CD6 targeted chimeric antigen receptors for treatment of certain autoimmune disorders

Inventors

Casemiro, Jose Enrique Montero • Roep, Bart Otto • Brown, Christine E.

Assignees

City of Hope

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Publication Number

US-12281151-B2

Patent

Publication Date

2025-04-22

Expiration Date


Abstract

Provided herein are, inter alia, CD6 targeting CAR-T cell compositions and methods useful for treating autoimmune diseases (e.g., Type I diabetes).

Core Innovation

The disclosed invention relates to chimeric antigen receptor (CAR) constructs targeted to CD6. A CAR includes a single chain variable fragment targeted to CD6 comprising an amino acid sequence selected from SEQ ID NO: 38, 39, 40 and 41, together with a spacer comprising the amino acid sequence of SEQ ID NO: 91.

The CAR further includes a transmembrane domain selected from a CD4 transmembrane domain comprising the amino acid sequence of SEQ ID NO: 23, a CD8 transmembrane domain comprising the amino acid sequence of SEQ ID NO: 25, and a CD28 transmembrane domain comprising the amino acid sequence of SEQ ID NO: 7 or SEQ ID NO: 8. The CAR also includes a CTLA4 co-stimulatory domain comprising the amino acid sequence of SEQ ID NO: 17 and a CD3 zeta signaling domain comprising the amino acid sequence of SEQ ID NO: 92.

The disclosure contextualizes these CARs in regulatory T cell (Treg) formats and provides phenotype-marker options including CD4+CD25high, CD127low/negative, and CD6low/negative. The invention emphasizes therapeutic use in autoimmune diseases such as Type I diabetes, GvHD, and lupus, and describes CAR Tregs with CTLA4 signaling as outperforming in suppressing Teff proliferation.

Claims Coverage

The document includes two independent claims. Both independent claims cover CD6-targeted CARs with defined sequence-based modular components, and dependent claims further specify allowable sequence embodiments and regulatory T cell phenotype/marker constraints. Across the independent claims, there are five principal inventive features.

CD6-targeted CAR defined by scFv, spacer, transmembrane, CTLA4, and CD3 zeta sequences

A nucleic acid molecule encoding a chimeric antigen receptor (CAR) comprising a single chain variable fragment targeted to CD6 comprising an amino acid sequence selected from SEQ ID NO: 38, 39, 40 and 41; a spacer comprising the amino acid sequence of SEQ ID NO: 91; a transmembrane domain selected from the group consisting of a CD4 transmembrane domain comprising SEQ ID NO: 23, a CD8 transmembrane domain comprising SEQ ID NO: 25, and a CD28 transmembrane domain comprising SEQ ID NO: 7 or SEQ ID NO: 8; a CTLA4 co-stimulatory domain comprising SEQ ID NO: 17; and a CD3 zeta signaling domain comprising SEQ ID NO: 92.

CD6-targeted CAR defined by scFv, spacer, transmembrane, CTLA4, and CD3 zeta sequences

A chimeric antigen receptor (CAR) comprising a single chain variable fragment targeted to CD6 comprising an amino acid sequence selected from SEQ ID NO: 38, 39, 40 and 41; a spacer comprising the amino acid sequence of SEQ ID NO: 91; a transmembrane domain selected from the group consisting of a CD4 transmembrane domain comprising SEQ ID NO: 23, a CD8 transmembrane domain comprising SEQ ID NO: 25, and a CD28 transmembrane domain comprising SEQ ID NO: 7 or SEQ ID NO: 8; a CTLA4 co-stimulatory domain comprising SEQ ID NO: 17; and a CD3 zeta signaling domain comprising SEQ ID NO: 92.

Across the two independent claims, the coverage centers on CD6-targeted CARs and nucleic acid encoding such CARs built from explicitly identified sequence options for the CD6 single chain variable fragment, the spacer, one of specified CD4/CD8/CD28 transmembrane domains, a CTLA4 co-stimulatory domain, and a CD3 zeta signaling domain. Dependent claims further narrow permitted sequence embodiments and relate the CAR to regulatory T cell populations defined by marker-based phenotype proportions.

Stated Advantages

Inhibit pro-inflammatory CD6+ immune activity.

Avoid damage from beta-cell targeting.

Reduce activation.

Reduce cytokine release syndrome.

Reduce T-cell exhaustion.

Improve persistence/half-life.

CAR Tregs with CTLA4 signaling outperform in suppressing Teff proliferation.

Documented Applications

Treating autoimmune disease by administering engineered T lymphocytes/Tregs expressing the disclosed CD6-targeted CAR.

Autoimmune diseases, notably Type 1 diabetes.

Therapeutic use in autoimmune diseases, including Type I diabetes, GvHD, and lupus, using CD6 CARs in regulatory T cells with CTLA4 signaling.

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