7Adoptive cell therapies (ACT) using chimeric antigen receptor (CAR) T cells have shown promise in treating 8 cancer, but manufacturing large numbers of high quality cells remains challenging. Critically, current T cell ex-9 pansion technologies only partially recapitulate the in vivo microenvironment found in the human lymph nodes. 10 In these organs, T cells expand at high cell density with autocrine/paracrine signaling, as well as signals from 11 the extracellular matrix (ECM). Here we describe a T cell expansion system using degradable gelatin microcar-12 riers functionalized with anti-CD3 and anti-CD28 monoclonal antibodies (mAbs), which address several of these 13 shortcomings. We show that using this system, we can achieve approximately 2-fold greater expansion compared 14 to functionalized magnetic beads, the current industry standard. Furthermore, carriers generated higher numbers 15 of CCR7+CD62L+ migratory, central memory T cells and CD4+ T cells across multiple donors. Both these 16 phenotypes have emerged as important for establishing durable and effective responses in patients receiving T 17 cell immunotherapies. We further demonstrate that carriers can achieve greater memory cell yield compared to 18 beads across a range of IL2 concentrations from 20 U/mL to 100 U/mL. These differences were greater at lower 19 IL2 concentrations, indicating that the carriers are more efficient. We optimized this system using a design of 20 experiments (DOE) approach and found that the carrier concentration affects the memory cell yield in a quadratic 21 manner, where high or low concentrations are detrimental to memory formation. Finally, we show that carriers do 22 not hinder CAR transduction and can maintain the CD4 and memory phenotype advantages in CAR-transduced 23 T cells.
24Introduction 25 T cell-based immunotherapies have received great interest from clinicians and industry due to their potential to treat, 26 and often finally cure, cancer and other diseases [1, 2]. In 2017, Novartis and Kite Pharma acquired FDA approval 27 1 for Kymriah and Yescarta respectively, two genetically-modified CAR T cell therapies against B cell malignancies.
28Despite these successes, CAR T cell therapies are constrained by an expensive and difficult-to-scale manufacturing 29 process [3, 4].
30State-of-the-art manufacturing techniques focus only on anti-CD3 and anti-CD28 activation, typically presented 31 on a microbead (Invitrogen Dynabead, Miltenyi MACS beads) or nanobead (Miltenyi TransACT), but also in soluble 32 forms in the case of antibody tetramers (Expamer) [3,[5][6][7]. These strategies overlook many of the signaling com-33 ponents present in the secondary lymphoid organs where T cells normally expand. Typically, T cells are activated 34 under close cell-cell contact via antigen presenting cells (APCs) such as dendritic cells (DCs), which present peptide-35 major histocompatibility complexs (MHCs) to T cells as well as a variety of other costimulatory signals. These close 36 quarters allow for efficient autocrin...