Integration of a novel anti-PD-1 antibody with chimeric antigen receptor-T engineered to express interleukin-7 enhances targeting efficacy against lung cancer

Chenxi Cheng , Lin Zhang , Jiani Cao , Xiaoyan Li , Ya Wen , Kun Liu , Tongbiao Zhao

Life Medicine ›› 2025, Vol. 4 ›› Issue (6) : lnaf035

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Life Medicine ›› 2025, Vol. 4 ›› Issue (6) :lnaf035 DOI: 10.1093/lifemedi/lnaf035
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Integration of a novel anti-PD-1 antibody with chimeric antigen receptor-T engineered to express interleukin-7 enhances targeting efficacy against lung cancer
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Abstract

Chimeric antigen receptor (CAR) T cell therapy has emerged as a promising approach for hematological malignancies, yet its efficacy in solid tumors is hindered by limited persistence. To address this, immune checkpoint inhibitors (ICIs) and cytokines have been explored as potential solutions. In this study, we developed a novel monoclonal antibody (mAb), m8A8, which exhibits high specificity for human PD-1 and effectively disrupts its ligand interactions. Furthermore, we engineered CAR-T cells to express human IL-7, resulting in enhanced anti-tumor efficacy in xenograft models. Additionally, the human-mouse chimeric antibody C8A8, derived from m8A8, was found to significantly amplify the anti-tumor activity of IL-7-engineered CAR-T cells. Our findings provide compelling evidence and a robust rationale for the synergistic integration of ICIs, cytokines, and CAR-T cell therapy in the treatment of solid tumors.

Keywords

chimeric antigen receptor T (CAR-T) / programmed cell death protein 1 (PD-1) / monoclonal antibody (MAb) / interleukin-7 (IL-7)

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Chenxi Cheng, Lin Zhang, Jiani Cao, Xiaoyan Li, Ya Wen, Kun Liu, Tongbiao Zhao. Integration of a novel anti-PD-1 antibody with chimeric antigen receptor-T engineered to express interleukin-7 enhances targeting efficacy against lung cancer. Life Medicine, 2025, 4(6): lnaf035 DOI:10.1093/lifemedi/lnaf035

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References

[1]

Schadendorf D , Hodi FS , Robert C et al. Pooled analysis of long-term survival data from phase II and phase III trials of ipilimumab in unresectable or metastatic melanoma. J Clin Oncol 2015; 33: 1889- 94. 33.

[2]

Galon J , Bruni D . Approaches to treat immune hot, altered and cold tumours with combination immunotherapies. Nat Rev Drug Discov 2019; 18: 197- 218.

[3]

Turtle CJ , Hanafi L-A , Berger C et al. Immunotherapy of non-Hodgkin's lymphoma with a defined ratio of CD8+ and CD4+ CD19-specific chimeric antigen receptor-modified T cells.Sci Transl Med 2016; 8: 355ra116.

[4]

Albelda SM . CAR T cell therapy for patients with solid tumours:key lessons to learn and unlearn. Nat Rev Clin Oncol 2024; 21: 47- 66.

[5]

The Lancet, O ., CAR T-cell therapy for solid tumours. The lancet. Oncology 2021; 22: 893.

[6]

Rowshanravan B , Halliday N , Sansom DM . CTLA-4: a moving target in immunotherapy. Blood 2018; 131: 58- 67.

[7]

Cai L , Li Y , Tan J et al. Targeting LAG-3, TIM-3, and TIGIT for cancer immunotherapy. J Hematol Oncol 2023; 16: 101.

[8]

Andrews LP , Cillo AR , Karapetyan L et al. Molecular pathways and mechanisms of LAG3 in cancer therapy. Clin Cancer Res 2022; 28: 5030- 9.

[9]

Sharpe AH , Pauken KE . The diverse functions of the PD1 inhibitory pathway. Nat Rev Immunol 2018; 18: 153- 67.

[10]

Ribas A , Wolchok JD . Cancer immunotherapy using checkpoint blockade. Science (New York, N.Y.) 2018; 359: 1350- 5.

[11]

Doroshow DB , Bhalla S , Beasley MB et al. PD-L1 as a biomarker of response to immune-checkpoint inhibitors. Nat Rev Clin Oncol 2021; 18: 345- 62.

[12]

Kraehenbuehl L , Weng C-H , Eghbali S et al. Enhancing immunotherapy in cancer by targeting emerging immunomodulatory pathways. Nat Rev Clin Oncol 2022; 19: 37- 50.

[13]

Forde PM , Chaft JE , Smith KN et al. Neoadjuvant PD-1 blockade in resectable lung cancer. N Engl J Med 2018; 378: 1976- 86.

[14]

Alburquerque-Bejar JJ , Navajas-Chocarro P , Saigi M et al. MYC activation impairs cell-intrinsic IFNγ signaling and confers resistance to anti-PD1/PD-L1 therapy in lung cancer. Cell Rep Med 2023; 4: 101006.

[15]

Lei Q , Wang D , Sun K et al. Resistance mechanisms of anti-PD1/PDL1 therapy in solid tumors. Front Cell Dev Biol 2020; 8: 672.

[16]

Schluns KS , Kieper WC , Jameson SC et al. Interleukin-7 mediates the homeostasis of naïve and memory CD8 T cells in vivo. Nat Immunol 2000; 1: 426- 32.

[17]

Lynch DH , Namen AE , Miller RE . In vivo evaluation of the effects of interleukins 2, 4 and 7 on enhancing the immunotherapeutic efficacy of anti-tumor cytotoxic T lymphocytes.Eur J Immunol 1991; 21: 2977- 85.

[18]

Londei M , Verhoef A , Hawrylowicz C et al. Interleukin 7 is a growth factor for mature human T cells. Eur J Immunol 1990; 20: 425- 8.

[19]

Kim K-I , Lee W-S , Kim J-H et al. Safety and efficacy of the intra-articular injection of mesenchymal stem cells for the treatment of osteoarthritic knee: a 5-year follow-up study. Stem Cells Transl Med 2022; 11: 586- 96.

[20]

Zhou J , Jin L , Wang F et al. Chimeric antigen receptor T (CAR-T) cells expanded with IL-7/IL-15 mediate superior antitumor effects. Protein Cell 2019; 10: 764- 9.

[21]

Chen N , Morello A , Tano Z et al. CAR T-cell intrinsic PD-1 checkpoint blockade: a two-in-one approach for solid tumor immunotherapy. Oncoimmunology 2017; 6: e1273302.

[22]

Adusumilli PS , Zauderer MG , Rivière I et al. A phase I trial of regional mesothelin-targeted CAR T-cell therapy in patients with malignant pleural disease, in combination with the anti-PD-1 agent pembrolizumab. Cancer Discov 2021; 11: 2748- 63.

[23]

Rafiq S , Yeku OO , Jackson HJ et al. Targeted delivery of a PD-1-blocking scFv by CAR-T cells enhances anti-tumor efficacy in vivo. Nat Biotechnol 2018; 36: 847- 56.

[24]

Jin L , Cao L , Zhu Y et al. Enhance anti-lung tumor efficacy of chimeric antigen receptor-T cells by ectopic expression of C-C motif chemokine receptor 6. Sci Bull (Beijing) 2021; 66: 803- 12.

[25]

Hellmann MD , Paz-Ares L , Bernabe Caro R et al. Nivolumab plus ipilimumab in advanced non-small-cell lung cancer. N Engl J Med 2019; 381: 2020- 31.

[26]

Reck M , Rodríguez-Abreu D , Robinson AG , et al. ; KEYNOTE-024 Investigators Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer. N Engl J Med 2016; 375: 1823- 33.

[27]

Kaiser FMP , Janowska I , Menafra R et al. IL-7 receptor signaling drives human B-cell progenitor differentiation and expansion.Blood 2023; 142: 1113- 30.

[28]

Dickinson GS , Levenson EA , Walker JA et al. IL-7 enables antibody responses to bacterial polysaccharides by promoting B cell receptor diversity. J Immunol 2018; 201: 1229- 40.

[29]

Michaud A , Dardari R , Charrier E et al. IL-7 enhances survival of human CD56bright NK cells. J Immunother 2010; 33: 382- 90. 33.

[30]

Su N , Shi SX , Zhu X et al. Interleukin-7 expression and its effect on natural killer cells in patients with multiple sclerosis. J Neuroimmunol 2014; 276: 180- 6.

[31]

Boudil A , Matei IR , Shih H-Y et al. IL-7 coordinates proliferation, differentiation and Tcra recombination during thymocyte β-selection. Nat Immunol 2015; 16: 397- 405.

[32]

Mazzucchelli R , Durum SK . Interleukin-7 receptor expression:intelligent design. Nat Rev Immunol 2007; 7: 144- 54.

[33]

Raeber ME , Zurbuchen Y , Impellizzieri D et al. The role of cytokines in T-cell memory in health and disease. Immunol Rev 2018; 283: 176- 93.

[34]

Bradley LM , Haynes L , Swain SL . IL-7: maintaining T-cell memory and achieving homeostasis. Trends Immunol 2005; 26: 172- 6.

[35]

Rosenberg SA , Sportès C , Ahmadzadeh M et al. IL-7 administration to humans leads to expansion of CD8+ and CD4+ cells but a relative decrease of CD4+ T-regulatory cells. J Immunother 2006; 29: 313- 9.

[36]

Ramaswami R , Kask AS , D'Amico L et al. Phase I study of efineptakin alfa (NT-I7) for the treatment of kaposi sarcoma. J Immunother Cancer 2025; 13: e010291.

[37]

Luo H , Su J , Sun R et al. Coexpression of IL7 and CCL21 increases efficacy of CAR-T cells in solid tumors without requiring preconditioned lymphodepletion. Clin Cancer Res 2020; 26: 5494- 505.

[38]

Adachi K , Kano Y , Nagai T et al. IL-7 and CCL19 expression in CAR-T cells improves immune cell infiltration and CAR-T cell survival in the tumor. Nat Biotechnol 2018; 36: 346- 51.

[39]

Ma X , Shou P , Smith C et al. Interleukin-23 engineering improves CAR T cell function in solid tumors.Nat Biotechnol 2020; 38: 448- 59.

[40]

Alizadeh D , Wong RA , Yang X et al. IL15 enhances CAR-T cell antitumor activity by reducing mTORC1 activity and preserving their stem cell memory phenotype. Cancer Immunol Res 2019; 7: 759- 72.

[41]

Gumber D , Wang LD . Improving CAR-T immunotherapy:overcoming the challenges of T cell exhaustion. EBioMedicine 2022; 77: 103941.

[42]

He C , Zhou Y , Li Z et al. Co-Expression of IL-7 improves NKG2D-Based CAR T cell therapy on prostate cancer by enhancing the expansion and inhibiting the apoptosis and exhaustion. Cancers (Basel) 2020; 12: 1969.

[43]

Sun Y , Dong Y , Sun R et al. Chimeric anti-GPC3 sFv-CD3ε receptor-modified T cells with IL7 co-expression for the treatment of solid tumors. Mol Ther Oncolytics 2022; 25: 160- 73.

[44]

Zhang C , Liu T , Li S et al. Membrane-bound IL-7 immobilized by the CD8 transmembrane region improves efficacy of CD19 CAR-T cell therapy. Mol Cancer 2024; 23: 236.

[45]

Gray KD , McCloskey JE , Vedvyas Y et al. PD1 blockade enhances ICAM1-directed CAR T therapeutic efficacy in advanced thyroid cancer. Clin Cancer Res 2020; 26: 6003- 16.

[46]

Li F , Zhang Z , Xuan Y et al. PD-1 abrogates the prolonged persistence of CD8+ CAR-T cells with 4-1BB co-stimulation. Signal Transduct Target Ther 2020; 5: 164.

[47]

Wang A , Lv T , Song Y . Tandem CAR-T cells targeting MUC1 and PSCA combined with anti-PD-1 antibody exhibit potent preclinical activity against non-small cell lung cancer.Cell Immunol 2023; 391-392: 104760.

[48]

Campian JL , Ghosh S , Kapoor V et al. Long-acting recombinant human interleukin-7, NT-I7, increases cytotoxic CD8 T cells and enhances survival in mouse glioma models. Clin Cancer Res 2022; 28: 1229- 39.

[49]

Cherkassky L , Morello A , Villena-Vargas J et al. Human CAR T cells with cell-intrinsic PD-1 checkpoint blockade resist tumor-mediated inhibition. J Clin Invest 2016; 126: 3130- 44.

[50]

Kovacech B , Fialova L , Filipcik P et al. Monoclonal antibodies targeting two immunodominant epitopes on the spike protein neutralize emerging SARS-CoV-2 variants of concern. EBioMedicine 2022; 76: 103818.

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