City of Hope was granted a $5,217,004 early translational research award
by the California Institute for Regenerative Medicine (CIRM) to support
the development of a T cell-based immunotherapy that re-directs a
patient's own immune response against glioma stem cells. City of Hope
has been awarded more than $49.7 million in grant support from CIRM
since awards were first announced in 2006.
City of Hope is a pioneer in T cell immunotherapy research, helping to
develop genetically modified T cells as a treatment for cancer. This
strategy, termed "adoptive T cell therapy," focuses on redirecting a
patient's immune system to specifically target tumor cells, and has the
potential to become a promising new approach for treatment of cancer.
"In this research, we are genetically engineering a central memory T
cell that targets proteins expressed by glioma stem cells," said Stephen
J. Forman, M.D., Francis and Kathleen McNamara Distinguished Chair in
Hematology and Hematopoietic Cell Transplantation and director of the T
Cell Immunotherapy Research Laboratory. "Central memory T cells have the
potential to establish a persistent, lifelong immunity to help prevent
brain tumors from recurring."
The American Cancer Society estimates that more than 22,000 people in
the U.S. will be diagnosed with a brain tumor this year, and 13,700 will
die from the disease. Glioma is a type of brain tumor that is often
difficult to treat and is prone to recurrence. Currently, less than 20
percent of patients with malignant gliomas are living five years after
their diagnosis. This poor prognosis is largely due to the persistence
of tumor-initiating cancer stem cells, a population of malignant cells
similar to normal stem cells in that they are able to reproduce
themselves indefinitely. These glioma stem cells are highly resistant to
chemotherapy and radiation treatments, making them capable of
re-establishing new tumors.
Researchers at City of Hope previously have identified several proteins
as potential prime targets for the development of cancer
immunotherapies, such as interleukin 13 receptor alpha 2, a receptor
found on the surface of glioma cells, and CD19, a protein that is active
in lymphoma and leukemia cells. Both investigational therapies are
currently in phase I clinical trials. Forman is the principal
investigator for the newly granted study which will develop a T cell
that targets different proteins expressed by glioma stem cells.
Christine Brown, Ph.D., associate research professor, serves as
co-principal investigator, and Michael Barish, Ph.D., chair of the
Department of Neurosciences, and Behnam Badie, M.D., director of the
Brain Tumor Program, serve as co-investigators on the project.
"Because cancer stem cells are heterogeneous, our proposed therapy will
target multiple antigens to cast as wide a net as possible over this
malignant stem cell population," said Brown.
"While in this effort, we are targeting a neurological cancer, our
approach will lead to future studies targeting other cancers, including
those that metastasize to the brain," added Barish.
"The CIRM grant will help us to build a targeted T cell therapy against
glioma that can offer lasting protection, determine the best way to
deliver the treatment, establish an efficient process to manufacture
these T cells for treatment, and get approval for a human clinical
trial," said Badie.