Effects of Engineered Costimulation on the Function of T Cell Subsets
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Effects of Engineered Costimulation on the Function of T Cell Subsets The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Boroughs, Angela C. 2019. Effects of Engineered Costimulation on the Function of T Cell Subsets. Doctoral dissertation, Harvard University, Graduate School of Arts & Sciences. Citable link http://nrs.harvard.edu/urn-3:HUL.InstRepos:41121316 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA Effects of Engineered Costimulation on the Function of T Cell Subsets A dissertation presented by Angela Clare Boroughs to The Division of Medical Sciences in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the subject of Immunology Harvard University Cambridge, Massachusetts October 2018 © 2018 Angela Clare Boroughs All rights reserved. Dissertation Advisor: Dr. Marcela V. Maus Angela Clare Boroughs Effects of Engineered Costimulation on the Function of T Cell Subsets Abstract Progress in clinical adoptive immunotherapy was initially hindered by the cells’ lack of antigen specificity, poor engraftment, and limited persistence in the host. The introduction of chimeric antigen receptors (CARs) into T cells has overcome these obstacles by re-directing polyclonal T cells to a specific antigen with an extracellular binding domain and by including costimulation domains that enhance engraftment and persistence. From this observation, we hypothesized that the overexpression of CARs in different T cell subsets fundamentally changes their biology. CAR T cell products bearing either 4-1BB or CD28 costimulatory domains have been approved as therapies for leukemia and lymphoma. However, the engraftment kinetics, persistence, and toxicity profiles of CD28 versus 4-1BB CAR T cells are distinct. To obtain an in-depth understanding of the functional state of different types of CAR- modified T cells, we performed RNA sequencing on first- and second-generation CAR T cells both at rest and following CAR or endogenous T cell receptor (TCR) stimulation. We describe a high-resolution view of the transcriptional differences between 4-1BB and CD28 containing CAR T cells, including variances in cytokine profiles, cytokine receptors, and metabolic pathways. These transcriptional profiles define CAR signaling pathways that ultimately determine CAR T cell fate. iii Adoptive immunotherapy with regulatory T cells (Tregs) also holds promise in transplantation, graft-versus-host disease, and autoimmune diseases. Tregs are key modulators of inflammation and are important for peripheral tolerance. The challenges of using Tregs as adoptive immunotherapy mirror those for cancer: namely antigen specificity, engraftment, and persistence. We modified primary human Tregs with CARs bearing different costimulatory domains and performed rigorous analyses in vitro of the functional potential of Tregs. We showed that the presence of a CAR and the type of costimulation domain does not affect the Treg’s expression of Foxp3+. However, the costimulation domain does affect CAR-Treg cytokine production and surface marker expression. Furthermore 4-1BB costimulation decreases the suppressive function of CAR-Tregs. In vivo experiments, demonstrated that CAR-Tregs traffic to antigen expressing sites and can suppress antigen specific effector T cell responses. Our findings support the use of CD28-based CARs for tissue-specific suppression in the clinic. !! iv Acknowledgements I am deeply grateful for the opportunity to study in Harvard’s immunology program. Reflecting on my time here, I am ever more aware of how indebted I am, especially to the many educators who believed in my ability to succeed. I have learned that writing a thesis and performing experiments are not nearly as difficult as believing that I can successfully accomplish them. So, I cannot thank enough, my family, friends, and mentors who have supported and encouraged me to reach this goal. I would like to acknowledge the people who gave me precious first and second chances that were fundamental in shaping me as a student and scientist. Among those who built my confidence during my school years in South Africa, a few stand out. My great aunt Mary Hart spent many hours patiently guiding me through primary school homework. In 7th grade, my math teacher, Ms. Barrow, gave me a second chance to complete a test after I froze on the first try, not realizing what a turning point that would be for me. Two inspiring high school math teachers, Mrs. Rose Karam and Dr. Caroline Dickens, never doubted I could become an accomplished mathematician and scientist and gave me the ideal foundation to make that possible. My arrival at Harvard was first made possible by the encouragement of Dr. Fyodor Urnov, an adjunct professor at UC Berkeley, who during one brief semester as an undergraduate exchange student not only convinced me to switch fields from applied mathematics to molecular biology but also suggested that I apply to Harvard’s Immunology Program. Finally, to the immunology faculty who offered me a place in this program: I am eternally grateful that you took a chance on a “wild card” from South Africa. I would also like to acknowledge Dr. Ramnik Xavier for offering me a place in his lab, where I spent my first two years working with some of the most brilliant and inspirational scientists. I was fortunate to learn from Dr. Leigh Baxt, Dr. Nicole Desch, Dr. Dan Graham, Dr. Bernard Khor, Dr. Christine Becker, Jess Gracias, and Dr. Kara Conway. All of them helped me develop into a better scientist and have continued to be valuable sources of knowledge and dear friends since I moved on. With the never-failing support of Dr. Shiv Pillai, I began my PhD research anew in the Maus lab, yet another transformative second chance. I don’t have adequate words to express how grateful I am that Dr. Marcela Maus took me under her wing at that opportune moment. She had just opened her lab at Massachusetts General Hospital, and I doubt she had planned on braving a third-year graduate student so soon. Under her guidance, I found not only a knowledgeable and inspiring mentor, but also someone whose enthusiasm, patience, and encouragement boosted my confidence and my love of science. Despite her incredibly busy schedule, Dr. Maus has always been available to support me in whatever way I needed. She has kept me focused and provided v invaluable direction, while allowing me the flexibility to follow scientific questions in my own way. Every member of the Maus Lab, past and present, has helped me in some way, whether it be through critical thinking, technical assistance, or personal advice. I am thankful for their extraordinary friendship. I would especially like to thank Selena Lorrey, Lauren Riley, and Maria Cabral Rodriguez, the smart, enthusiastic, and oh-so-organized technicians who work tirelessly to keep the lab running smoothly. I was delighted when Rebecca Larson joined the lab as a fellow graduate student, brightening the lab with her enthusiasm and brilliance. The critical insights and advice on my research projects from my dissertation advisory committee, Dr. Laurence Turka, Dr. James Moon, and Dr. Shiv Pillai, have been invaluable. Some of my most treasured moments at Harvard were spent as a teaching fellow in the undergraduate immunology course. Again, I am grateful to Dr. Shiv Pillai for this opportunity and to all the students who helped me develop as an educator. My parents have been nothing but supportive, encouraging, and loving from before I can remember. From a young age, they instilled in me the wonders of learning, thinking, and teaching, not to mention the value of the arts and exercise that kept me somewhat balanced through my PhD. And I am thankful for the continuous encouragement from my diverse and incredible siblings, Meghan, Grace, and Patrick. I deeply miss my big South African family at home and thank them for the never-ending Snapchats and WhatsApp texts of encouragement that reminded me that there is life outside the lab. Throughout my time at Harvard, I have been inspired by those family members and friends who have so bravely lived through cancer and other serious illnesses. I am blessed to have angels and a dragonfly watching over me and inspiring me to appreciate each day and to keep persevering in a field that is making new cures possible. Finally, I am eternally grateful to my partner in dance and in life, my husband, Vaughan. He stuck with me through the two years we had to spend an ocean apart and then left his family and job in South Africa to restart in Massachusetts while I finished my degree. Throughout the highs and lows of this journey, Vaughan has been my rock, and I am grateful for the sacrifices he has made to be here for me while I reach toward my dream of a PhD in immunology. vi Dedication To Educators everywhere, who lift learners up, give second chances, and teach students to believe in themselves vii Table of Contents "##$%&'!(#!")*+)$$,$-!.('&+/012&+()!()!&3$!40)%&+()!(#!5!.$11!607'$&'!"""""""""""""""""""""""""""!#! $%&'()*'!""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""!###! $*+,-./012030,'&!""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""!4!