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Table 4 Characteristics and anti-tumor effects of CAR macrophage

From: Targeting macrophages in hematological malignancies: recent advances and future directions

Source of CAR-M

Target antigens

CAR Structure

Generation

Stage

Preclinical results

Refs

J774A.1

CD19 and CD22

CD19 + Megf10

CD19 + FcRV

CD19 + FcRV + PI3K

1st generation

Preclinical evaluation

CD3ζ, FcRγ and Megf10 intracellular domains demonstrate similar phagocytic activity in vitro and PI3K recruitment domain enhances phagocytosis of whole tumor cells

CD47 mAb enhances the phagocytic activity of CAR-M in vitro;

212

iPSCs

CD19

CD19 + 4–1BB + CD3ζ

2nd generation

Preclinical evaluation

CAR-iMACs demonstrate pro-inflammatory/anti-tumor state in vitro

CAR-iMACs can expand, persist and exert anti-tumor activities in vivo

64

Raw264.7

HER2

HER2 + CD147

1st generation

Preclinical evaluation

CAR-147 induces MMP expression in vitro and in vivo, but does not enhance phagocytosis of tumor cells

CAR-147 lowers collagen content, increases CD3+ T cell infiltration and inhibits the proliferation of tumor

214

Raw264.7

CCR7

CCL19 + TLR2, TLR4 + TLR6 + MerTk + 4-1BB + CD3ζ

2nd generation

Preclinical evaluation

In vitro, MerTK (CAR-M) kills and phagocytoses cells more efficiently than CAR-M that has other intracellular domains

CAR-M (MerTK) inhibits the progression of tumors, prolongs survival time, and inhibits tumor metastasis in mice with minimal toxicity

Cancer cells treated with CAR-M (MerTK) exhibit significant CD3+ T cell infiltration, a decrease of PD-L1-positive cells, as well as an increase in pro-inflammatory cytokines

66

Monocytes

HER2

HER2 + CD3ζ

2nd generation

Phase I Ongoing clinical trials (CT0508) against HER2+ solid tumors

Injection of adenoviral vector leads to M1-like macrophages and pro-inflammatory microenvironment in the tumor

An adenovirus-transduced CAR macrophage is capable of cross-presenting tumor-derived antigens and activating T lymphocytes more effectively

An adenovirus-transduced CAR macrophage significantly prolongs survival time and decreases metastasis in mice harboring tumors;

65

Human THP-1

CD19

CD19 + CD3ζ

2nd generation

Preclinical evaluation

CAR-M enhances antigen-dependent phagocytosis in vitro

65

Murine BMDM

ALK

ALK + CD8 Hinge + CD28 TM + CD28 CSD + CD3ζ + IFN-γ

3rd generation

Preclinical evaluation

CAR-M enhances antigen-dependent phagocytosis

CAR-M induces M1 polarization, upregulates antigen presentation, increases T cell activations, and reduces tumor burden

215

Monocytes

CD5

Un

mRNA engineered

Phase I Ongoing clinical trials (MT-101) against PTCL

Un

Un

  1. Un Unknown