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. 2021 Jun 4;11(6):108. doi: 10.1038/s41408-021-00499-z

Fig. 1. Impact of PD-L1 interaction on T-cell functionality and characterization of anti-CD19 and anti-CD22 CAR T cells with PD-1-CD28 fusion protein.

Fig. 1

A PD-L1 expression on Nalm-16 cells was analyzed 24 h after stimulation with IFN-γ and TNF-α. B Primary ALL blasts from 31 different pediatric BCP-ALL patients were stimulated with IFN-γ and TNF-α for 24 h. Pie chart shows percentage of PD-L1-inducible vs. PD-L1-non-inducible samples (left panel). Surface PD-L1 expression in inducible patients (n = 16) is shown in the right panel (fold-change of stimulated sample vs. unstimulated sample). C Conventional second-generation CAR T cells were co-cultured with CD19+ and CD19+/PD-L1+ Daudi cells. Percentage of intracellular IFN-γ+ in CAR T cells was analyzed 24 h later. D 19_BB_3z T cells were co-cultured with Daudi cells for 24 h and co-culture supernatant was analyzed for concentration of IFN-γ, IL-2 and TNF-α in a flow-cytometry-based assay. E Schematic illustration of CAR constructs and negative control (19t). F 19_3z_PD-1_28 CAR T cells were co-cultured with CD19-/PD-L1-, CD19-/PD-L1+ and CD19+/PD-L1+ target cells (transduced K562 cells). Intracellular cytokine stain was performed 24 h later and showed no unspecific activation of the PD-1-CD28 fusion protein. G Cytotoxicity of conventional second-generation CAR T cells (19_BB_3z) and second-generation CAR T cells with fusion protein (19_BB_3z_PD-1_28) was analyzed 48 h after co-culture with CD19+/PD-L1+ K562 cells. H CAR T cells were co-cultured with CD19+ and CD19+/PD-L1+ Daudi cells. Intracellular stain for IFN-γ was performed 24 h later. I CAR T cells were co-cultured with CD19+/PD-L1+ target cells and concentration of IL-2 and TNF-α was analyzed in the supernatant 24 h after start of co-culture. J Schematic illustration of the second-generation anti-CD22 CAR and the version with fusion protein used in this study. K Intracellular cytokine stains of anti-CD22 CAR T cells 24 h after co-culture with Daudi cells showed increased cytokine release of PD-1-CD28 CAR T cells. L Activation markers 4-1BB, CD25 and CD69 were increased in PD-1-CD28 CAR T cells over conventional anti-CD22 CAR T cells 24 h after co-culture with Nalm-6 cells. N ≥ 3 individual donors (C, D, F, G, H and I). N ≥ 2 individual donors (K and L). Statistical significance was calculated using t-test. UT untransduced T cells, E:T ratioeffector to target ratio, FC fold-change, BCP-ALL B-cell precursor ALL, n.s. not significant, MFI geometric mean fluorescent intensity.