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TCR T cells targeting IgA- and IgG-expressing multiple myeloma - PubMed

3 hours ago
  • #TCR T cells
  • #multiple myeloma
  • #immunotherapy
  • TCR T cells targeting IgA- and IgG-expressing multiple myeloma show promise in treating the disease.
  • The constant domains of the immunoglobulin heavy chain (IgH) are identified as novel targets for therapeutic T cell receptors (TCRs).
  • IGH expression is high and homogeneous in over 95% of multiple myeloma (MM) patients.
  • Peptides from IgA and IgG constant regions were eluted from HLA-A*02:01, and reactive TCRs were isolated from healthy donors.
  • Engineered T cells with TCRs specific for IgA or IgG selectively eliminated MM cells in vitro from 20 HLA-A*02:01+ patients.
  • In vivo, IgA-TCR T cells eradicated IgA+HLA-A*02:01+ MM cells in xenograft models and reduced circulating IgA in humanized mice.
  • This approach could make ~40% of patients of European descent eligible for TCR T cell therapy and may be applicable to lymphoma and autoimmune diseases.