Overexpression of CXCR4 Enhances the Efficacy of CAR-T Therapy for Acute Myeloid Leukemia (ASH 2022)
Next, to better mimic the BM microenvironment features, we employed the supernatant of MSCs derived from healthy donors (HDs) or AML patients as a chemotactic stimulus and showed that both CXCR4-overexpressing CD33.CAR-CIK cells demonstrated increased chemotaxis toward HD- and AML-derived MSC supernatants compared to control (n = 14), which was abrogated by CXCR4 antagonist plerixafor...Moreover, CD33.CAR-CIK co-expressing CXCR4WT exerted a superior control of AML progression, with the median survival time increased from 57.5, 77.5, and 87.5 days in the untreated, CD33.CAR+-CIK and CD33.CAR+-CXCR4MUT-CIK groups, respectively, to 110 days in the CD33.CAR+-CXCR4WT-CIK group (p < 0.0001, log-rank test). Taken together, these data show arming CAR-CIK cells with CXCR4 may represent a promising strategy to increase their therapeutic potential for AML.