Here, we describe a method for transducing human T cells with luciferase to facilitate in vivo tracking of bispecific antibody-induced T cell trafficking to tumors in studies to evaluate the anti-tumor efficacy and mechanism of T cell-engaging bispecific antibodies.
T cell-engaging bispecific antibodies (T-BsAbs) are in various stages of preclinical development and clinical testing for solid tumors. Factors such as valency, spatial arrangement, interdomain distance, and Fc mutations affect the anti-tumor efficacy of these therapies, commonly by influencing the homing of T cells to tumors, which remains a major challenge. Here, we describe a method to transduce activated human T cells with luciferase, allowing in vivo tracking of T cells during T-BsAb therapy studies. The ability of T-BsAbs to redirect T cells to tumors can be quantitatively evaluated at multiple time points during treatment, allowing researchers to correlate the anti-tumor efficacy of T-BsAbs and other interventions with the persistence of T cells in tumors. This method alleviates the need to sacrifice animals during treatment to histologically assess T cell infiltration and can be repeated at multiple time points to determine the kinetics of T cell trafficking during and after treatment.
T cell-engaging bispecific antibodies (T-BsAbs) are engineered antibodies used to provide artificial specificity to polyclonal T cells by engaging T cells through one binding arm and a tumor antigen through another binding arm. This technology has been successfully applied to hematological cancers (CD19-targeting blinatumomab1), and numerous T-BsAbs are in preclinical and clinical development for a variety of solid tumors as well2. T-BsAbs engage polyclonal T cells in a major histocompatibility complex (MHC)-independent manner, and therefore even tumors that downregulate human leukocyte antigens (HLAs) are susceptible to this type of therapy3,4. T-BsAbs have been developed in dozens of different formats, with differences in the valency and spatial arrangement of the T cell and tumor binding arms, interdomain distances, and the inclusion of an Fc domain, which affects the half-life and can induce effector functions if present5. Previous work in our lab has shown that these factors significantly affect the anti-tumor efficacy of T-BsAbs, with up to 1,000-fold differences in potency6. Through this work, we identified the IgG-[L]-scFv format as the ideal platform for T-BsAbs (see Representative Results section for more detail regarding T-BsAb formats), and have applied this platform to targets including GD2 (neuroblastoma), HER2 (breast cancer and osteosarcoma), GPA33 (colorectal cancer), STEAP1 (Ewing Sarcoma), CD19 (B cell malignancies), and CD33 (B cell malignancies)7,8,9,10,11,12,13.
One of the major challenges to successfully implementing T-BsAb therapy in solid tumors is overcoming an immunosuppressive tumor microenvironment (TME) to drive T cell trafficking to tumors14. The factors affecting T-BsAb efficacy described above have a significant impact on the ability of T-BsAbs to effectively induce T cell homing to tumors, but this effect is difficult to evaluate in an in vivo system in real time. This manuscript provides a detailed description of the use of luciferase-transduced T cells in preclinical studies of T-BsAbs to evaluate T cell trafficking to various tissues in experimental immunocompromised mouse models during treatment. The overall goal of this method is to provide a means to evaluate T cell infiltration in tumors and other tissues, as well as real-time insight into T cell homing kinetics and persistence, without the need to sacrifice animals during treatment. For the increasing number of researchers focusing on cellular immunotherapies, the ability to track T cells in vivo in preclinical animal models is crucial. We aim to provide a thorough, detailed description of the method we have employed for tracking luciferase-transduced T cells to enable other researchers to easily replicate this technique.
The following procedures have been evaluated and approved by Memorial Sloan Kettering's Institutional Animal Care and Use Committee.
1. Transfection of 293T cells with luciferase and harvest of viral supernatant
2. Expansion and transduction of activated human T cells with luciferase
3. Engraftment of luciferase-transduced T cells in immunocompromised mice
4. In vivo imaging of mice engrafted with luciferase-transduced T cells
NOTE: This step is to be performed on the day of imaging, which is not necessarily the same day that the T cells and/or antibodies are administered to the mice. Typically, we perform imaging 24 h after administration of the luciferase-transduced T cells.
As described in step 4.3, mice can be oriented in different positions during imaging to evaluate the presence of T cells in different tissues. Supine positioning allows for the assessment of T cells in the lungs, which is common at early time points after injection. Lateral positioning with the subcutaneous xenograft facing up is used to best assess T cell trafficking to the tumor. Female C.Cg-Rag2tm1Fwa Il2rgtm1Sug/JicTac mice were used for all experiments described in this manuscript. Figure 1 shows images from an experiment in which mice bearing GD2-positive xenografts were treated with either luciferase-transduced T cells armed ex vivo with a GD2 BsAb or luciferase-transduced T cells and GD2 BsAb injected separately17. Figure 1A shows that armed T cells trafficked to the tumor faster than unarmed T cells (Figure 1B), leaving the lungs 2 days sooner. Figure 1C shows the quantification of this phenomenon. Figure 1E–G shows that it is possible to monitor T cell trafficking for at least 28 days post-injection of the luciferase-transduced T cells, allowing researchers to track T cell homing and persistence throughout the course of treatment, unlike other techniques such as immunohistochemistry (IHC) which allow only a snapshot of T cell infiltration.
Without the ability to assess T cell trafficking in vivo, researchers testing T-BsAbs are unable to determine whether or not T cells are infiltrating and persisting in tumors during treatment. If a treatment fails, without sacrificing animals and performing IHC, it can be difficult or impossible to know whether the failure was due to a lack of T cell trafficking, persistence, T cell exhaustion, or some other cause. Figure 2A–C shows an experiment in which mice bearing breast cancer patient-derived xenografts were treated with luciferase-transduced human T cells and HER2-targeted BsAbs bearing different mutations to silence Fc functions7. Figure 2C shows that treatment with the HER2 BsAb with an unsilenced Fc had no effect on tumor growth compared to a control BsAb, whereas treatment with HER2 BsAbs containing an N297A mutation alone or in combination with a K322A mutation were able to completely halt tumor growth. Figure 2A and Figure 1B show that in groups with the silencing mutations, T cells' luminescence signal reached a higher peak on day 3 post-injection and persisted at a higher level compared to control BsAb and unsilenced HER2 BsAb. Follow-up experiments showed that in mice treated with T cells and BsAbs with unsilenced Fcs, the T cells in perivascular regions of the lungs were surrounded by murine neutrophils and macrophages, suggesting an Fc-dependent sequestration of the BsAb-bound T cells which prevents migration to the tumor. The pro-tumorigenic effect of tumor-resident M2-polarized macrophages has been well described. Figure 3A,B shows that in mice bearing neuroblastoma patient-derived xenografts (PDXs), depletion of Ly6c-positive macrophages significantly increases T cell homing to tumors, resulting in decreased tumor growth and prolonged survival (Figure 3C)18. This effect is even more pronounced in osteosarcoma PDXs (Figure 3D).
In vivo T cell tracking also allows researchers to monitor how T cell trafficking kinetics are affected by other variables in antibody engineering, including structural configuration. As described in the introduction of this article, previous work in our lab underlined the importance of bivalency and cis orientation of the tumor- and T cell-binding arms for the in vivo efficacy of BsAbs. Figure 4 shows that among a panel of BsAbs targeting the tumor antigen STEAP1 (Figure 4A), the IgG-[L]-scFv format resulted in significantly more T cell infiltration on day 6 after the first dose of T cells, which persisted for the duration of treatment (Figure 4C)10. This phenomenon was not predicted by in vitro cytotoxicity assays (Figure 4B), emphasizing the importance of confirming in vitro results in in vivo models.
Figure 1: Armed T cells exhibit faster tumor homing kinetics than BsAb-directed unarmed T cells, rapidly bypassing lung sequestration. Luciferase-transduced T cells were expanded and armed with BsAb (Luc(+) GD2-EATs). Luc(+) GD2-EATs (10 µg of GD2-BsAb/2×107 T cells) or Luc(+) unarmed T cells (2 x 107 cells) with or without GD2-BsAb (10 µg) were administered intravenously into GD2-positive neuroblastoma PDX-bearing mice when the average tumor volume reached 100 mm3. (A) Bioluminescence images of GD2-EATs trafficking into tumors. (B) Bioluminescence images of GD2 BsAb-directed unarmed T cell trafficking into tumors over days. (C) Quantitation of T cell infiltration into tumors over time measured by bioluminescence (n = 5 mice/group) expressed as total flux or radiance (photons/s) per pixel integrated over the tumor contour (ROI). (D) Tumor growth curves of individual mice treated with GD2-EATs, GD2-BsAb plus unarmed T cells, or unarmed T cells. To test the in vivo persistence of target antigen-specific EATs, Luc(+) GD2-EATs (armed with 10 µg of GD2-BsAb/2×107 T cells) or Luc(+) HER2-EATs (10 µg of HER2-BsAb/2×107 T cells) were intravenously administered into osteosarcoma TEOS1C PDX-bearing mice. Two additional doses of non-luciferase transduced GD2-EATs or HER2-EATs were administered on day 7 and day 14. (E) Quantitation of bioluminescence of Luc(+) EATs in tumors post-treatment. (F) Tumor growth curves of individual mice treated with GD2-EATs, HER2-EATs, or unarmed T cells, or no treatment. (G) Bioluminescence images of Luc(+) GD2-EATs (upper) or Luc(+) HER2-EATs (lower) in tumors over time. Bioluminescence of Luc(+) EATs was detected over 28 days post-injection. Abbreviations: EATs = ex vivo armed T cells; ROI = region of interest. Error bars indicate the standard error of the mean. This figure has been modified from Park et al.17. Please click here to view a larger version of this figure.
Figure 2: T cell trafficking into HER2-positive human breast cancer PDX in DKO mice. (A) Representative bioluminescence images of T cell trafficking. (B) Quantitation of T cell trafficking into tumors over time by bioluminescence (n = 5 mice/group) expressed as total flux or radiance (photons/s) in each pixel integrated over the entire tumor contour (ROI). (C) HER2-positive breast cancer PDX (M37) growth (n = 5 mice/group) after treatment with Ctrl BsAb, HER2 BsAb, and its Fc mutants. The results shown are representative results from at least three independent experiments. The significant differences were calculated based on the area under the curve (AUC). Error bars indicate the standard error of the mean. This figure has been modified from Wang et al.7. Please click here to view a larger version of this figure.
Figure 3: The effects of monocyte depletion on BsAb directed T cell trafficking and in vivo anti-tumor response. (A) Luciferase transduced T cells (Luc(+) T cells) or luciferase transduced GD2-BsAb armed T cells (Luc(+) GD2-EATs) were administered with anti-Ly6C antibody to the mice bearing a neuroblastoma patient-derived xenograft (PDX). (B) Bioluminescence in the lesions of the tumor was monitored. The bioluminescence images on day 7 and quantification of the bioluminescence in the lesions of the tumor. (C) In vivo anti-tumor response by GD2-EATs with anti-Ly6C antibody was tested against neuroblastoma PDXs. (D) In vivo anti-tumor effect of GD2-EATs with anti-Ly6C antibody was tested against osteosarcoma PDXs, and long-term survival was analyzed. Error bars indicate the standard error of the mean. In vivo anti-tumor effect was compared by the AUC and survival curve analyses. Tumor-infiltrating lymphocytes were quantified using the AUC of bioluminescence. Differences between samples indicated in the figure were tested for statistical significance using a two-tailed Student's t-test for two sets of data and one-way ANOVA with Tukey's post hoc test for three or more sets of data. * p < 0.05; ** p < 0.01; *** p < 0.001; **** p < 0.0001. This figure has been modified from Park et al.18. Please click here to view a larger version of this figure.
Figure 4: Anti-tumor activities of anti-STEAP1 T cell-engaging bispecific antibody. (A) Schematic representation of the six structural formats of STEAP1 BsAb. (B) Antibody-dependent T cell-mediated cytotoxicity (ADTC) assay against EFT cell lines (TC32 ad TC71) using different formats of STEAP1 BsAb. Effector to target (ET) cell ratio was 10:1. (C) Bioluminescence imaging (BLI) of Luc(+) T cells armed with six different formats of STEAP1 BsAb on (a) day 6 and (b) day 18 post-treatment and quantitation of bioluminescence intensity in the lesions of the tumor. Luciferase transduced T cells (Luc(+) T cells) were armed with various formats of STEAP1 BsAb (10 µg of STEAP1 BsAb/2 x 107 T cells) and administered with supplementary IL-2 (1,000 IU/dose) to the mice bearing EFT PDXs (ES15a), and the BLIfollowed. Abbreviations: EFT = Ewing sarcoma family of tumors; PDXs = patient-derived tumor xenografts; STEAP = six-transmembrane epithelial antigen of prostate. Error bars indicate standard error of the mean. Tumor-infiltrating lymphocytes were quantified by calculating the area under the curve of the bioluminescence. Differences between samples indicated in the figure were tested for statistical significance using one-way ANOVA with Tukey's post hoc test. **** p < 0.0001. This figure has been modified from Lin et al.10. Please click here to view a larger version of this figure.
While the T-BsAb blinatumomab has been approved for CD19-positive hematological malignancies, the successful implementation of T-BsAbs in solid tumors has proven much more difficult. Catumaxomab, a T-BsAb directed against epithelial cell adhesion molecule (EPCAM), was approved for the treatment of malignant ascites in ovarian cancer patients, but production of the drug was subsequently halted for commercial reasons19. No other T-BsAbs have been approved for solid tumors, underlining the challenges associated with this type of therapy. Toxicity due to cytokine release syndrome (CRS) is a common issue, although this can be managed with steroids and cytokine inhibitors. In addition to toxicity, a lack of efficacy is common in trials of T-BsAbs for solid tumors. Inducing T cell trafficking and persistence in the tumor has proven difficult, likely owing to various immunosuppressive factors in the TME14. However, even preclinically, it is often unclear why a T-BsAb that performs well in vitro fails to effectively treat tumors in vivo.
The method for tracking T cells in vivo in real time described in this article is useful to researchers for several reasons. Monitoring T cell homing provides mechanistic insight into why certain T-BsAbs succeed or fail by allowing researchers to determine when T cell trafficking has begun and for how long the T cells have persisted in the tumor during therapy. The method can be repeated at multiple time points, allowing researchers to plot the kinetics of T cell homing over the course of several weeks. (Representative results in Figure 1 show that T cells persist in the tumor for at least 28 days.) In vivo imaging of luciferase-transduced T cells also eliminates the need to sacrifice animals during treatment for histological assessment of T cell infiltration, reducing the overall cost and the number of animals needed per experiment. Because the imaging can be repeated as often as required, it also allows for a much easier and more thorough evaluation of T cell homing kinetics compared to histological analysis, which is essentially a snapshot of a single time point unless multiple animals are sacrificed at different time points.
The most critical step of this method is the successful transduction of T cells with the luciferase construct. Unsuccessful transduction can lead to T cell death or a lack of luciferase signal in vivo. If T cells are not expanding as expected after transduction, it may be possible to reduce the viral titer with which they are transduced in order to reduce potential toxicity from the transduction process. Another approach would be to wait another day between T cell expansion steps to allow for the T cells to become more confluent before expanding them into a larger cell culture vessel. Before injecting the T cells into the mice, it is a good idea to confirm transduction success using flow cytometry (to check for expression of the TD tomato reporter) or a bioluminescent plate reader. If the transduced T cells are still not visible with bioluminescent imaging, it may be possible that the number of T cells is too low for detection using this technique. Rabinovich et al. describe a similar method using enhanced firefly luciferase to detect as few as 10 murine T cells, which may be implemented in situations requiring this level of sensitivity20.
In summary, in vivo tracking of luciferase-transduced T cells provides a valuable tool for researchers studying T-BsAbs in immunocompromised mouse models of cancer. In addition to the applications discussed above, this method of T cell tracking has been applied to chimeric antigen receptor (CAR) T cells and could ostensibly be applied to syngeneic mouse models utilizing adoptively transferred T cells as well21. We hope that this strategy will be helpful to researchers developing translational T-BsAbs and will lead to an increased success of these therapies in patients with solid tumors.
The authors have nothing to disclose.
The authors would like to thank Dr. Vladimir Ponomarev for sharing the luciferase constructs used in the experiments described in the representative results section of this article.
293T cells | ATCC | CRL-11268 | |
BSA | Sigma Aldrich | A7030-10G | |
CD3/CD28 beads | Gibco (ThermoFisher) | 11161D | |
D-Luciferin, Potassium Salt | Goldbio | LUCK-1G | |
DMEM | Gibco (ThermoFisher) | 11965092 | |
DNA in vitro transfection reagent (polyjet) | SignaGen Laboratories | SL100688 | |
EDTA | Sigma Aldrich | E9884-100G | |
FBS | Gibco (ThermoFisher) | 10437028 | |
Gag/pol plasmid | Addgene | 14887 | |
GFP plasmid | Addgene | 11150-DNA.cg | |
Penicilin-Streptomycin | Gibco (ThermoFisher) | 15140122 | |
Recombinant human IL-2 | R&D Systems | 202-IL-010/CF | |
Retronectin | Takara | T100B | |
Trypsin | Gibco (ThermoFisher) | 25-300-120 | |
VSV-G plasmid | Addgene | 8454 |