A versatile CRISPR/Cas13d platform for multiplexed transcriptomic regulation and metabolic engineering in primary human T cells

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Abstract/Contents

Abstract
Decades of research in synthetic biology and immunology have endowed us with the blueprints for a new therapeutic modality: the engineered immune cell. Specifically, Chimeric Antigen Receptor (CAR) T cell therapy has proven to be a breakthrough in the treatment of relapsed or refractory hematologic cancers. Furthermore, recent advances in synthetic biology, such as the discovery and development of CRISPR/Cas9 technologies that facilitate precision genome engineering and control of molecular-cellular processes, offer innovative solutions to major challenges that limit the use of CAR T cells in solid tumors and other cancers. However, current CRISPR/Cas9 gene editing tools are limited in their safety, efficacy, and scope. To address these challenges, we present MEGA (Multiplexed Effector Guide Arrays), a versatile and multi-functional platform for programmable and scalable regulation of the T cell transcriptome using the RNA-guided, RNA-targeting activity of CRISPR/Cas13d. MEGA enables quantitative, reversible, and massively-multiplexed gene knockdown in primary human T cells without targeting or cutting genomic DNA. Applying MEGA to a model of CAR T cell dysfunction, we demonstrate robust multiplexed suppression of canonical exhaustion-associated genes, perform a first-in-class combinatorial CRISPR/Cas13d screen to uncover paired regulators of T cell proliferation, and utilize these findings to enhance the anti-tumor activity of dysfunctional CAR T cells. We also establish a novel method to link the expression of multiple endogenous genes to the dosage of an FDA-approved drug, which we use to regulate CAR activation strength in a receptor-independent manner. Lastly, we generate MEGA CAR T cells with a diverse range of gene-set perturbations -- with up to 10 genes targeted at once -- and functionally disrupt an entire metabolic pathway to counteract adenosine-driven T cell immunosuppression. Compared to conventional genome editing, MEGA provides a unique synthetic immunology toolkit with applications in cancer immunotherapy, next-generation CAR T cell therapies, and beyond.

Description

Type of resource text
Form electronic resource; remote; computer; online resource
Extent 1 online resource.
Place California
Place [Stanford, California]
Publisher [Stanford University]
Copyright date 2023; ©2023
Publication date 2023; 2023
Issuance monographic
Language English

Creators/Contributors

Author Tieu, Victor
Degree supervisor Qi, Lei, (Professor of Bioengineering)
Thesis advisor Qi, Lei, (Professor of Bioengineering)
Thesis advisor Mackall, Crystal
Thesis advisor Majzner, Robbie
Degree committee member Mackall, Crystal
Degree committee member Majzner, Robbie
Associated with Stanford University, School of Engineering
Associated with Stanford University, Department of Bioengineering

Subjects

Genre Theses
Genre Text

Bibliographic information

Statement of responsibility Victor Tieu.
Note Submitted to the Department of Bioengineering.
Thesis Thesis Ph.D. Stanford University 2023.
Location https://purl.stanford.edu/my475nn8754

Access conditions

Copyright
© 2023 by Victor Tieu
License
This work is licensed under a Creative Commons Attribution Non Commercial 3.0 Unported license (CC BY-NC).

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