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◆ Journal of hematology & oncology2026-07-30

A modular γδ TCR-T platform combining KRAS pMHC targeting with re-dosable mRNA engager redirection.

Ángel Ramírez-Fernández, Adham S Bear, Elahe Kamali, Robert Bartoszek, Matthew Ho, Gregory M Chen, Devin Dersh, Laura Córdoba-Espejo, Jiageng Liu, Mosha Deng, Miriam Velasco-Sidro, Ankita Jain, Julia Han Noll, Caitlin R Hopkins, Owen Koucky, Janna Minehart, Alexander J Dimitri, Erik Williams, Maya Lavorando, Alejandro Segura-Tudela, John Scholler, Julie Barber-Rotenberg, Julie K Jadlowsky, Daniel J Powell, Anne Chew, Vanessa E Gonzalez, Donald L Siegel, Bruce L Levine, Michael T Lotze, Carl H June, James L Riley, Robert H Vonderheide, Friederike Herbst, Joseph A Fraietta

原始摘要(英文原文)· Original abstract
Solid tumors often evade TCR-engineered αβ T cells when antigen expression varies or when the restricting Human Leukocyte Antigen (HLA) allele is lost. γδ T cells, in contrast, detect cellular dysregulation through non-peptide/Major Histocompatibility Complex (MHC) cues, including phosphoantigens and stress ligands, and can be developed as allogeneic therapies. Although intratumoral γδ T cell signatures are associated with improved outcome across cancers, γδ recognition itself is broad and still selected within the thymus just as αβ T cell receptors (TCRs) are. It does not, however, anchor specificity to a defined driver-mutation pMHC epitope. We therefore asked whether a high-affinity, co-receptor-independent αβ TCR could graft oncogenic-driver specificity onto γδ T cells while leaving the endogenous γδ TCR intact. We knocked the KRASG12V/HLA-A*11:01 TCR A11v into primary human γδ T cells. Engineered cells co-expressed the transgenic αβ TCR and the endogenous γδ TCR and lysed KRASG12V/HLA-A*11:01+ tumor cells in vitro and in vivo. To cover potential resistance through loss of HLA-A*11:01, we delivered an mRNA lipid nanoparticle (LNP) encoding a secreted mesothelin×CD3 (M5) bispecific T cell engager (TCE). LNP-M5 produced circulating TCE that redirected γδ A11v T cells and polyclonal bystander T cells to kill mesothelin+ targets, accompanied by development of higher γδ A11v T cell counts in vivo. In humanized mice bearing mixed HLA-A*11:01+ and HLA-A*11:01 - KRASG12V tumors, γδ A11v T cells produced transient control, whereas adding LNP-M5 yielded complete responses and prolonged survival. Thus, this two-part therapy couples invariant driver targeting to tunable redirection and addresses loss of the restricting HLA allele, a central escape route for TCR-based therapy. It provides an off-the-shelf reagent to enable KRAS-anchored treatment with the ability to redeliver the reagent.
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A modular γδ TCR-T platform combining KRAS pMHC targeting with re-dosable mRNA engager redirection. — 科研速览 Science Skim