP selection marker and were used at a multiplicity of infection of 4. Polybrene (8 g/m, Millipore) was added to the media and the plate was centrifuged at 800 g for 30 min prior to the overnight incubation. Cell populations were sorted on FACSAria (BD Biosciences) using the RFP tag.
[0263] Flow cytometry analysis showing that the LILRB1 Engager protein is expression in transduced DKO induced embryonic stem cells (iEC). The LILRB1 Engager transgene linked to the red fluorescent protein (RFP) tag was quantified by flow cytometry. The histogram shows the RFP signal of untransduced iECs DKO (left peak) and transduced iECs DKO+LILRB1-E (right peak), thus confirming their expression of the LILRB1 Engager (
Example 10: LILRB1 Engagement Protects Cells from Immune Cell Killing
[0264] Flow cytometry analysis for LILRB1 surface expression on primary human peripheral blood NK cells and macrophages showed that LILRB1 is expressed on many NK cells and most macrophages.
[0265]
[0266] A BLI killing assay was examined over 2 hours with NK cells. iECs DKO expressing firefly luciferase or iECs DKO+LILRB1-E expressing firefly luciferase were plated and allowed to attach for 16 hours. Then, human peripheral blood NK cells were added to the wells and incubated for 2 hours. The percent BLI signal after the incubation is shown. The BLI signal for iECs DKO completely vanished (
[0267]
[0268]
[0269]
Example 11: Immune Checkpoint Engagers are Stably Expressed after Differentiation
[0270] Expression of the PD-1 Engager transgene is maintained during differentiation. iPSCs DKO were transduced to express the PD-1 Engager using lentiviral particles (iPSCs DKO+PD-1-E). Flow cytometry shows that robust expression can be achieved (
[0271] Expression of the TIM3 Engager transgene is maintained during differentiation. iPSCs DKO were transduced to express the TIM3 Engager using lentiviral particles (iPSCs DKO+TIM3-E). Flow cytometry shows that robust expression can be achieved (
[0272] Expression of the LILRB3 Engager transgene is maintained during differentiation. iPSCs DKO were transduced to express the LILRB3 Engager using lentiviral particles (iPSCs DKO+LILRB3-E). Flow cytometry shows that robust expression can be achieved (
[0273] Expression of the LILRB1 Engager transgene is maintained during differentiation. iPSCs DKO were transduced to express the LILRB1 Engager using lentiviral particles (iPSCs DKO+LILRB1-E). Flow cytometry shows that robust expression can be achieved (
Example 12: Threshold Immune Checkpoint Engager Levels Required for Protection
[0274]
[0275]
Methods
[0276] NK cell culture. Human primary NK cells were purchased from Stemcell Technologies (70036, Vancouver, Canada) and were cultured in RPMI-1640 plus 10% FCS hi and 1% pen/strep before performing the assays.
[0277] Human iPSC culture and transduction to express firefly luciferase. Human wt or B2M/ CIITA/ iPSCs were cultured on diluted feeder-free matrigel (hESC qualified, BD Biosciences, San Jose, CA)-coated 10 cm dishes in Essential 8 Flex medium (Thermo Fisher Scientific). Medium was changed every 24 h and Versene (Gibco) was used for cell passaging at a ratio of 1:6. For luciferase transduction, 110.sup.5 iPSCs were plated in one 6-well and incubated overnight at 37 C. with 5% CO.sub.2. The next day, medium was changed and one vial of Fluc lentiviral particles expressing luciferase II gene under re-engineered EF1 promotor (Gen Target, San Diego, CA) was added to 1.5 ml medium. After 36 h, 1 ml of cell medium was added. After 24 h, complete medium change was performed. After 2 d, luciferase expression was confirmed by adding D-luciferin (Promega, Madison, WI). Signals were quantified in p/s/cm2/sr.
[0278] Differentiation of iPSC-derived endothelial cells (iECs). Fluc+ wt or B2M/ CIITA/ iECs were differentiated from FLuc+ B2M/ CIITA/ iPSCs as follows. The differentiation protocol was initiated at 60% iPSC confluency, and medium was changed to RPMI-1640 containing 2% B-27 minus insulin (both Gibco, a Thermo Fisher Scientific Brand) and 5 M CHIR-99021 (Selleckchem, Munich, Germany). On day 2, the medium was changed to reduced medium: RPMI-1640 containing 2% B-27 minus insulin (Gibco) and 2 M CHIR-99021 (Selleckchem). From culture day 4 to 7, cells were exposed to RPMI-1640 EC medium, RPMI-1640 containing 2% B-27 minus insulin plus 50 ng/ml human vascular endothelial growth factor (VEGF; R&D Systems, Minneapolis, MN), 10 ng/ml human fibroblast growth factor basic (FGFb; R&D Systems), 10 M Y-27632 (Sigma-Aldrich), and 1 M SB 431542 (Sigma-Aldrich, St. Louis, MO). Endothelial cell clusters were visible from day 7 and cells were maintained in Endothelial Cell Basal Medium 2 (PromoCell, Heidelberg, Germany) plus supplements, 10% FCS hi (Gibco), 1% pen/strep, 25 ng/ml VEGF, 2 ng/ml FGFb, 10 M Y-27632 (Sigma-Aldrich), and 1 M SB 431542 (Sigma-Aldrich). The differentiation protocol was completed after 14 days; undifferentiated cells detached during the differentiation process. TrypLE Express (Gibco) was used for passaging the cells 1:3 every 3 to 4 days.
[0279] Macrophage differentiation from PBMCs. PBMCs were isolated by Ficoll separation from fresh blood and re-suspended in RPMI-1640 with 10% FCS HI and 1% penicillin-streptomycin (all Gibco). Cells were plated in 24-well plates at a concentration of 110.sup.6 cells per milliliter. 10 ng ml.sup.1 of human M-CSF (PeproTech) was added to the medium. The medium was changed every other day. From day 6 onward, 1 g ml.sup.1 of human IL-2 (PeproTech) was added to the medium for 24 hours before performing assays.
[0280] Lentiviral transduction of the PD-1 engager. In a pre-coated 12-well plate, iECs were plated at a density of 510.sup.4 and then incubated overnight at 37 C. at 5% CO.sub.2. The next day, cells were incubated overnight at 37 C., 5% CO.sub.2 with lentiviral particles carrying a transgene for the PD-1 engager under the enhanced EF1 promoter (Gentarget, custom product). The lentiviruses further contained an RFP selection marker and were used at a multiplicity of infection of 4. Polybrene (8 g/m, Millipore) was added to the media and the plate was centrifuged at 800 g for 30 min prior to the overnight incubation. Cell populations were sorted on FACSAria (BD Biosciences) using the RFP tag.
[0281] iEC BLINK cell killing assay. Fluc+B2M/CIITA/ (DKO) iECs and B2M/CIITA/ (DKO) PD-1 engager transgenic iECs were counted and plated at a concentration of 110.sup.3 cells per 96-well. Then all target cells were mixed with primary human NK cells at an E:T ratio of 10:1. All NK cells were preincubated with human IL-2 (Life Technologies) at a concentration of 1 g/mL for 72 h. After 4 h in the BLI killing assay, luciferase expression was detected by adding D-luciferin (Promega). As controls, target cells were left untreated or were treated with 2% Triton X-100 in cell-specific media. Signals were quantified with Ami HT (Spectral Instruments Imaging) in p/s/cm2/sr and relative BLI intensities compared to untreated target cells are measured.
[0282] Ex vivo T cell priming. Blood from an HLA-A2-negative donor was collected and PBMCs were obtained after Ficoll separation. The PBMCs were primed by co-culturing 510.sup.5 HLA-A2-positive wt iEC cells and 110.sup.6 PBMC in a gelatin-coated flasks. The media, which consisted of a 1:1 mixture of endothelial cell medium and PBMC medium, was changed every 3 days. After 14 days, the cells in suspension were harvested and sorted using an APC mouse anti-human CD3 antibody (clone SP34-2, catalog no. 557597, BD Biosciences) together with the isotype-matched control APC mouse IgG1 antibody (clone MOPC-21, catalog no. 550854, BD Biosciences), and a BV421 mouse anti-human CD8 antibody (clone SKI, catalog no. 344748, Biolegend) together with the isotype-matched control mouse IgG1 antibody (clone MOPC-21, catalog no. 400157, Biolegend). The CD3+CD8+ cells were sorted using a FACS Aria flow cytometer (BD Biosciences) and used for CD8 T cell killing assays.
[0283] iEC BLI CD8 T cell killing assay. Fluc+wt iECs and wt PD-1 engager transgenic iECs were counted and plated at a concentration of 110.sup.3 cells per 96-well. Then all target cells were mixed with ex vivo primed CD8 T cells at an E:T ratio of 10:1. After 4 h in the BLI killing assay, luciferase expression was detected by adding D-luciferin (Promega). As controls, target cells were left untreated or were treated with 2% Triton X-100 in cell-specific media. Signals were quantified with Ami HT (Spectral Instruments Imaging) in p/s/cm2/sr.
[0284] Human pancreatic beta cells. Human iPSC-derived pancreatic beta cells were purchased from TaKaRa (ChiPSC22, catalog no. Y10106) and were cultured in Cellartis hiPS Beta Cell Media Kit (TaKaRa, catalog no. Y10108). Cells were plated in 12-well plates according to the manufacturer protocol. Some cells were transduced with PD-1 engager lentiviral particles (GenTarget).
[0285] Islet cells (pancreatic beta cells) with and without PD-1-Engager expression were then plated on the XCelligence platform. They attached to plastic dishes but also grew in clusters and the cell index kept increasing over time. Despite the clustering growth pattern, the assay was still very sensitive in detecting target cell killing. The islet cells showed the HLA type A2. We thus used primed CD3+CD8+ T cells as effector cells, generated as described above. The unedited islet cells were killed by the primed T cells with typical T cell killing kinetics. In contrast, the islet beta cells expressing the PD-1 Engager were protected from killing by primed T cells.
[0286] To show binding of DKO PD-1 engager iECs to PD-1, we used recombinant human PD-1 protein (Fc Chimera Active, ab221398, Abcam, 0.1 ug/mL) with Mouse anti-Human IgG Fc Secondary Antibody (3D3cc, Novus Biologicals, Allophycocyanin, 1:200). Flow cytometry was done on an LSRII (BD Biosciences).
Exemplary Sequences:
TABLE-US-00001 PD-1engagerwithIL-2signalpeptide SEQIDNO:1: MYRMQLLSCIALSLALVINSDIQMTQSPSSLSASVGDRVTITCQASQSPNNLLAWYQQKPGK APKLLIYGASDLPSGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCQNNYYVGPVSYAFGGG TKVEIKGGGGSGGGGSGGGGSQVQLVQSGAEVKKPGASVKVSCKVSGYSLSKYDMSWVRQAP GKGLEWMGIIYTSGYTDYAQKFQGRVTMTEDTSTDTAYMELSSLRSEDTAVYYCATGNPYYT NGFNSWGQGTLVTVSSTTTPAPRPPTPAPTIASQPLSLRPEACRPAAAVHTRGLDFACDAAV LVLLVIVIISLIVLVVIW IL-2signalpeptide SEQIDNO:2: MYRMOLLSCIALSLALVINS CD8ahinge SEQIDNO:3: TTTPAPRPPTPAPTIASQPLSLRPEACRPAAAVHTRGLDFACD PlateleteDerivedGrowthFactorReceptor (PDGFR)TransmembraneDomain(TMD) SEQIDNO:4: AAVLVLLVIVIISLIVLVVIW CD47Transmembranedomain(TMD) SEQIDNO:5 NILIVIFPIFAILLFWGQFGIKTLKYRSGGMDEKTIALLVAGLVITVIVIVGAILFVPGEYS LKNATGLGLIVTSTGILILLHYYVFSTAIGLTSFVIAILVIQVIAYILAVVGLSLCIAACIP MHGPLLISGLSILALAQLLGLVYM CD64Transmembranedomain(TMD) SEQIDNO:6: VLFYLAVGIMFLVNTVLWVTI CD47IntracellularDomain(ICD) SEQIDNO:7: KFVASNQKTIQPPRKAVEEPLNAFKESKGMMNDE HumanSIRP >NP_001317657.1tyrosine-proteinphosphatase non-receptortypesubstrate1isoform2 precursor[Homosapiens] SEQIDNO:8 MEPAGPAPGRLGPLLCLLLAASCAWSGVAGEEELQVIQPDKSVLVAAGETATLRCTATSLIP VGPIQWERGAGPGRELIYNQKEGHFPRVTTVSDLTKRNNMDFSIRIGNITPADAGTYYCVKE RKGSPDDVEFKSGAGTELSVRAKPSAPVVSGPAARATPQHTVSFTCESHGESPRDITLKWFK NGNELSDFQTNVDPVGESVSYSIHSTAKVVLTREDVHSQVICEVAHVTLQGDPLRGTANLSE TIRVPPTLEVTQQPVRAENQVNVTCQVRKFYPQRLQLTWLENGNVSRTETASTVTENKDGTY NWMSWLLVNVSAHRDDVKLTCQVEHDGQPAVSKSHDLKVSAHPKEQGSNTAAENTGSNERNI YIVVGVVCTLLVALLMAALYLVRIRQKKAQGSTSSTRLHEPEKNAREITQVQSLDTNDITYA DLNLPKGKKPAPQAAEPNNHTEYASIQTSPQPASEDTLTYADLDMVHLNRTPKQPAPKPEPS FSEYASVQVPRK HumanCD47 >NP_001768.1leukocytesurfaceantigenCD47 isoform1precursor[Homosapiens] SEQIDNO:9 MWPLVAALLLGSACCGSAQLLENKTKSVEFTFCNDTVVIPCFVTNMEAQNTTEVYVKWKFKG RDIYTFDGALNKSTVPTDESSAKIEVSQLLKGDASLKMDKSDAVSHTGNYTCEVTELTREGE TIIELKYRVVSWESPNENILIVIFPIFAILLFWGQFGIKTLKYRSGGMDEKTIALLVAGLVI TVIVIVGAILFVPGEYSLKNATGLGLIVTSTGILILLHYYVFSTAIGLTSFVIAILVIQVIA YILAVVGLSLCIAACIPMHGPLLISGLSILALAQLLGLVYMKFVASNQKTIQPPRKAVEEPL NAFKESKGMMNDE CD47ExtracellularDomain(ECD) SEQIDNO:10 QLLFNKTKSVEFTFCNDTVVIPCFVTNMEAQNTTEVYVKWKFKGRDIYTFDGALNKSTVPTD FSSAKIEVSQLLKGDASLKMDKSDAVSHTGNYTCEVTELTREGETIIELKYRVVSWFSPNE CD47ImmunoglobulinSuperfamilyDomain SEQIDNO:11: QLLFNKTKSVEFTFCNDTVVIPCFVTNMEAQNTTEVYVKWKFKGRDIYTFDGALNKSTVPTD FSSAKIEVSQLLKGDASLKMDKSDAVSHTGNYTCEVTELTREGETIIELKYRVV PD-L1(Isoform1) SEQIDNO:12: MRIFAVFIFMTYWHLLNAFTVTVPKDLYVVEYGSNMTIECKFPVEKQLDLAALIVYWEMEDK NIIQFVHGEEDLKVQHSSYRQRARLLKDQLSLGNAALQITDVKLQDAGVYRCMISYGGADYK RITVKVNAPYNKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLSGKTTTTNSKR EEKLENVTSTLRINTTTNEIFYCTFRRLDPEENHTAELVIPELPLAHPPNERTHLVILGAIL LCLGVALTFIFRLRKGRMMDVKKCGIQDTNSKKQSDTHLEET PD-L1(Isoform2) SEQIDNO:13: MRIFAVFIFMTYWHLLNAPYNKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLS GKTTTTNSKREEKLENVTSTLRINTTTNEIFYCTFRRLDPEENHTAELVIPELPLAHPPNER THLVILGAILLCLGVALTFIFRLRKGRMMDVKKCGIQDTNSKKQSDTHLEET PD-L1(Isoform3) SEQIDNO:14: MRIFAVFIFMTYWHLLNAFTVTVPKDLYVVEYGSNMTIECKFPVEKQLDLAASIVYWEMEDK NIIQFVHGEEDLKVQHSSYRQRARLLKDQLSLGNAALQITDVKLQDAGVYRCMISYGGADYK RITVKVNAPYNKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLSGD PD-L2(Isoform1) SEQIDNO:15: MIFLLLMLSLELQLHQIAALFTVTVPKELYIIEHGSNVTLECNEDTGSHVNLGAITASLQKV ENDTSPHRERATLLEEQLPLGKASFHIPQVQVRDEGQYQCIIIYGVAWDYKYLTLKVKASYR KINTHILKVPETDEVELTCQATGYPLAEVSWPNVSVPANTSHSRTPEGLYQVTSVLRLKPPP GRNFSCVFWNTHVRELTLASIDLQSQMEPRTHPTWLLHIFIPFCIIAFIFIATVIALRKQSC QKLYSSKDTTKRPVTTTKREVNSAI PD-L2(Isoform2) SEQIDNO:16: MIFLLLMLSLELQLHQIAALFTVTVPKELYIIEHGSNVTLECNFDTGSHVNLGAITASLQKV ENDTSPHRERATLLEEQLPLGKASFHIPQVQVRDEGQYQCIIIYGVAWDYKYLTLKVKGQME PRTHPTWLLHIFIPFCIIAFIFIATVIALRKQLCQKLYSSKDTTKRPVTTTKREVNSAI PD-L2(Isoform3) SEQIDNO:17: MIFLLLMLSLELQLHQIAALFTVTVPKELYIIEHGSNVTLECNEDTGSHVNLGAITASLQKV ENDTSPHRERATLLEEQLPLGKASFHIPQVQVRDEGQYQCIIIYGVAWDYKYLTLKVKDGTQ DPSNLAASHFHPLLHHCFHFHSHSDSPKKTTLSKAVFFKRHNKKTCHHNKEGSEQCYL Antibody1HeavyChainCDR1 SEQIDNO:18: KVSGYSLSKYDMS Antibody1HeavyChainCDR2 SEQIDNO:19: IIYTSGYTDYAQKFQG Antibody1HeavyChainCDR3 SEQIDNO:20: ATGNPYYTNGENS Antibody1LightChainCDR1 SEQIDNO:21: QASQSPNNLLA Antibody1LightChainCDR2 SEQIDNO:22: YGASDLPS Antibody1LightChainCDR3 SEQIDNO:23: QNNYYVGPVSYA PD-1engagerwithCD8asignalpeptide andmyc-tag SEQIDNO:24: MALPVTALLLPLALLLHAARPEQKLISEEDLDIQMTQSPSSLSASVGDRVTITCQASQSPNN LLAWYQQKPGKAPKLLIYGASDLPSGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCQNNYY VGPVSYAFGGGTKVEIKGGGGSGGGGSGGGGSQVQLVQSGAEVKKPGASVKVSCKVSGYSLS KYDMSWVRQAPGKGLEWMGIIYTSGYTDYAQKFQGRVTMTEDTSTDTAYMELSSLRSEDTAV YYCATGNPYYTNGFNSWGQGTLVTVSSTTTPAPRPPTPAPTIASQPLSLRPEACRPAAAVHT RGLDFACDAAVLVLLVIVIISLIVLVVIW CD8asignalpeptide SEQIDNO:25: MALPVTALLLPLALLLHAARP myc-tag SEQIDNO:26: EQKLISEEDL TIM3EngagerProtein SEQIDNO:27: MALPVTALLLPLALLLHAARPEQKLISEEDLQMQLVQSGGEVKKPGASVKVSCKTSGYRFTS YGISWVRQAPGQGLEWMGWISGYNGETNYAETLQGRLTLTTDTSTSTAYMELGSLRPDDTAV YYCTRDGHSPYFDYWGQGTLVTVSSGGGGSGGGGSGGGGSQAVLTQPASVSGSPGQSVTISC TGTSSDVGGYNYVSWYQQHPGKAPKLMIYEVSKRPSGIPERFSGSNSGNTATLTISRVEAGD EADYYCQVWDSSSDHWVFGRGTKLTVLTTTPAPRPPTPAPTIASQPLSLRPEACRPAAAVHT RGLDFACDAAVLVLLVIVIISLIVLVVIW CD8aSignalPeptide SEQIDNO:28: MALPVTALLLPLALLLHAARP HeavyChainVariableRegion(V.sub.H) SEQIDNO:29: QMQLVQSGGEVKKPGASVKVSCKTSGYRFTSYGISWVRQAPGQGLEWMGWISGYNGETNYAE TLQGRLTLTTDTSTSTAYMELGSLRPDDTAVYYCTRDGHSPYFDYWGQGTLVTVSS (GGGG).sub.3Linker SEQIDNO:30: GGGGSGGGGSGGGGS LightChainVariableRegion(V.sub.L) SEQIDNO:31: QAVLTQPASVSGSPGQSVTISCTGTSSDVGGYNYVSWYQQHPGKAPKLMIYEVSKRPSGIPE RFSGSNSGNTATLTISRVEAGDEADYYCQVWDSSSDHWVFGRGTKLTVL LILRB3EngagerProtein SEQIDNO:32: MALPVTALLLPLALLLHAARPEQKLISEEDLEVQLLESGGGLVQPGGSLRLSCAASGFTESS YAMSWVRQAPGKGLEWVSAISGSGGSTYYADSVKGRFTISRDNSKNTLYLOMNSLRAEDTAV YYCARRKKRERGFSGNDPVGAIDVWGQGTLVTVSSGGGGSGGGGSGGGGSQSVLTQPPSASG TPGQRVTISCTGSSSNIGAGYDVHWYQQLPGTAPKLLIYGNTNRPSGVPDRESGSKSGTSAS LAISGLRSEDEADYYCSAWDDSLSGVVFGGGTKLTVLGTTTPAPRPPTPAPTIASQPLSLRP EACRPAAAVHTRGLDFACDAAVLVLLVIVIISLIVLVVIW HeaveyChainVariableRegion(V.sub.H) SEQIDNO:33: EVQLLESGGGLVQPGGSLRLSCAASGFTESSYAMSWVRQAPGKGLEWVSAISGSGGSTYYAD SVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARRKKRERGFSGNDPVGAIDVWGQGTLV TVSS LightChainVariableRegion(V.sub.L) SEQIDNO:34: QSVLTQPPSASGTPGQRVTISCTGSSSNIGAGYDVHWYQQLPGTAPKLLIYGNTNRPSGVPD RFSGSKSGTSASLAISGLRSEDEADYYCSAWDDSLSGVVFGGGTKLTVLG LILRB1EngagerProtein SEQIDNO:35: MALPVTALLLPLALLLHAARPEQKLISEEDLEQSLEESGGGLVKPGASLTVTCAVSGESLNS YAITWVRQAPGKGLEYIGYIDTGASITDYASWAKGRFTISKTSSTTVTLEMTSLTDADTATY FCARGESMFKLWGPGTLVTISSGGGGSGGGGSGGGGSELDLTQTPSSVSAAVGGTVTISCQA SQSVYGNNRLAWYHQKPGQPPKRLIYLASTLDSGVPSRFKGAGSGTQFTLTISDLECDDAAT YYCAGGYAGNFNAFGGGTEVEIKTTTPAPRPPTPAPTIASQPLSLRPEACRPAAAVHTRGLD FACDAAVLVLLVIVIISLIVLVVIW HeaveyChainVariableRegion(V.sub.H) SEQIDNO:36: EQSLEESGGGLVKPGASLTVTCAVSGESLNSYAITWVRQAPGKGLEYIGYIDTGASITDYAS WAKGRFTISKTSSTTVTLEMTSLTDADTATYFCARGESMEKLWGPGTLVTISS LightChainVariableRegion(V.sub.L) SEQIDNO:37: ELDLTQTPSSVSAAVGGTVTISCQASQSVYGNNRLAWYHQKPGQPPKRLIYLASTLDSGVPS RFKGAGSGTQFTLTISDLECDDAATYYCAGGYAGNENAFGGGTEVEIK
[0287] All publications and patent documents disclosed or referred to herein are incorporated by reference in their entirely. The foregoing description has been presented only for purposes of illustration and description. This description is not intended to limit the invention to the precise form disclosed. It is intended that the scope of the invention be defined by the claims appended hereto.