CRISPR-engineered T cells in patients with refractory cancer

Author:

Stadtmauer Edward A.12ORCID,Fraietta Joseph A.23456ORCID,Davis Megan M.56ORCID,Cohen Adam D.12ORCID,Weber Kristy L.27,Lancaster Eric8,Mangan Patricia A.1,Kulikovskaya Irina5ORCID,Gupta Minnal5ORCID,Chen Fang5,Tian Lifeng5ORCID,Gonzalez Vanessa E.5,Xu Jun5,Jung In-young45,Melenhorst J. Joseph356,Plesa Gabriela5ORCID,Shea Joanne5ORCID,Matlawski Tina5ORCID,Cervini Amanda5ORCID,Gaymon Avery L.5ORCID,Desjardins Stephanie5ORCID,Lamontagne Anne5ORCID,Salas-Mckee January5,Fesnak Andrew56ORCID,Siegel Donald L.56ORCID,Levine Bruce L.56ORCID,Jadlowsky Julie K.5,Young Regina M.5ORCID,Chew Anne5,Hwang Wei-Ting9ORCID,Hexner Elizabeth O.12ORCID,Carreno Beatriz M.356,Nobles Christopher L.4ORCID,Bushman Frederic D.4ORCID,Parker Kevin R.10ORCID,Qi Yanyan11,Satpathy Ansuman T.1011ORCID,Chang Howard Y.1012ORCID,Zhao Yangbing56ORCID,Lacey Simon F.56ORCID,June Carl H.2356ORCID

Affiliation:

1. Division of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

2. Abramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

3. Parker Institute for Cancer Immunotherapy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

4. Department of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

5. Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

6. Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

7. Department of Orthopaedic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

8. Department of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

9. Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

10. Center for Personal Dynamic Regulomes, Stanford University School of Medicine, Stanford, CA, USA.

11. Department of Pathology, Stanford University School of Medicine, Stanford, CA, USA.

12. Howard Hughes Medical Institute, Stanford University School of Medicine, Stanford, CA, USA.

Abstract

CRISPR takes first steps in humans CRISPR-Cas9 is a revolutionary gene-editing technology that offers the potential to treat diseases such as cancer, but the effects of CRISPR in patients are currently unknown. Stadtmauer et al. report a phase 1 clinical trial to assess the safety and feasibility of CRISPR-Cas9 gene editing in three patients with advanced cancer (see the Perspective by Hamilton and Doudna). They removed immune cells called T lymphocytes from patients and used CRISPR-Cas9 to disrupt three genes ( TRAC, TRBC , and PDCD1 ) with the goal of improving antitumor immunity. A cancer-targeting transgene, NY-ESO-1, was also introduced to recognize tumors. The engineered cells were administered to patients and were well tolerated, with durable engraftment observed for the study duration. These encouraging observations pave the way for future trials to study CRISPR-engineered cancer immunotherapies. Science , this issue p. eaba7365 ; see also p. 976

Funder

Office of Extramural Research, National Institutes of Health

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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