Extended Data Fig. 2. Treatment with CV-1 or CD47 knock-out leads to T cell depletion and ablation of antitumour efficacy.
(a) CD19.BBζ-CAR ± CV-1 (Fc-dead) treated Nalm6 tumour survival. n = 5 mice/arm. (b) Images of Nalm6 BLI on day 11 of high-dose CD19.BBζ-CAR ± CV-1 treated mice, treated as in (a). (c) Low-dose CD19.28ζ-CAR ± CV-1 (Fc-dead) treated Nalm6 tumour growth. Mean ± SEM of n = 5 mice/arm. (d) Images of Nalm6 BLI of low-dose CD19.28ζ-CAR ± CV-1 treated mice, treated as in (c). (e - f) Images (e) and quantification (f) of T cell BLI post CV-1 treatment of Nalm6 tumour-bearing mice. Top: high-dose CD19.BBζ-CAR ± CV-1, treated as in (a), on day 9 (four days post CV-1 treatment). Bottom: low-dose CD19.28ζ-CAR ± CV-1, treated as in (c), day 11 (six days post CV-1 treatment). For (f): mean ± SD of n = 5 mice for each dose condition. (g) CRISPR/Cas9 mediated CD47 knock-out (CD47KO) efficiency in primary human T cells by flow cytometry. CD47WT cells are CD47KO with exogenous expression of wild-type CD47. Representative of n > 3 donors. (h) Images of Nalm6 tumour progression (top five rows) and T cells on day 11 (bottom row) by BLI in the Nalm6 – 47KO-CD19.28ζ-CAR T model. (i) Survival of Nalm6 bearing mice shown in (h). n = 5 mice per treatment arm. (j) Representative flow cytometry plots of hCD45+ T cells identified in the blood of 47WT- or 47KO-CD19.28ζ-nLuc-CAR ± B6H12 treated, non-tumour bearing mice. (k) Images of T cell BLI following treatment with 47WT- or 47KO-CD19.28ζ-nLuc-CAR T cells before and after B6H12 treatment. (l) T cell BLI of mice shown in (k) treated with 47WT- or 47KO-CD19.28ζ-nLuc-CAR T, before and after B6H12 treatment. Dashed line indicates limit of detection. Mean ± SD of n = 5 mice. (m) hCD8+ and hCD4+ T cells in the blood on day 6 or 7 by flow cytometry following treatment 47WT- or 47KO-CD19.28ζ-nLuc-CAR T ± B6H12 in separate experiments, treated as in (k). Mean ± SD of n = 5 mice. [(c), (l), (m)] Two-way analysis of variance (ANOVA) test with Tukey’s multiple comparison test. ns = not significant. [(f - top)] Two-tailed Mann-Whitney test. [(f - bottom)] Unpaired two-tailed Student’s t test.