Determination of CAR T cell metabolism in an optimized protocol

Adoptive transfer of T cells modified to express chimeric antigenic receptors (CAR) has emerged as a solution to cure refractory malignancies. However, although CAR T cell treatment of haematological cancers has now shown impressive improvement in outcome, solid tumours have been more challenging to control. The latter type is protected by a strong tumour microenvironment (TME) which might impact cellular therapeutic treatments. Indeed, the milieu around the tumour can become particularly inhibitory to T cells by directly affecting their metabolism. Consequently, the therapeutic cells become physically impeded before being able to attack the tumour. It is therefore extremely important to understand the mechanism behind this metabolic break in order to develop TME-resistant CAR T cells. Historically, the measurement of cellular metabolism has been performed at a low throughput which only permitted a limited number of measurements. However, this has been changed by the introduction of real-time technologies which have lately become more popular to study CAR T cell quality. Unfortunately, the published protocols lack uniformity and their interpretation become confusing. We herein tested the essential parameters to perform a metabolic study on CAR T cells and propose a check list of factors that should be set in order to draw sound conclusion

Extracorporeal Membrane Oxygenation for Severe Acute Respiratory Distress Syndrome associated with COVID-19: An Emulated Target Trial Analysis.

RATIONALE: Whether COVID patients may benefit from extracorporeal membrane oxygenation (ECMO) compared with conventional invasive mechanical ventilation (IMV) remains unknown. OBJECTIVES: To estimate the effect of ECMO on 90-Day mortality vs IMV only Methods: Among 4,244 critically ill adult patients with COVID-19 included in a multicenter cohort study, we emulated a target trial comparing the treatment strategies of initiating ECMO vs. no ECMO within 7 days of IMV in patients with severe acute respiratory distress syndrome (PaO2/FiO2 <80 or PaCO2 ≥60 mmHg). We controlled for confounding using a multivariable Cox model based on predefined variables. MAIN RESULTS: 1,235 patients met the full eligibility criteria for the emulated trial, among whom 164 patients initiated ECMO. The ECMO strategy had a higher survival probability at Day-7 from the onset of eligibility criteria (87% vs 83%, risk difference: 4%, 95% CI 0;9%) which decreased during follow-up (survival at Day-90: 63% vs 65%, risk difference: -2%, 95% CI -10;5%). However, ECMO was associated with higher survival when performed in high-volume ECMO centers or in regions where a specific ECMO network organization was set up to handle high demand, and when initiated within the first 4 days of MV and in profoundly hypoxemic patients. CONCLUSIONS: In an emulated trial based on a nationwide COVID-19 cohort, we found differential survival over time of an ECMO compared with a no-ECMO strategy. However, ECMO was consistently associated with better outcomes when performed in high-volume centers and in regions with ECMO capacities specifically organized to handle high demand. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Développement d'un vecteur protéique pour la génération sécurisée de cellules souches pluripotentes induites

The generation of induced Pluripotent Stem Cell (iPSC) holds great promise for regenerative medicine, disease modelling and drug screening. Leading the original cell to an iPSC has been originally made by the forced expression of Transcription Factors (TF) involved in embryonic stem cells. Since the discovery of those mechanisms, many teams have engineered iPSC by well-defined cell culture tools such as the use of retroviruses in order to express TF. Those techniques use genetic material. Delivery techniques have evolved but most of reprogramming experiments still need TF. Development of alternative strategies has been conducted in a context of clinical application but still needs to be accepted by ethics comities. Thus, the use of recombinant proteins instead of genetic material is safe and rational but the challenge is to access the intracellular medium. In this context, our laboratory has developed a cell-penetrating peptide (CPP) based on the Epstein-Barr virus ZEBRA TF. The sequence implicated in cellular uptake has been characterized and is named MD (Minimal Domain). It is able to translocate high molecular weight proteins in an endocytosis-independent mechanism, allowing the internalization of cargos in fully biologically active form. Here we develop 6 MD fusions at the N-terminus of the following TF: Oct4, Sox2, Klf4, cMyc, Nanog & Lin28. This domain does not interfere with Oct4 capacity to associate with its own DNA sequence. Moreover, MD fused proteins transduce in vitro treated cells in 30 minutes to 1 hour ; MD-Oct4 & MD-Nanog can be localized in the nucleus after 3 hours only. In a context of reprogramming experiences, the combination of MD-Oct4, MD-Sox2, MD-Nanog and MD-Lin28 in repeated treatment leads to the activation of target genes transcription such as those constituting the pluripotency network.La génération de cellules souches pluripotentes induites (iPSC) est très prometteuse en médecine régénérative, pour la modélisation physiopathologique et le criblage de nouveaux médicaments. A l’origine, des cellules somatiques ont été reprogrammées en iPSC par l'expression forcée de facteurs de transcription (FT) impliqués dans les cellules souches embryonnaires. Depuis, de nombreuses lignées d’iPSC ont été générées mais les vecteurs actuels les plus représentés et efficaces pour exprimer les FT sont les virus intégratifs. Ils comportent du matériel génétique. Des stratégies alternatives ont été développées dans un contexte de sécurisation et de transfert clinique mais sont ont encore besoin d’être acceptées par les comités d’éthique. La méthode la plus sûre et rationnelle serait alors d’apporter ces FT directement sous forme protéique mais le défi est de traverser les membranes. Dans ce contexte, notre laboratoire a développé un peptide de pénétration cellulaire (CPP) basé sur le FT ZEBRA du virus d’Epstein-Barr. La séquence impliquée dans la prise en charge cellulaire a été caractérisée au laboratoire et se nomme MD (Minimal Domain). Elle est capable de vectoriser des protéines et des biomolécules de haut poids moléculaire via un mécanisme indépendant de l'endocytose, permettant leur internalisation sous une forme biologiquement active. Dans ce projet, nous avons produit et purifié les protéines Oct4, Sox2, Nanog, Lin28, Klf4 et c-Myc chacune fusionnée au CPP MD. Ce domaine n'interfère pas avec la capacité d'Oct4 à lier sa séquence cible d’ADN. Le traitement in vitro de cellules primaires conduit à l’internalisation des protéines MD en 30 minutes à 1 heure. MD-Oct4 et MD-Nanog peuvent être localisés au noyau en 3 heures. Dans un contexte de reprogrammation, la combinaison de MD-Oct4, MD-Sox2, MD-Nanog et MD-Lin28 lors de traitements répétés conduit à l'activation transcriptionnelle de gènes cibles composant le réseau de pluripotence

Développement d'un vecteur protéique pour la génération sécurisée de cellules souches pluripotentes induites

The generation of induced Pluripotent Stem Cell (iPSC) holds great promise for regenerative medicine, disease modelling and drug screening. Leading the original cell to an iPSC has been originally made by the forced expression of Transcription Factors (TF) involved in embryonic stem cells. Since the discovery of those mechanisms, many teams have engineered iPSC by well-defined cell culture tools such as the use of retroviruses in order to express TF. Those techniques use genetic material. Delivery techniques have evolved but most of reprogramming experiments still need TF. Development of alternative strategies has been conducted in a context of clinical application but still needs to be accepted by ethics comities. Thus, the use of recombinant proteins instead of genetic material is safe and rational but the challenge is to access the intracellular medium. In this context, our laboratory has developed a cell-penetrating peptide (CPP) based on the Epstein-Barr virus ZEBRA TF. The sequence implicated in cellular uptake has been characterized and is named MD (Minimal Domain). It is able to translocate high molecular weight proteins in an endocytosis-independent mechanism, allowing the internalization of cargos in fully biologically active form. Here we develop 6 MD fusions at the N-terminus of the following TF: Oct4, Sox2, Klf4, cMyc, Nanog & Lin28. This domain does not interfere with Oct4 capacity to associate with its own DNA sequence. Moreover, MD fused proteins transduce in vitro treated cells in 30 minutes to 1 hour ; MD-Oct4 & MD-Nanog can be localized in the nucleus after 3 hours only. In a context of reprogramming experiences, the combination of MD-Oct4, MD-Sox2, MD-Nanog and MD-Lin28 in repeated treatment leads to the activation of target genes transcription such as those constituting the pluripotency network.La génération de cellules souches pluripotentes induites (iPSC) est très prometteuse en médecine régénérative, pour la modélisation physiopathologique et le criblage de nouveaux médicaments. A l’origine, des cellules somatiques ont été reprogrammées en iPSC par l'expression forcée de facteurs de transcription (FT) impliqués dans les cellules souches embryonnaires. Depuis, de nombreuses lignées d’iPSC ont été générées mais les vecteurs actuels les plus représentés et efficaces pour exprimer les FT sont les virus intégratifs. Ils comportent du matériel génétique. Des stratégies alternatives ont été développées dans un contexte de sécurisation et de transfert clinique mais sont ont encore besoin d’être acceptées par les comités d’éthique. La méthode la plus sûre et rationnelle serait alors d’apporter ces FT directement sous forme protéique mais le défi est de traverser les membranes. Dans ce contexte, notre laboratoire a développé un peptide de pénétration cellulaire (CPP) basé sur le FT ZEBRA du virus d’Epstein-Barr. La séquence impliquée dans la prise en charge cellulaire a été caractérisée au laboratoire et se nomme MD (Minimal Domain). Elle est capable de vectoriser des protéines et des biomolécules de haut poids moléculaire via un mécanisme indépendant de l'endocytose, permettant leur internalisation sous une forme biologiquement active. Dans ce projet, nous avons produit et purifié les protéines Oct4, Sox2, Nanog, Lin28, Klf4 et c-Myc chacune fusionnée au CPP MD. Ce domaine n'interfère pas avec la capacité d'Oct4 à lier sa séquence cible d’ADN. Le traitement in vitro de cellules primaires conduit à l’internalisation des protéines MD en 30 minutes à 1 heure. MD-Oct4 et MD-Nanog peuvent être localisés au noyau en 3 heures. Dans un contexte de reprogrammation, la combinaison de MD-Oct4, MD-Sox2, MD-Nanog et MD-Lin28 lors de traitements répétés conduit à l'activation transcriptionnelle de gènes cibles composant le réseau de pluripotence

Development of a protein vector for the secure generation of induced pluripotent stem cells

La génération de cellules souches pluripotentes induites (iPSC) est très prometteuse en médecine régénérative, pour la modélisation physiopathologique et le criblage de nouveaux médicaments. A l’origine, des cellules somatiques ont été reprogrammées en iPSC par l'expression forcée de facteurs de transcription (FT) impliqués dans les cellules souches embryonnaires. Depuis, de nombreuses lignées d’iPSC ont été générées mais les vecteurs actuels les plus représentés et efficaces pour exprimer les FT sont les virus intégratifs. Ils comportent du matériel génétique. Des stratégies alternatives ont été développées dans un contexte de sécurisation et de transfert clinique mais sont ont encore besoin d’être acceptées par les comités d’éthique. La méthode la plus sûre et rationnelle serait alors d’apporter ces FT directement sous forme protéique mais le défi est de traverser les membranes. Dans ce contexte, notre laboratoire a développé un peptide de pénétration cellulaire (CPP) basé sur le FT ZEBRA du virus d’Epstein-Barr. La séquence impliquée dans la prise en charge cellulaire a été caractérisée au laboratoire et se nomme MD (Minimal Domain). Elle est capable de vectoriser des protéines et des biomolécules de haut poids moléculaire via un mécanisme indépendant de l'endocytose, permettant leur internalisation sous une forme biologiquement active. Dans ce projet, nous avons produit et purifié les protéines Oct4, Sox2, Nanog, Lin28, Klf4 et c-Myc chacune fusionnée au CPP MD. Ce domaine n'interfère pas avec la capacité d'Oct4 à lier sa séquence cible d’ADN. Le traitement in vitro de cellules primaires conduit à l’internalisation des protéines MD en 30 minutes à 1 heure. MD-Oct4 et MD-Nanog peuvent être localisés au noyau en 3 heures. Dans un contexte de reprogrammation, la combinaison de MD-Oct4, MD-Sox2, MD-Nanog et MD-Lin28 lors de traitements répétés conduit à l'activation transcriptionnelle de gènes cibles composant le réseau de pluripotence.The generation of induced Pluripotent Stem Cell (iPSC) holds great promise for regenerative medicine, disease modelling and drug screening. Leading the original cell to an iPSC has been originally made by the forced expression of Transcription Factors (TF) involved in embryonic stem cells. Since the discovery of those mechanisms, many teams have engineered iPSC by well-defined cell culture tools such as the use of retroviruses in order to express TF. Those techniques use genetic material. Delivery techniques have evolved but most of reprogramming experiments still need TF. Development of alternative strategies has been conducted in a context of clinical application but still needs to be accepted by ethics comities. Thus, the use of recombinant proteins instead of genetic material is safe and rational but the challenge is to access the intracellular medium. In this context, our laboratory has developed a cell-penetrating peptide (CPP) based on the Epstein-Barr virus ZEBRA TF. The sequence implicated in cellular uptake has been characterized and is named MD (Minimal Domain). It is able to translocate high molecular weight proteins in an endocytosis-independent mechanism, allowing the internalization of cargos in fully biologically active form. Here we develop 6 MD fusions at the N-terminus of the following TF: Oct4, Sox2, Klf4, cMyc, Nanog & Lin28. This domain does not interfere with Oct4 capacity to associate with its own DNA sequence. Moreover, MD fused proteins transduce in vitro treated cells in 30 minutes to 1 hour ; MD-Oct4 & MD-Nanog can be localized in the nucleus after 3 hours only. In a context of reprogramming experiences, the combination of MD-Oct4, MD-Sox2, MD-Nanog and MD-Lin28 in repeated treatment leads to the activation of target genes transcription such as those constituting the pluripotency network

Pharmacologic control of CAR T cells

Chimeric antigen receptor (CAR) therapy is a promising modality for the treatment of advanced cancers that are otherwise incurable. During the last decade, different centers worldwide have tested the anti-CD19 CAR T cells and shown clinical benefits in the treatment of B cell tumors. However, despite these encouraging results, CAR treatment has also been found to lead to serious side effects and capricious response profiles in patients. In addition, the CD19 CAR success has been difficult to reproduce for other types of malignancy. The appearance of resistant tumor variants, the lack of antigen specificity, and the occurrence of severe adverse effects due to over-stimulation of the therapeutic cells have been identified as the major impediments. This has motivated a growing interest in developing strategies to overcome these hurdles through CAR control. Among them, the combination of small molecules and approved drugs with CAR T cells has been investigated. These have been exploited to induce a synergistic anti-cancer effect but also to control the presence of the CAR T cells or tune the therapeutic activity. In the present review, we discuss opportunistic and rational approaches involving drugs featuring anti-cancer efficacy and CAR-adjustable effect

Recombinant Transcription Factors (TFs) Fused to ZEBRA Minimal Transduction Domain (MD) for Modulation of mRNA Transcripts

International audienceTranscription factors (TFs) are key players in the control of gene expression and consequently all major cellular process, ranging from cell fate determination to cell cycle control and response to the environment.In particular cases, their ectopic expression has shown great promise in cell reprogramming for regenerative medicine, ontogenesis studies, and cell modeling. The current reprogramming methods mainly rely on gene transfer, therefore require technological improvements to limit genetic imprinting and improve safety. Direct protein delivery could represent an attractive alternative. Cell-penetrating peptides (CPPs) fused to recombinant TFs or other proteins involved in the epigenetic definition of cells have great potential in this context. We have thus developed the direct vectorization of Oct4, Sox2, or Nanog TFs and the posttranscriptional regulatory RNA-binding protein Lin28a by using the minimal transduction domain (MD11) of Epstein-Barr virus ZEBRA protein.This section describes the molecular cloning and production of different TFs fused to ZEBRA MD11 domain in the E. coli expression system. We also include the optimized purification conditions for each recombinant protein. The treatment of primary fibroblasts as well as cord blood-derived hematopoietic stem cells is also described. Finally, the transcriptional activation of the target genes following the transfer of TFs analyzed by quantitative PCR is presented.Our work primarily finds applications for advanced medicinal products, an area that requires novel therapy designs and delivery systems devoid of genetic material transfer to improve safety

How CAR T Cells Breathe

The manufacture of efficacious CAR T cells represents a major challenge in cellular therapy. An important aspect of their quality concerns energy production and consumption, known as metabolism. T cells tend to adopt diverse metabolic profiles depending on their differentiation state and their stimulation level. It is therefore expected that the introduction of a synthetic molecule such as CAR, activating endogenous signaling pathways, will affect metabolism. In addition, upon patient treatment, the tumor microenvironment might influence the CAR T cell metabolism by compromising the energy resources. The access to novel technology with higher throughput and reduced cost has led to an increased interest in studying metabolism. Indeed, methods to quantify glycolysis and mitochondrial respiration have been available for decades but were rarely applied in the context of CAR T cell therapy before the release of the Seahorse XF apparatus. The present review will focus on the use of this instrument in the context of studies describing the impact of CAR on T cell metabolism and the strategies to render of CAR T cells more metabolically fit

Backward Compatible Update of the Timing System of WEST

International audienceBetween 2013 and 2016, the tokamak Tore Supra in operation at Cadarache (CEA-France) since 1988 underwent a major upgrade following which it was renamed WEST (Tungsten [W] Environment in Steady state Tokamak). The synchronization system however was not upgraded since 1999*. At the time, a robust design was achieved based on AMD’s TAXI chip**: clock and events are distributed from a central emitter over a star shaped network of simplex optical links to electronic crates around the tokamak. Unfortunately, spare boards were not produced in sufficient quantities and the TAXI is obsolete. In fact, multigigabit serial communication standards question the future availability of any such low rate SerDeses. Designing replacement boards provides an opportunity for a new CDR solution and extended functionalities (loss-of-lock detection, latency monitoring). Backward compatibility is a major constraint given the lack of resources for a full upgrade. We will first describe the current state of the timing network of WEST, then the implementation of a custom CDR in full firmware, using the IOSerDeses of Xilinx FPGAs and will finally provide preliminary results on development boards

Targeted release of transcription factors for cell reprogramming by a natural micro-syringe.

International audienceEctopic expression of defined transcription factors (TFs) for cell fate handling has proven high potential interest in reprogramming differentiated cells, in particular for regenerative medicine, ontogenesis study and cell based modelling. Pluripotency or transdifferentiation induction as TF mediated differentiation is commonly produced by transfer of genetic information with safety concerns. The direct delivery of proteins could represent a safer alternative but still needs significant advances to be efficient. We have successfully developed the direct delivery of proteins by an attenuated bacterium with a type 3 secretion system that does not require challenging and laborious steps for production and purification of recombinant molecules. Here we show that this natural micro-syringe is able to inject TFs to primary human fibroblasts and cord blood CD34(+) hematopoietic stem cells. The signal sequence for vectorization of the TF Oct4 has no effect on DNA binding to its nucleic target. As soon as one hour after injection, vectorized TFs are detectable in the nucleus. The injection process is not associated with toxicity and the bacteria can be completely removed from cell cultures. A three days targeted release of Oct4 or Sox2 embryonic TFs results in the induction of the core pluripotency genes expression in fibroblasts and CD34(+) hematopoietic stem cells. This micro-syringe vectorization represents a new strategy for TF delivery and has potential applications for cell fate reprogramming