Article
Author: Bobilev, Eden ; Koreth, John ; Ham, James Dongjoo ; Nguyen, Quang-De ; Sheffer, Michal ; Romee, Rizwan ; Shapiro, Roman ; Ali, Alaa Kassim ; Soiffer, Robert J. ; Porter, Rebecca L. ; Dong, Han ; Barbie, David A. ; Chayawatto, Chayapatou ; Cameron, Amy B. ; Chen, Jianzhu ; Birch, Grace ; Matulonis, Ursula A. ; Gokhale, Prafulla C. ; Beaver, Owen ; Tarannum, Mubin ; Vergara, Juliana ; Ritz, Jerome ; James, Sydney ; Ganapathy, Suthakar ; Maia, Andreia ; Ay, Oyku ; Paweletz, Cloud P. ; Abdulhamid, Yasmin Z. ; Kaplan, Isabel E. ; Dinh, Khanhlinh
Epithelial ovarian cancer (EOC) remains one of the most lethal gynecological cancers. Cytokine-induced memory–like (CIML) natural killer (NK) cells have shown promising results in preclinical and early-phase clinical trials. In the current study, CIML NK cells demonstrated superior antitumor responses against a panel of EOC cell lines, increased expression of activation receptors, and up-regulation of genes involved in cell cycle/proliferation and down-regulation of inhibitory/suppressive genes. CIML NK cells transduced with a chimeric antigen receptor (CAR) targeting the membrane-proximal domain of mesothelin (MSLN) further improved the antitumor responses against MSLN-expressing EOC cells and patient-derived xenograft tumor cells. CAR arming of the CIML NK cells subtanstially reduced their dysfunction in patient-derived ascites fluid with transcriptomic changes related to altered metabolism and tonic signaling as potential mechanisms. Lastly, the adoptive transfer of MSLN-CAR CIML NK cells demonstrated remarkable inhibition of tumor growth and prevented metastatic spread in xenograft mice, supporting their potential as an effective therapeutic strategy in EOC.