Development of GPC3 Targeting CAR-NK Cell with IL-15 Secretion for Treatment of Hepatocellular Carcinoma (#208)
Hepatocellular carcinoma (HCC) accounts for 80% of liver cancers and remains a leading cause of cancer-related mortality. Glypican-3 (GPC3) has been identified as a promising target for immunotherapy due to its selective expression on HCC cells. Anti-GPC3 chimeric antigen receptor (CAR) immune therapies are currently under active investigation, with many clinical trials in progress. However, further optimization of the antigen-binding domain could be important for enhancing therapeutic efficacy. In this study, we engineered a novel GPC3 CAR-natural killer (NK) cells incorporating a high-affinity single-chain variable fragment (scFv) for enhanced tumor targeting. Furthermore, interleukin-15 (IL-15) was co-expressed in the CAR construct to improve NK cell persistence and sustained anti-tumor activity.
Using a synthetic Fab library and phage display panning, 13 anti-GPC3 scFv clones were identified, and two high-affinity scFv candidates (#54, #65) were selected for their strong binding to GPC3-positive HepG2 cells. CAR constructs (each GPC3 scFv-41BB-CD3ΞΆ) were designed, with or without expression of IL-15. CAR-NK92 cells were stably produced with comparable transduction efficiencies across all constructs.
Both scFv-based CAR-NK cells exhibited significant cytotoxicity against various HCC cell lines. Secretion of IL-15 was exclusively detected in GPC3-IL15 CAR-NK cells and promoted their prolonged survival under cytokine-deprived conditions, emphasizing the role of IL-15 in sustaining CAR-NK cell function. In a Hep3B subcutaneous tumor mouse model, intravenous administration of GPC3(#65)-IL15 CAR-NK cells resulted in significant tumor suppression and enhanced survival rates compared to IL-15-expressing NK cell controls. Notably, NK cell homing to tumor sites was exclusively observed in the GPC3-IL15 CAR-NK cell-treated group, indicating enhanced antigen-specific tumor targeting.
We successfully developed GPC3-targeting CAR-NK cells using our newly identified scFv sequences. Our scFv selection strategy and IL-15 co-expression significantly improved the GPC3-specific targeting and persistence of NK cell. This study advances CAR-NK cell therapy for HCC, offering a promising approach for improved therapeutic outcomes.