RT Journal Article SR Electronic T1 CIS checkpoint deletion enhances the fitness of cord blood derived natural killer cells transduced with a chimeric antigen receptor JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.03.29.014472 DO 10.1101/2020.03.29.014472 A1 May Daher A1 Rafet Basar A1 Elif Gokdemir A1 Natalia Baran A1 Nadima Uprety A1 Ana Karen Nunez Cortes A1 Mayela Mendt A1 Lucila Nassif Kerbauy A1 Pinaki P. Banerjee A1 Mayra Hernandez Sanabria A1 Nobuhiko Imahashi A1 Li Li A1 Francesca Lorraine Wei Inng Lim A1 Mohsen Fathi A1 Ali Rezvan A1 Vakul Mohanty A1 Yifei Shen A1 Hila Shaim A1 Junjun Lu A1 Gonca Ozcan A1 Emily Ensley A1 Mecit Kaplan A1 Vandana Nandivada A1 Mustafa Bdaiwi A1 Sunil Acharya A1 Yuanxin Xi A1 Xinhai Wan A1 Duncan Mak A1 Enli Liu A1 Sonny Ang A1 Luis Muniz-Feliciano A1 Ye Li A1 Jing Wang A1 Shahram Kordasti A1 Nedyalko Petrov A1 Navin Varadarajan A1 David Marin A1 Lorenzo Brunetti A1 Richard J. Skinner A1 Shangrong Lyu A1 Leiser Silva A1 Rolf Turk A1 Mollie S. Schubert A1 Garrett R. Rettig A1 Matthew S. McNeill A1 Gavin Kurgan A1 Mark A. Behlke A1 Heng Li A1 Natalie W. Fowlkes A1 Ken Chen A1 Marina Konopleva A1 Richard Champlin A1 Elizabeth J. Shpall A1 Katayoun Rezvani YR 2020 UL http://biorxiv.org/content/early/2020/03/30/2020.03.29.014472.abstract AB Immune checkpoint therapy has produced remarkable improvements in the outcome for certain cancers. To broaden the clinical impact of checkpoint targeting, we devised a strategy that couples targeting of the cytokine-inducible SH2-containing (CIS) protein, a key negative regulator of interleukin (IL)-15 signaling, with chimeric antigen receptor (CAR) engineering of natural killer (NK) cells. This combined strategy boosted NK cell effector function through enhancing the Akt/mTORC1 axis and c-MYC signaling, resulting in increased aerobic glycolysis. When tested in a lymphoma mouse model, this combined approach improved NK cell anti-tumor activity more than either alteration alone, eradicating lymphoma xenografts without signs of any measurable toxicity. We conclude that combining CIS checkpoint deletion with CAR engineering promotes the metabolic fitness of NK cells in an otherwise suppressive tumor microenvironment. This approach, together with the prolonged survival afforded by CAR modification, represents a promising milestone in the development of the next generation of NK cells for cancer immunotherapy.