Chimeric antigen receptor (CAR) T-cell therapy has made an impact on the treatment of certain blood cancers, but in clinical study, the cellular therapy has not been as successful for patients with solid tumors, due in part to the lack of tumor targets not expressed in vital tissues. In a new study published by Martin et al in Molecular Cancer Therapeutics, researchers share the identification of a new potential target for CAR T cells called OR2H1, which they have demonstrated inhibits growth in lung and ovarian tumors.
The key to CAR T-cell therapy is the genetic modification made to patients’ T cells. Their cells are collected through a process called apheresis and then shipped to a laboratory, where the cells are modified to contain a gene for the T-cell receptor that recognizes a specific marker on cancer cells. Those modified T cells—now CAR T cells—are stimulated to grow and multiply before being sent back to the hospital to be infused back into the patients. The receptor on the CAR T cells seeks out their specific marker on the surface of the cancer cells. Currently, there are CAR T-cell therapies approved to treat patients with lymphoma, leukemia, and multiple myeloma, but there are no approved CAR T-cell therapies for patients with solid tumors.
Researchers from Moffitt Cancer Center are working to identify tumor markers that can make CAR T-cell therapy effective for patients with solid tumors. The goal is to find a marker that is expressed on tumor cells but not on normal cells, to reduce the potential for unwanted toxicities. The team, led by Jose Conejo-Garcia, MD, PhD, Chair of Moffitt’s Department of Immunology, focused the search on a family of proteins called olfactory receptors, which are expressed in the nose and contribute to the perception of smell.
During lab experiments, they discovered that the protein OR2H1 is expressed in a variety of solid tumors, ranging from 4% of colon cancer samples to 69% of cancers of the gallbladder. Importantly, of all normal tissues examined, OR2H1 was found only in the testes, suggesting that therapies that target OR2H1 would have minimal effects on normal cells.
The researchers then created CAR T cells that were specific to the OR2H1 protein. The OR2H1 CAR T cells were able to kill lung and ovarian cancer cells that expressed OR2H1 but had no effect on healthy cells. The OR2H1 CAR T cells also had antitumor effects in vivo in immunodeficient mice challenged with human tumors. Tumor inhibition was observed in lung and ovarian cancer mouse models with varying levels of OR2H1, including ovarian cancer cells that were resistant to chemotherapy.
These combined data suggest that OR2H1 may be an effective target for CAR T-cell therapies in patients with solid tumors. The researchers hope these initial studies will lead to the development of OR2H1 CAR T cells for a wide variety of patients with solid tumors.
“Our work demonstrates the applicability of this therapy to a wide variety of patients, given the expression of OR2H1 in a subset of solid tumors across multiple histologies, including high-grade serous ovarian cancers, lung carcinoma, cholangiocarcinoma, prostate cancer, and ovarian cancers of multiple other histologies. Targeting a molecule that is not expressed in vital tissues would allow us to further engineer T cells to overcome immunosuppression at tumor beds, if needed,” said Dr. Conejo-Garcia.
Disclosure: This work was supported by the National Cancer Institute, the Moffitt Foundation, Moffitt’s Junior Scientist Research Partnership Award, and the American Cancer Society Postdoctoral Fellowship. For full disclosures of the study authors, visit aacrjournals.org/mct.The content in this post has not been reviewed by the American Society of Clinical Oncology, Inc. (ASCO®) and does not necessarily reflect the ideas and opinions of ASCO®.