Abstract
Traditionally, chimeric antigen receptor (CAR) T cells employ single-chain variable fragments (scFvs)
as binding entities. While scFvs represent a convenient option due to their broad availability, they
also come with drawbacks, in particular their tendency to cluster and their relatively large size.
Moreover, most scFvs used in the CAR field are of non-human origin, potentially causing
immunogenicity. Therefore, we established an engineering platform for minimalistic CAR binding
domains (miniCARbids), which combine several critical advantages: (i) human origin, (ii) small size,
(iii) efficient expression in T cells and (iv) single-domain architecture, among others. We demonstrate
that miniCARbids can be engineered to recognize various antigens with antibody-like affinities, while
being stable and aggregation-resistant. When miniCARbids are incorporated into CARs, they induce
high anti-tumor potency in both adapter and conventional CAR formats. Remarkably, CD22-directed
miniCARbid-based CARs showed similar or even more efficient tumor clearance in leukemia-bearing
mice when compared with a CAR comprising the clinically tested m971-1xG
4S scFv. Together, we
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introduce the miniCARbid engineering platform, enabling the generation of small, human antigen-
binding domains with high potency in CAR T cells against virtually any target antigen.
Introduction
Chimeric antigen receptor (CAR) T cells have revolutionized the treatment of hematologic
malignancies including B cell acute lymphoblastic leukemia (B-ALL), B cell derived lymphomas and
multiple myeloma.1-4 However, despite their great success, current CAR T cell therapies suffer from
certain limitations such as resistance caused by antigen loss1,3 and limited efficacy due to T cell
exhaustion,5,6 among others.
One central element determining CAR T cell efficacy and specificity is the CAR antigen
binding domain commonly based on single-chain variable fragments (scFvs), which are usually used
as the default option. However, while scFvs are convenient options that can readily be generated
from existing monoclonal antibodies (mAbs), they also come with some disadvantages. As has been
well-established in the antibody field, scFvs are known to form oligomeric structures due to domain
swapping with neighboring molecules, resulting in the formation of diabodies, triabodies or
tetrabodies.
7,8 Importantly, this tendency of scFvs to cluster has also been observed on the surface of
CAR T cells,6,9 which has been suggested to lead to antigen-independent tonic CAR signaling and – as
a consequence – T cell exhaustion and dysfunction.5,6 This tendency to swap domains with
neighboring scFvs is even more problematic in OR-gated CAR T cells expressing two scFvs in
tandem.10 Apart from oligomerization tendencies, this two-domain structure also results in a
considerable size of ~250 amino acids, which is sometimes a limitation with respect to the packaging
size of lenti- or retroviruses.11-13 Moreover, many currently used scFvs – and, in fact, all scFvs in CAR T
products FDA-approved to date1 – are not of human origin, raising concerns about potential
immunogenicity, which has indeed been demonstrated in several patients.14,15
To circumvent these limitations, alternative binder scaffolds including DARPins, nanobodies,
Sso7d and monobodies have been tested in CAR T cells,9,16-21 demonstrating that CAR T cell function
can also be achieved with non-antibody-based binding domains. While many of these studies have
shown promising results with CARs based on non-scFv binding domains, none of these previously
existing binder scaffolds had been designed specifically for CAR T cells and therefore their features
are not ideal for this type of application. A phenomenon that is frequently observed with alternative
binder scaffolds is the so-called stability-function trade-off, i.e. a considerable drop in stability during
the engineering process, which in many cases leads to poor expression and/or aggregation,
20,22-25
both of which are problematic in the context of CAR T cells.5,6 Moreover, the vast majority of these
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binder scaffolds are based on non-human proteins, potentially causing immunogenicity and rejection
by the host immune system.15,21
Of note, any given stable protein can be engineered to turn into an antigen binding domain
by using state-of-the-art protein engineering technologies. Therefore, in this study, we selected
binding domains solely based on desired properties for applications in CAR T cells, including human
origin, high expression levels in human CAR T cells and being based on a single protein domain to
prevent clustering and excessive tonic signaling. Thus, these “minimalistic CAR binding domains”
(miniCARbids) integrate all features required for efficient CAR function, while avoiding unnecessary
payload.
To demonstrate the versatility of the miniCARbid platform, we have chosen three antigens of
high relevance in the CAR T cell field: (i) CD22 (Siglec-2), which is a B cell lineage antigen commonly
used for targeting of B cell-derived malignancies;
26,27 (ii) CD276 (B7-H3), a checkpoint molecule
overexpressed on a range of human tumors including neuroblastoma, sarcomas and brain tumors;28
and (iii) a peptide antigen for use in adapter CARs (AdCARs).29,30 For each of these antigens, we
engineered stable and monomeric miniCARbids, with the majority reaching antibody-like affinities in
the pM to nM range. Moreover, incorporation of these miniCARbids into 2nd generation CARs
resulted in potent CAR T cell activity for both conventional CAR, as well as AdCAR architectures.
Remarkably, in addition to their small size saving vector payload and their human origin, miniCARbid-
CARs showed similar or even more efficient elimination of leukemia in an in vivo model when
compared with CARs based on the clinically tested m971 scFv, demonstrating the high potential of
miniCARbids for use in CAR T cell therapies.
Results
Identification of binder scaffolds with ideal properties for CAR T cell applications
To establish a platform for the generation of binding domains specifically tailored to CAR T cell
applications, we identified the following list of essential features (Fig. 1A): (i) human origin to reduce
the risk of immunogenicity, (ii) small size to reduce vector payload, (iii) single-domain architecture to
prevent domain mispairing as observed with scFvs,5-9 (iv) high stability to accommodate for the
stability loss typically observed during the subsequent engineering process,25 (v) no aggregation, (vi)
lack of cysteines to enable extra- and intracellular applications, (vii) lack of N-glycosylation motifs,
(viii) availability of a surface exposed rigid β-sheet for binding site engineering, since this structural
motif has been shown to yield binding domains with highly beneficial biochemical properties,
20,31-35
(ix) intracellular origin (since therapeutically used human proteins sometimes induce antibody
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responses that cross-react with the endogenous protein,36,37 the binder scaffold should be derived
from an intracellular protein, which is not accessible to such potential cross-reactive antibodies), (x)
efficient expression on primary human T cells when fused to a CAR and (xi) no or only low tonic CAR
signaling (Fig. 1A).
To identify potential candidates fulfilling this extensive list of criteria, we screened all
structures deposited in the Protein Data Bank (PDB). Applying the parameters defined in Fig. 1B
yielded a list of 15 promising binder scaffold candidates (Fig. 1C; proteins labeled according to their
PDB-IDs), which were subsequently fused to 4-1BB-based 2nd generation (BBζ) CARs and tested for
expression on primary human T cells. CARs containing the clinically used FMC63 scFv and the well-
known alternative binder scaffold 10th type III human fibronectin domain (FN3)38,39 within the same
CAR backbone were included as references. While the expression rates varied greatly, most scaffold-
CARs showed superior expression when compared with an identical CAR based on the FMC63
benchmark scFv (Fig. 1D and Suppl. Fig. 1A). Next, all candidates were expressed as soluble proteins
and analyzed with respect to their thermal stabilities and aggregation tendencies (Fig. 1E, 1F and
Suppl. Fig. 1B). Apart from the FN3 reference protein, only three proteins (2P9R, 3SHU and 5UMR)
met the desired T
m of 70 °C. Since 2P9R showed peak tailing in size exclusion chromatography (SEC)
analysis (Fig. 1F), presumably caused by a monomer-dimer equilibrium, we identified the intracellular
proteins 3SHU (PDZ3 domain of the human tight junction protein ZO-1) and 5UMR (N-terminal
domain of human FACT complex subunit SSRP1) as the most promising binder scaffold candidates.
Further analysis of scaffold-CARs in Jurkat Nur77 reporter cells showed that – in contrast to the
14g2a-E101K scFv-based control CAR
40 and the poorly expressed 2E7C and 2K45-based CARs – no or
only very low tonic signaling was observed with 3SHU- and 5UMR-CARs (Fig. 1G), despite high
expression levels (Fig. 1H).
Together, we identified the human proteins 3SHU and 5UMR as highly promising scaffolds
for the engineering of minimalistic CAR binding domains (miniCARbids), integrating all desired
properties defined above.
Establishing randomly mutated miniCARbid libraries
To facilitate the generation of miniCARbids containing an engineered binding surface, a patch of
surface exposed residues needed to be randomly mutated, followed by selection of antigen-specific
miniCARbids from this highly diverse library. Since the introduction of mutations typically impairs
protein folding and stability,
25 it is of utmost importance to identify mutation-tolerant amino acid
positions. For that purpose, we conducted structural, as well as phylogenetic analysis (Suppl. Fig. 2)
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and selected residues which are surface-exposed, non-conserved throughout evolution and which
are not involved in stabilizing interactions with other residues within the domain.
Based on these parameters, we established NNK-randomized model libraries containing
different sets of randomized positions (Fig. 2A) and analyzed them with respect to their full-length
expression in the yeast display format, which has been shown to correlate with protein
stability.38,41,42 Similar trends were observed after expression at 20 or 37 °C. For 3SHU, we chose
library 3SHU_3 due to its efficient expression (Fig. 2B, Suppl. Fig. 3A) and favorable topology of its
randomized positions, which form a contiguous binding pocket (Fig. 2A). For 5UMR, library 5UMR_c
showed high level expression (Fig. 2B, Suppl. Fig. 3A), while library 5UMR_cp carries the advantage of
an extended binding surface (Fig. 2A) that is still condensed onto a rather limited sequence stretch,
thus limiting the number of potentially immunogenic peptides. Therefore, we chose to proceed with
a library containing randomized positions of both 5UMR_c and 5UMR_cp, i.e. the positions of
5UMR_c and partially randomized positions Q28 and Q44 with a bias towards wild type glutamine.
To further improve library quality, we used primers generated by trinucleotide synthesis,
which allows for precise control of amino acid distributions within the randomized positions and
exclusion of stop codons that are otherwise accidentally integrated in NNK-randomized libraries. We
chose to increase the frequency of Tyr (15%) since this residue is known to be highly beneficial for
antigen recognition,
43,44 to reduce the percentage of Arg, Pro and hydrophobic amino acids and to
exclude Cys residues (Fig. 2C). Furthermore, the 5UMR library contained 30% wild type residues at
positions Q28 and Q44. Sequencing results of individual clones from these optimized libraries closely
resembled the intended amino acid distributions (Suppl. Fig. 3B, 3C and 3D). Remarkably, this library
optimization resulted in considerably improved performance of these advanced libraries termed
3SHU_final and 5UMR_final when compared with their NNK-randomized versions (Fig. 2D, blue vs.
gray bars).
Generation of stable and affine miniCARbids against multiple targets
Next, we mixed the two optimized libraries 3SHU_final and 5UMR_final to yield a superlibrary
comprising two different binder scaffold topologies and a total diversity of ~10
9 randomly mutated
variants. To efficiently select stable and affine miniCARbids, we employed the yeast surface display
technology45,46 including magnetic bead selections and flow cytometric sorting (Fig. 2E) and three
target antigens: CD22, CD276 (B7-H3) and a peptide antigen to be utilized in adapter CARs.
Selections against CD22 yielded multiple miniCARbids that recognize native CD22 on human
leukemia cells with high affinities in the double digit pM to double digit nM range (Fig. 3A, 3B and
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Suppl. Fig. 4A). Furthermore, when expressed as soluble proteins, these CD22-miniCARbids were
highly stable with Tm values between 51 and 71 °C (Fig. 3C). Three of the CD22-miniCARbids showed
remarkably high Tm values comparable to the parental protein 5UMR, which is unusual for protein
engineering campaigns that are typically associated with a significant loss in stability.25 Moreover,
none of the miniCARbids showed detectable aggregation (Fig. 3D), further indicating the high quality
of the optimized miniCARbid libraries. Finally, testing this set of miniCARbids for binding to CD22-
negative (Jurkat) and CD22-positive (CD22
LOW NALM6 and CD22HIGH Raji) cell lines demonstrated the
high specificity of these engineered binding domains for CD22 (Fig. 3E).
As a second antigen, we chose CD276 which is frequently overexpressed on human
cancers.47,48 After yeast display selections, we characterized eight enriched miniCARbids, three of
which bound to CD276 on a panel of four human cancer cell lines (A-431, A-549, Caco-2, SK-BR-3; Fig.
4A and Suppl. Fig. 4B) known to express varying levels of the two CD276 isoforms 2Ig and 4Ig.49
Importantly, this interaction was specific, since no signal was obtained with CD276-negative Jurkat
cells (Fig. 4B). Again, biochemical characterization of soluble miniCARbids revealed high stabilities
(Suppl. Fig. 4C) and hardly any detectable aggregation (Fig. 4C and Suppl. Fig. 4E). Blocking
experiments with well-established CD276-specific mAbs (enoblituzumab (MGA271) and omburtamab
(8H9))
50 showed different patterns for the three miniCARbids, suggesting that they bind to at least
two different epitopes on CD276 (Suppl. Fig. 4D).
To further challenge the versatility of the platform, we investigated whether miniCARbids
can also be engineered for specific recognition of a short linear peptide antigen. Since these
miniCARbids were intended to be used in adapter CARs (AdCARs), we chose a peptide antigen (the
adapter) based on an oncogenic variant of fibroblast growth factor receptor 2 (FGFR2), which seems
to escape immune surveillance in humans and still enables orthogonality due to the contained point
mutations. Although the engineering of binder scaffolds against a short peptide comprising only
several amino acids is considered quite challenging,
32 we obtained miniCARbids that bound free
peptide, as well as SUMO-peptide fusion protein with affinities in the low nM to high pM range (Fig.
4D and 4E and Suppl. Fig. 4F). Biochemical analysis showed that the miniCARbids were stable (Fig.
4G) and exhibited only little or no aggregation (Fig. 4F).
Together, these data demonstrate that miniCARbids can be engineered for specific
recognition of very diverse antigens, including both proteins and linear peptides. All selection
campaigns yielded stable and aggregation-resistant human binding domains of high affinity towards
their target.
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High potency of CD22-specific miniCARbid-CAR T cells
Next, we investigated whether the miniCARbids are functional within conventional 2nd generation
CARs. For that purpose, we tested a set of ten CD22-specific miniCARbids, as well as three
benchmark scFvs, two of which have been applied in CAR T cells in clinical trials (m971-1xG4S, m971-
4xG4S).26,27,51 For proper comparison, all miniCARbids and scFvs were incorporated into the same
CD28-based CAR backbone (28ζ, Fig. 5A). To directly assess CAR signaling, we used our recently
established Jurkat Nur77 reporter cell line expressing monomeric mKusabira Orange2 (mKO2) under
the control of the Nur77 promoter,31 which is indicative of early CAR and TCR activation.52,53 Among
the ten miniCARbid-CARs, five showed expression levels comparable to those of the scFv-based CARs
(Fig. 5B). Moreover, upon co-culture with CD22-positive target cells, all miniCARbid-CARs induced
CAR activation to similar or even higher levels compared with scFv-based CARs (Fig. 5C). Interestingly,
while all scFv-based CARs showed intermediate intensity of antigen-independent tonic signaling (Fig
5C, light grey bars), the set of ten miniCARbid-CARs yielded the full range of tonic signaling from
virtually undetectable levels to strong antigen-independent activation (Fig. 5C, light blue bars). Of
note, three miniCARbid-CARs (22_1410, 22_163 and 22_1611) showed efficient activation upon
antigen engagement, despite negligible background activation in the absence of antigen (Fig. 5C, light
blue vs. blue bars).
To further confirm functionality of miniCARbid-CARs, we measured cytotoxicity and cytokine
release in primary human T cells with the three most promising miniCARbid-CARs, as well as CARs
based on the two clinically tested m971 scFvs. All CARs were efficiently expressed at similar levels
(Suppl. Fig. 5G). When using Raji target cells, which express high levels of CD22 (~25,000
molecules/cell, Suppl. Fig. 5H), all three miniCARbid-CAR Ts showed efficient cytotoxic activity (Fig.
5D and Suppl. Fig. 5D) and cytokine secretion. While there was a trend toward lower IL-2 release for
miniCARbid-CAR Ts when compared with both m971-based CAR Ts, IFN-γ levels were similar (Fig. 5E
and 5F and Suppl. Fig. 5E and 5F).
Since it is known that CD22 downregulation is a frequently observed escape mechanism in
response to CD22-CAR Ts,
54 highly sensitive CD22-CARs responding to low antigen levels are of
critical importance. Therefore, we additionally assessed CAR T cell activity in response to NALM6 cells
expressing low levels of CD22 (~1,000 molecules/cell, Suppl. Fig. 5H) representative of expression
levels of CD22 seen in ALL.26,55 Remarkably, we observed a trend toward more efficient lysis and
cytokine release induced by the three miniCARbid-CARs compared with the m971 scFv-based CARs
(Fig. 5G, 5H and 5I and Suppl. Fig. 5A, 5B and 5C).
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Overall, CD22-specific miniCARbid-CARs trigger efficient target cell lysis and cytokine release.
Importantly, our data also suggest that these CD22-specific miniCARbid-CARs are highly sensitive,
enabling recognition and potent lysis of CD22LOW tumor cells.
CD276-directed miniCARbid-CAR T cells show efficient cytotoxicity and cytokine release
To test whether high CAR T cell functionality can also be obtained with miniCARbids directed against
a different antigen, we tested three CD276-specific miniCARbids, as well as two clinically relevant
benchmark scFvs (MGA271 and 376.96)56,57 in the same 28ζ CAR (Fig. 6A). Analysis of CAR activation
in the Jurkat Nur77 reporter cell line demonstrated that one out of three tested miniCARbid-CARs
(276_C152) showed expression comparable to the MGA271 scFv-based CAR (Fig. 6B). All miniCARbid-
CARs triggered efficient antigen-dependent CAR activation, whilst inducing only little tonic signaling
comparable to the MGA271 scFv-based CAR (Fig. 6C).
Next, the two most promising CD276-specific miniCARbid-CARs were assessed for
cytotoxicity and cytokine release in primary human T cells. 6 and 24 h co-culture assays were
performed with a panel of three different CD276-expressing human cancer cell lines (A-431, A-549
and Caco-2) at effector:target (E:T) ratios of 5:1 and 10:1. While miniCARbid-CAR 276_152 induced
moderate lysis, as well as IFN-γ and IL-2 secretion upon co-culture with all target cell lines, CAR T cells
based on 276_C152 showed high potency comparable to those achieved with the two scFv-based
control CARs (Fig. 6D-G and Suppl. Fig. 6).
Overall, these data demonstrate that CD276-directed miniCARbid-CAR T cells are highly
functional and comparable to benchmark scFv-based CAR T cells, as demonstrated by efficient CAR T
cell signaling, cytotoxic activity and cytokine release.
Adapter CAR (AdCAR) T cells based on miniCARbids prove to be functional
To further demonstrate the versatility of miniCARbids in different CAR T applications, peptide-
directed miniCARbids were used to design BBζ AdCARs, where the miniCARbids served as recognition
domains for the soluble adapter protein containing the mutant FGFR2 peptide, as well as a tumor-
specific Fab (Fig. 6H and 6I). Primary human AdCAR T cells were co-cultured with the acute myeloid
leukemia (AML) cell line OCl-AML2 in the presence or absence of CD33-specific soluble adapter
protein and assessed for cytotoxicity, cytokine release and expression of activation markers (CD69
and CD137). Three peptide-directed miniCARbid-AdCARs were tested together with an scFv-based
AdCAR specific for the same peptide, all of which showed target cell lysis upon addition of adapter
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protein that was comparable to that achieved with the scFv-based AdCAR (Fig. 6J). Adapter-
dependent activation was further confirmed by detection of activation markers CD69 and CD137
(Suppl. Fig. 7A and 7B). Moreover, analysis of cytokine secretion demonstrated that AdCAR activation
was dependent on the presence of both the soluble adapter and CD33-positive target cells (Fig. 6K
and Suppl. Fig. 7C and 7D). Together, these data demonstrate that miniCARbids can also be
engineered for specific recognition of a linear peptide, thus enabling the generation of miniCARbid-
based AdCAR T cells.
High in vivo anti-tumor potency of CD22-specific miniCARbid-CARs
Finally, to assess the functionality of miniCARbid-CARs in a 28ζ CAR backbone in vivo, we compared
the two most promising CD22-specific miniCARbid-CARs (22_1410 and 22_1333) to a CAR based on
the m971 scFv. We chose the m971 scFv version with the shorter linker (1xG
4S) as our benchmark,
since it was shown to be more potent in clinical CAR T trials compared with the same scFv containing
a longer linker (4xG4S),27 a trend that was further supported by our in vitro cytotoxicity assays (Fig. 5D
and 5G). To mimic CD22LOW tumors, we used a NALM6 model, in which 0.5x106 NALM6 cells were
injected three days prior to the administration of 5x106 CAR T cells (CAR expression shown in Fig. 7C),
followed by analysis of tumor and CAR T cell numbers in the bone marrow, liver and spleen at day
nine post CAR T cell injection (Fig. 7A).
Importantly, both miniCARbid-CAR constructs induced potent killing of NALM6 tumor cells in
the bone marrow (Fig. 7B, 7D and Suppl. Fig. 8A). Similarly, in the liver, where the tumor cell number
was much lower in general, miniCARbid-CAR T cells also reduced the tumor burden (Suppl. Fig. 8B,
only statistically significant for 22_1410). As was observed in previous studies,
9 we did not detect
NALM6 cells in the spleen (not shown). Remarkably, in the bone marrow, which showed the highest
infiltration of NALM6 tumor cells, both miniCARbid-CAR T cells enabled significantly stronger
eradication of tumor cells compared to the m971-scFv-based CAR Ts (Fig. 7B, 7D and Suppl. Fig. 8A),
further demonstrating their high anti-tumor potency. Analysis of total, as well as CAR-positive T cell
numbers in the bone marrow and liver showed comparable or slightly lower cell counts for the
miniCARbid-CAR T cells when compared to the m971-CAR (Fig. 7E and 7F and Suppl. Fig. 8C and 8D).
Summing up, this in vivo experiment further confirmed the high efficacy of miniCARbid-CARs,
which showed similar or even higher anti-tumor potency in leukemia-bearing mice when compared
with a CAR based on the clinically tested m971-1xG
4S scFv.
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Discussion
In this study, we established a platform for the generation of miniCARbids, i.e. small, stable and well-
expressed human binding domains. Moreover, due to their single-domain architecture, the risk of
clustering as frequently observed with scFvs is strongly reduced. Thus, while there is extensive
experience with scFv-based CARs due to their broad availability, we present miniCARbids as an
alternative platform that is specifically tailored to applications in CAR T cells.
We successfully engineered miniCARbids ag ainst three antigens, including two different
proteins and a linear peptide. In all cases, we obtained stable miniCARbids with affinities down to the
pM range, which is comparable to those typically obtained with antibodies. Thus, our data suggest
that miniCARbids can be engineered for specific recognition of virtually any given antigen.
When engineering proteins to obtain new functionalities such as antigen binding, a loss of
stability is commonly observed due to the insertion of mutations.22,23,25,58 Of note, some of the
miniCARbids generated in this study only showed very minor loss in stability (difference in Tm of <3 °C
compared to parental protein). Moreover, the vast majority of our engineered miniCARbids did not
show any detectable aggregation, which is remarkable, as protein engineering for antigen
recognition is typically associated with increased tendencies to aggregate.20,22,58 These highly
favorable biochemical properties of the obtained miniCARbids, i.e. their high stability and low
tendency to aggregate, prove the high quality of the library and mutational tolerance of the parental
protein scaffolds. Moreover, these beneficial features may also at least partially explain the observed
high performance of miniCARbids in CAR T cells. In this regard, it is worth noting that the
miniCARbids obtained from yeast display selections were directly integrated into standard 2nd
generation CARs without any optimization of the CAR architecture (e.g. hinge length, signal peptide,
etc.) or the miniCARbids themselves. Despite this omission of optimization efforts, the resulting
miniCARbid-CARs were highly functional, comparable or even superior to well-established and
extensively optimized scFv-benchmark CARs.
In fact, CD22-specific miniCARbid-CARs showed high sensitivity toward CD22 LOW NALM6
target cells, which resulted in superior anti-tumor activity in the bone marrow of mice in vivo when
compared with a CAR based on the clinically tested m971-scFv (Fig. 7B and D). This finding is also of
high clinical relevance, because CD22 downregulation has been shown to be an escape mechanism in
leukemia and lymphoma patients upon treatment with CD22-directed CAR T products,54,59 suggesting
that the high sensitivity of CD22-directed miniCARbids-CARs may impede tumor escape. In addition
to this high potency and sensitivity, miniCARbids also come with the advantage of their human origin
and smaller size (0.3 kbp vs. ~0.75 kbp for a typical scFv), which considerably decreases the required
vector payload that is generally known to significantly impact virus titer and infectivity.11,12 This
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reduced size is mostly attributed to the single-domain architecture of miniCARbids, which also
prevents domain swapping and mispairing – a benefit that is particularly advantageous when
expressed in a tandem-CAR format, where mispairing can be even more problematic due to the
presence of two scFvs.5,10
Of note, due to their highly favorable properti es, we anticipate that miniCARbids can also be
utilized for a range of other applications, including bispecific T cell engagers (BiTEs), Fc fusions or
drug-dependent switches, to name a few. For example, also in BiTEs, which are often based on two
scFvs, the use of miniCARbids may prevent unintended domain swapping.
Together, the miniCARbids introduced in this study combine several critical features for
applications in CAR T cells. First of all, miniCARbids are based on small protein domains of human
origin. We demonstrate that these minimalistic single-domain proteins can be engineered to bind to
diverse types of antigens with antibody-like affinities, while maintaining a stable and aggregation-
resistant structure. In addition, even without optimization of the CAR architecture, miniCARbid-based
CARs proved to be highly potent in vitro and in vivo, suggesting that this engineering platform will be
a rich resource for small, human binding domains optimized for CAR T applications.
Acknowledgements
This work was supported by the Austrian Science Fund (FWF Projects W1224 – Doctoral Program on
Biomolecular Technology of Proteins – BioToP, 10.55776/P34832, ESP 465-B and EFP 45, Devising
Advanced TCR-T cells to eradicate OsteoSarcoma, DART2OS) and by the Federal Ministry for Digital
and Economic Affairs of Austria and the National Foundation for Research, Technology and
Development of Austria to the Christian Doppler Research Association (Christian Doppler Laboratory
for Next Generation CAR T Cells) and by private donations to the St. Anna Children´s Cancer Research
Institute (Vienna, Austria). E. S. and and M.C.B. are recipients of DOC Fellowships of the Austrian
Academy of Sciences at the St. Anna Children´s Cancer Research Institute (#26323 and #25905). The
SH800S cell sorter, the CytoFLEX and the PEAQ-DSC Automated equipment was kindly provided by
the EQ-BOKU VIBT GmbH and the project was supported by the BOKU Core Facility Biomolecular &
Cellular Analysis.
Author contributions
M.T. managed the project, conducted experiments, performed data and statistical analysis, prepared
the figures and manuscript. J.M., K.E.H. and D.E. conducted experiments and performed data analysis.
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E.S. and H.B. conducted experiments and mouse work. F.S. conducted experiments and performed
data analysis. E.M. and U.B. conducted experiments and performed data analysis. A.M.-L. and J.M.
contributed to data interpretation. M.D. supported with data and statistical analysis. M.C.B. conducted
mouse work. L.S. conducted experiments and performed data analysis. B.S., E.M.P. and C.U.Z.
contributed to project conceptualization and data in terpretation. M.L. contributed to the study idea
and data interpretation. M.W.T. conceived the study idea, supervised the project, contributed to data
interpretation and prepared the manuscript. All authors revised the manuscript.
Data availability
All data are available upon request.
Competing interests
M.L. and M.W.T. receive funding from Miltenyi Biotec. M.T., M.L. and M.W.T. have filed two patent
applications related to the technologies described in this study. E.M., U.B. and A.M.-L. are full time
employees of Miltenyi Biotec. J.M. was employee of Miltenyi Biotec at the time of this study. The
remaining authors declare no competing interests.
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Figure 1: Selection process of novel binder scaffolds with ideal properties for CAR T applications. (A)
Second-generation CAR molecule with a prospective antigen binding domain with the desired
characteristics. (B) Selection process and criteria applied for the identification of novel potential
scaffolds starting from the Protein Data Bank (PDB). (C) Structures of the 15 chosen potential scaffolds
labeled according to their PDB-IDs. (D) Expression of 15 scaffold-CARs and FMC63-CAR and FN3-CAR
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as benchmarks on primary human T cells from 2 donors in a BB ζ backbone (Q65K) (average ± SD, n=4,
biological replicates). (E) 14 potential scaffolds and FN3 were expressed solubly and characterized
regarding their thermostability using DSC; average ± SD of 3- 4 independent measurements, technical
replicates. (F) Aggregation properties were as sessed using SEC-HPLC. Chromatograms from one
representative experiment (n=3, technical replicates) are shown. (G) Tonic signaling of scaffold-CARs
in a BB ζ backbone (Q65K) in Jurkat Nur77 reporter cells was assessed based on the expression of
mKusabira Orange (mKO2) in the absence or presence of PBMCs in 2-fold or 5-fold excess (average ±
SD, n=3, biological replicates). A 14g2a-E101K-CAR was used as a positive control. (H) Expression levels
of the scaffold-CARs shown in (G) (average ± SD, n=3, biological re plicates). Expression was detected
via anti-Flag-tag staining. Parts of this figure were created with BioRender.com.
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Figure 2: Establishment of miniCARbid libraries for binding site engineering. (A) Crystal structures of
scaffolds 3SHU and 5UMR and four different library formats per scaffold with their mutated amino
acids highlighted in color. (B) Full-length yeast surface expression of NNK-randomized 5UMR and 3SHU
libraries normalized to the expression of 5UMR or 3SHU WT, respectively (induced at 20 and 37 °C)
(average ± SD, n=3 or 4, biological replicates). (C) Amino acid frequencies chosen for the randomized
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positions in the optimized libraries, which differed for 5UMR positions Q28 and Q44. (D) Full-length
expression of NNK-randomized vs. improved (final) yeast libraries normalized to the expression of
3SHU or 5UMR WT, induced at 20 and 37 °C (average ± SD, n=3, biological replicates). Statistical
analysis was performed with a two-sided t-test for samples with equal variance (*p < 0.05, **p < 0.01,
***p < 0.001). (E) A typical workflow performed for yeast surface display selections starting from a
superlibrary made up of scaffold libraries based on 3SHU and 5UMR with a total diversity of ~10
9. Parts
of this figure were created with BioRender.com.
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Figure 3: Engineered CD22-specific miniCARbids are affine, specific, stable and monomeric. (A) The
KD values of CD22-miniCARbids were determined by titrations of soluble CD22-miniCARbids on NALM6
cells. (B) A representative example of titrations of miniCARbids 22_1611 and 22_1317 on NALM6 cells
is shown. The binding inten sity was assessed via anti-His-tag staining by flow cytometry. Data were
fitted with a 1:1 binding model (solid lines) for the calculation of the respective KD values illustrated in
(A) (average ± SD, n=3 or 4, biological replicates). (C) Thermostability of CD22-miniCARbids and their
parental protein 5UMR was assessed using DSC (average ± SD of 3 independent measurements,
technical replicates). (D) Aggregation properties of CD22-miniCARbids were assessed using SEC-HPLC.
One representative analysis (n=3, technical replicates) of CD22-miniCARbids and their parental protein
5UMR is shown. (E) Binding specificity was assessed by incubating NALM6, Raji or Jurkat (CD22-
negative) cells with 250 nM CD22-miniCARbid, followed by flow cytometric analysis (one of three
biological replicates is shown).
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Figure 4: Engineered CD276- and peptide-specific miniCARbids show favorable biochemical
properties. (A) KD values and their respective titration curves of three CD276-miniCARbids (276_C152,
276_152 and 276_C146) on cell lines A-549 (14,14 0 ± 940 CD276 molecules/cell, average ± SD, n=3,
biological replicates), A-431 (15,450 ± 4,110 CD27 6 molecules/cell, average ± SD, n=3, biological
replicates), Caco-2 (45,200 ± 24,290 CD276 molecule s/cell, average ± SD, n=3, biological replicates)
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and SK-BR-3 (2,040 ± 90 CD276 molecules/cell, average ± SD, n=3, biological replicates). The binding
intensity was assessed via anti-His-tag staining by flow cytometry. Data were fitted with a 1:1 binding
model (solid lines) for the calculation of the respective KD values (average ± SD, n=3 or 4, biological
replicates). (B) Binding specificity was assessed by incubating Caco-2 or Jurkat (CD276-negative) cells
with 1000 nM CD276-miniCARbids, followed by flow cytometric analysis (n=3, biological replicates).
(C) Analysis of aggregation properties of CD276-miniCARbids and their parental protein 5UMR by SEC-
HPLC. One representative example (n=3, technical re plicates) is shown. (D) Sc hematic representation
of the titration of yeast-displayed peptide-miniCARbids with two antigens, SUMO-peptide and biotin-
peptide. (E) Affinities ( KD) and two representative titration cu rves of miniCARbids pep_11510 and
pep_245 with antigens SUMO-peptide and biotin-peptide. The binding intensity was assessed via anti-
His-tag staining or fluorescently labeled streptavidin by flow cytometry. Data were fitted with a 1:1
binding model (solid lines) for the calculation of the respective KD values (average ± SD, n=3, biological
replicates). (F) Analysis of aggregation properties of peptide-miniCARbids and their parental protein
3SHU by SEC-HPLC. One representative example of three independent measurements (technical
replicates) is shown. (G) Thermostability of peptide-miniCARbids and their parental protein 3SHU was
assessed using DSC (average ± SD of 3 independent me asurements, technical replicates). Parts of this
figure were created with BioRender.com.
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Figure 5: CD22-specific miniCARbid-CARs efficientl y activate effector functions in human T cells. (A)
CAR architecture used for the in vitro assessment of CAR activity. (B) Expression of CARs based on ten
CD22-specific miniCARbids and scFvs HA22, m971-1xG 4S and m971-4xG 4S as benchmarks in Jurkat
Nur77 reporter cells was assessed via anti-MAP-tag staining by flow cytometry (average ± SD, n=3,
biological replicates). (C) Activation of CD22-specific CARs in Jurkat Nur77 reporter cells in the presence
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or absence of a 2-fold excess of NALM6 target cell s was assessed via the expr ession of mKO2 by flow
cytometry (average ± SD, n=3, biological replicates). (D) Cytotoxicity of CD22-specific CAR T cells and
mock T cells (no CAR) against Raji cells (E:T 2:1, average ± SD, n=4, biological replicates). (E and F)
Release of IFN-γ (E) and IL-2 (F) analyzed via ELISA. The cytokines were analyzed in the supernatants of
co-cultures with Raji cells (E:T 2:1, average ± SD, n=4, biological replicates). (G) Cytotoxicity of CD22-
specific CAR T cells and mock T cells (no CAR) against NALM6 cells (E:T 2:1, average ± SD, n=4, biological
replicates). (H and I) Release of IFN- γ (H) and IL-2 (I) analyzed via ELISA. The cytokines were analyzed
in the supernatants of co-cultures with NALM6 cells (E:T 2:1, average ± SD, n=4, biological replicates).
Statistical analysis was performed using a repeat ed measure One-Way ANOVA with a Tukey post hoc
test (*p < 0.05, **p < 0.01, ***p < 0.001). The stat istical analysis for the cytokine concentration was
performed using log-transformed values. Parts of this figure were created with BioRender.com.
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Figure 6: Efficient activation of CD276-specific miniCARbid-CARs and miniCARbid-based adapter
CARs. (A) CAR architecture used for the in vitro assessment of CD276-specific miniCARbids. (B)
Expression of CARs based on CD276-specific miniCARbids and scFvs MGA271 and 376.96 as
benchmarks in Jurkat Nur77 reporter cells was assessed via anti-MAP-tag staining by flow cytometry
(average ± SD, n=3, biological replicates). (C) Activation of CD276-specific CARs in Jurkat Nur77 reporter
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cells in the presence or absence of a 2-fold excess of A-549 target cells was assessed via the expression
of mKO2 by flow cytometry (average ± SD, n=3, biological replicates). (D) Expression level of transduced
CD276-specific CAR T cells was assessed via anti-MAP-tag staining by flow cytometry. (E) Cytotoxicity
of CD276-specific CAR T cells and mo ck T cells (no CAR) against Caco-2 cells (E:T 5:1, 24 h, average ±
SD, n=5, biological replicates). (F and G) Release of IFN- γ (F) and IL-2 (G) analyzed via ELISA. The
cytokines were analyzed in the supernatants of co-cul tures with Caco-2 cells (E:T 5:1, 24 h, average ±
SD, n=3, biological replicates). (H) CAR architecture used for the functional characterization of peptide-
specific miniCARbids in a CAR format. (I) MiniCARbids as well as an scFv were tested in an AdCAR
format with a soluble peptide-adapter molecule. CAR activity is anticipated only upon the addition of
the adapter protein. (J) Cytotoxicity of peptide-spec ific CAR T cells and mock T cells (no CAR) against
OCl-AML2 cells (E:T 2:1, 4 d, average, n=5, biological replicates). Three miniCARbids (pep_11510,
pep_244, pep_248; pink, purple and red) were tested and compared with a benchmark scFv (light
grey). (K) Release of IFN- γ analyzed via MACSPlex Cytokine Kit. The cytokines were analyzed in the
supernatant 24 h after the initiation of co-culture with OCl-AML2 cells (E:T 2:1, average, n=2, biological
replicates). The dotted line represents the detectio n limit. Parts of this figure were created with
BioRender.com.
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Figure 7: Pronounced anti-tumor potency of CD22-specific miniCARbid-CAR T cells in vivo . (A)
Experimental design: Mice were injected with 0.5x106 NALM6 cells, followed by the injection of 5x106
CAR T cells three days later. On day nine post CAR T injection, mice were sacrificed and analyzed
regarding the number of tumor, T and CAR T cells. (B ) Flow cytometric analysis of bone marrow (BM)
single-cell suspensions for tumor and T cell number; one representative sample for mock T cells, m971-
1xG4S-CAR T cells and miniCARbid-CAR T cells 22_1333 and 22_1410 is shown. (C) CAR expression levels
of injected CAR T cell suspensions as assessed via anti-MAP-tag staining. (D) Analysis of the number of
tumor cells (CD19+ GFP+) of five (mock T cells) or six animals (CAR expressing T cells) in the bone
marrow. Depicted is the log-transformed number of total cells in the bone marrow. (E and F) Analysis
of the number of T cells (CD3+) (E ) and of CAR T cells (MAP+) (F) of fi ve (mock T cells) or six animals
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(CAR expressing T cells) in the bone marrow. Depict ed is the log-transformed number of total cells in
the bone marrow. Statistical analysis was performed using a One-Way ANOVA of log-transformed
values with a Tukey post hoc test (*p < 0.05, **p < 0. 01, ***p < 0.001, ****p < 0.0001). Parts of this
figure were created with BioRender.com.
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Materials and methods
Expression and purification of soluble scaffolds and miniCARbids
All soluble scaffolds and miniCARbids were expre ssed in a pET-21a(+) vector (Novagen) with an N-
terminal MGGGSGGSGG-linker, a C-terminal 2x(G 4S)-G linker followed by a hexahistidine (6xHis) tag.
Briefly, E. coli Tuner cells were transformed with sequence- verified plasmids and grown overnight in
lysogeny broth (LB) with 100 µg/mL ampicillin at 37 °C, 180 rpm. Next, the cu lture was diluted to an
OD600 of 0.1 – 0.2 in terrific broth and at OD 600 ~ 0.8-1 protein expression was induced with 1 mM
isopropyl-beta-D-thiogalactopyranoside (IPTG) and th e culture was shaken at 20 °C overnight. After
centrifugation (5,000 g, 20 min, 4 °C), cells were resuspended in sonication buffer (50 mM sodium
phosphate, 300 mM NaCl, 3% glycerol, 1% Triton-X 100, pH 8) and sonicated on ice, followed by
centrifugation (20,000 g, 30 min, 4 °C) to separate the soluble proteins from the rigid cell matter.
Next, the proteins were purified by using TALON metal affinity resin (Takara Bio). Supernatants
from crude cell lysates with 10 mM imidazole were applied to the washed and equilibrated TALON
matrix twice. After several washing steps with equilibration buffer (50 mM sodium phosphate, 300
mM NaCl, pH 8) containing increasing amounts of imidazole (5 mM, 15 mM), the proteins were eluted
with equilibration buffer containing 250 mM imidazole.
Buffer exchange to PBS was either performed using Amicon filter tubes (Merck Millipore) or
by dialysis using SnakeSkin Dialysis Tubing (Thermo Fisher Scientific) at 4 °C. Protein concentration was
determined using A
280 and protein aliquots were frozen at -80 °C.
Size exclusion chromatography (SEC) – HPLC
The aggregation behavior of soluble proteins was measured by SEC-HPLC (Shimadzu prominence
LC20), equipped with a diode arra y detector (SPD-M20A, Shimadzu), by using a Superdex 75 10/300
column and PBS (additionally containing 200 mM NaCl) at a flow rate of 0.75 mL/min. 50 µg protein
sample were loaded, unless stated otherwise.
Differential scanning calorimetry (DSC)
DSC was performed using the automated MicroCal PEAQ-DSC (Malvern Panaly tical). Proteins were
measured at either 50 µM (5UMR, wildtype scaffolds) or 100 µM (3SHU) in PBS. Samples were heated
from 20-100 or 120 °C at a heating rate of 60 °C/h. Data analysis was performed with the MicroCal
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PEAQ-DSC Software (Malvern Panalytical) performing a buffer baseline subtraction followed by
normalization for protein concentration and fitting to a non-two state unfolding model.
Cell culture
Buffy coats from de-identified healthy donors were purchased from the Austrian Red Cross. Primary
human T cells were isolated by negative selectio n using the RosetteSep Human T Cell Enrichment
Cocktail (STEMCELL Technologies) and cryopreserved in RPMI-1640 GlutaMAX medium supplemented
with 20% (v/v) fetal calf serum (FCS, Sigma) and 10% DMSO. Upon thawing, T cells were washed with
RPMI-1640 GlutaMAX medium and immediately activated using Human T-Activator CD3/CD28
dynabeads (Thermo Fisher Scientfic). T cells were counted every second day and were kept between a
density of 0.3-1x10
6 cells/mL. They were expanded for at least 7-10 days in RPMI-1640 GlutaMAX
supplemented with 10% FCS (v/v), 100 U/mL penicillin, 100 µg/mL streptomycin and 200 U/mL of IL-2
(PreproTech).
Jurkat, Jurkat Nur77 reporter cells,
31 NALM6, NALM6 GFP/luciferase, A-431, A-431
GFP/luciferase, A-549, A-549 GFP/luciferase, SK-BR-3, Raji and Raji GFP/luciferase cells were cultivated
in RPMI-1640 GlutaMAX™ supplemented with 10% (v/v) FCS, 100 U/mL penicillin and 100 µg/mL
streptomycin. Suspension cells were grown at densities between 0.3-1.5x106/mL at 37 °C (5% CO2, 97%
humidity. Caco-2 and Caco-2 GFP/luciferase cells were cultivated in DMEM supplemented with 20%
(v/v) FCS, 100 U/mL penicillin and 100 µg/mL streptomycin. NALM6 cells, Raji and Jurkat cells were
kind gifts from Dr. Sabine Strehl and Dr. Michael Dworzak, respectively; CCRI, Vienna, Austria. Caco-2
cells were a kind gift from Dr. Johannes Grillari, BOKU University, Vienna, Austria. A-549 (ATCC CCL-
185), A-431 (ATCC CRL-1555) and SK-BR-3 (ATC C HTB-30) were obtain ed from ATCC. NALM6
GFP/luciferase, Raji GFP/luciferase, A-431 GFP/ luciferase, A-549 GFP/luciferase and Caco-2
GFP/luciferase were established in-house.
Expression of scaffold-CARs on primary human T cells
DNA encoding a T7 RNA polymerase promoter site, Kozak sequence and the transgene was PCR
amplified and subsequently used as a template for in vitro transcription using the mMESSAGE
mMACHINE T7 Ultra Kit (Thermo Fisher Scientific), followed by subsequent mRNA purification using
the RNeasy kit (Qiagen). Purified mRNA was stored at -80 °C. 2x10
6 primary human T cells were
electroporated with 5 µg of scaffold-CAR mRNA and 1 µg of mRNA encoding for GFP using the Gene
Pulser Xcell Electroporation system (Bio-Rad). Beforehand, cells were washed with RPMI-1640 without
FCS, RPMI-1640 without phenol red and Opti-MEM (300 – 500 g, 5 min, RT) and the cell density was
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adjusted to 2x10 6 cells/100 µL Opti-MEM. Electroporation was performed using the square wave
protocol (single pulse, 500 V, 4 mm electroporation cuvettes, 5 ms pulse length) and cells were rescued
directly after electroporation in 2 mL of pre-warmed full-growth medium (RPMI-1640 GlutaMAX, 10%
FCS, 100 U/mL penicillin, 100 µg/mL streptomycin and 200 U/mL IL-2). After 16-18 hours of incubation
100,000 cells were used for flow cytometric analysis . After a washing step with 1 mL ice-cold staining
buffer (PBS, 0.2% human albumin, 0.02% sodium azide) cells were blocked with 10% human serum for
10 min at 4 °C. 1.2 µg/mL anti-FLAG-PE antibody (BioLegend, clone L5) was added and cells were
incubated for 25 min (in the dark, 4 °C) and subsequently washed twice with 1 mL ice-cold staining
buffer. Samples were analyzed with a LSR Fortessa instrument (BD Biosciences).
Tonic signaling using a Jurkat Nur77 reporter cell line
Preparation of mRNA and electroporation were performed as described above, using 2x10
6 Jurkat
Nur77 reporter cells and 5 µg mRNA and a square wave protocol (single pulse, 500 V, 4 mm, 3 ms pulse
length). Cells were rescued in full-growth medium without IL-2. After 16-20 hours of incubation 50,000
Jurkat Nur77 reporter cells were co-cultured with 100,000 or 250,000 (1:2 or 1:5 E:T ratio) PBMCs (200
µL total volume) for 4 hours at 37 °C in 96-well U-bottom plates. After the incubation time, cells were
centrifuged (300-500 g, 5 min, 4°C), washed with 200 µL ice-cold PBSA (PBS, 0.1% BSA) and stained
with 1.2 µg/mL anti-FLAG-APC (BioLegend, clone L5) for 20 min (4 °C, shaking, in the dark). Jurkat Nur77
reporter cells expressing the 14g2a-E101-CAR were blocked with 100 µg/mL MOPC (IgG1, Kappa from
murine myeloma, Sigma-Aldrich) for 10 min at 4 °C, followed by staining with 10 µg/mL of anti-IgG Fc-
AF647 (Southern Biotech, clone JDC-10) for 20 min (4 °C, shaking, in the dark). After two washing steps,
the samples were analyzed with a Cytoflex S instrument (Beckman Coulter).
Phlyogenetic analysis of 3SHU and 5UMR to predict conserved residues
For 3SHU, covering a large sequence diversity without oversampling the dense local sequence space
was achieved by using the full-length H. sapiens Tight junction protein ZO-1 (seq. ID: Q07157) as query
for a search on the representative sequence data base UniRef90. The search was conducted using the
sequence BLAST option of the Enzyme Function Initiative-Enzyme Similarity Tool
60 with default settings
and the resulting network was finalized at an alignment score of 1x10-50. All sequences clustering with
Q07157 and showing a sequence length between 30 and 2000 were further aligned by MAFFT v7.40261
using the FFT-NS-2 method. The alig nment was trimmed for positions with >90% gaps using trimAl
v1.262 and manually trimmed to fit the length of the domain 3SHU. After removing sequence
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redundancy of >90%, but keeping 3SHU in the selection, conserved residues in the alignment were
visualized using WebLogo 3.63
Investigation of the sequence space of 5UMR was conducted by running a PSI-BLAST search of
the full-length H. sapiens FACT complex subunit SSRP1 (seq ID: NP_003137.1) and its homolog from S.
cerevisiae (seq. ID: NP_013642.1) respectively, usin g a PSI-BLAST threshold of 9E-50 and three
iterations. Resulting unique sequences from both searches combined were aligned by MAFFT v7.40261
using the FFT-NS-2 method and cut after the highly conserved ‘GWNWG’-motif to fit the length of the
domain 5UMR. Sequences with a length <80, sequences containing nonproteinogenic characters, as
well as outliers of the alignment were manually removed from the selection. Sequence headers were
annotated according to taxonomy using SeqScrub
64 and sequence redundancy of >99% was removed.
Remaining sequences were aligned using the G-INS-i method of MAFFT and a tree was calculated by
FastTree65 using the Whelan and Goldman substitution model and standard options for increased
accuracy. All sequences forming the clade of the taxonomic group of Metazoa in the tree were
extracted and their conserved residues were visualized using WebLogo 3.
63
Establishment of NNK-randomized libraries
In a first PCR random mutations in 5UMR were inserted for libraries 5UMR_c (primer 5UMR_c_NNK1),
5UMR_cp (primer 5UMR_cp_NNK1), 5UMR_cy (primer 5UMR_cy_NNK1) with reverse primer
5UMR_PCR1_rev (all primer sequences shown in Suppl. Table 1) with a Q5 HiFi DNA Polymerase (New
England Biolabs), followed by preparative Agarose gel purification. 5UMR_wt was amplified using
primer 5UMR_PCR2_fwd and primer 5UMR_PCR2_rev. Products from the first PCR were amplified in
a subsequent amplification (200 µL reaction volume) using primers 5UMR_cb_NNK2 on PCR product
5UMR_c and primer 5UMR_PCR2_rev for the construction of library 5UMR_cb or primers
5UMR_PCR2_fwd and 5UMR_PCR2_rev for the remaining libraries.
Likewise, primers 3SHU_1_fwd , 3SHU_2_fwd, 3SHU _3_fwd, 3SHU_4_fwd and 3SHU_1_rev
(for libraries 3SHU_1, 3SHU_2 a nd 3SHU_3) or 3SHU _4_rev (for library 3SHU_4) were used for the
amplification with Q5® HiFi DNA Polymerase. 3SHU_wt was amplified using primers 3SHU_PCR2_fwd
and 3SHU_PCR2_rev, followed by preparative Agarose gel purification and further amplification
(200 µl reaction volume) using primers 3SHU_PCR2_fwd and 3SHU_PCR2_rev.
The final library constructs encoded for Aga2p-HA-tag-(G
4S)3 linker-NNK randomized 3SHU or
5UMR gene–c-myc tag. All primers were ordered at Sigma-Aldrich. Amplified PCR2 products were used
for ethanol purification and electroporation of S. cerevisiae strain EBY100 (ATCC) as described before.66
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Diversities of the NNK randomized yeast libraries averaged around ~10 7 individual clones after
electroporation.
Amplified genes for 3SHU_wt and 5UMR_wt were assembled into a BamHI/NheI digested
pCTCON2V vector using HiFi DNA Assembly (New England Biolabs). The sequence-verified pCTCON2V
plasmid was used for chemical transformation of EBY100 using Frozen-EZ Yeast Transformation II kit
(Zymo Research).
Establishment of final scaffold yeast libraries
Trinucleotide-synthesized primers were ordered from Ella Biotech. 3SHU or 5UMR WT genes were
randomized in an initial PCR using primers 3SHU _lib3_PCR1_fwd and 3SHU_lib3_PCR1_rev for the
3 S H U g e n e o r 5 U M R _ c p _ P C R 1 _ f w d a n d 5 U M R _ P C R 1 _ r e v f o r t h e 5 U M R g e n e u s i n g Q 5 H i F i D N A
Polymerase (primer sequences shown in Suppl. Table 1; X01 refers to codons encoding for a defined
AA frequency as specified in column 2 or 3 in Fig. 2C, while Z01 encodes for the same AA frequency
but as reverse codons; X02 refers to codons encoding for an AA frequency for positions Q28 and Q44
in 5UMR, which differs from the remaining positions, Fi g. 2C). 10 ng of gel-purified gene fragments of
the correct amplicon size were amplified in large volume (200 µL per electr oporation) with either
primers 3SHU_PCR2_fwd and 3SHU_PCR2_rev or primers 5UMR_PCR2_fwd and 5UMR_PCR2_rev
using Q5® HiFi DNA Polymerase. 20 electroporations of EBY100 cells with ethanol-purified DNA were
performed as described previously,
66 reaching a total diversity of 3.6x108 for the 3SHU_final library and
5.3x108 for the 5UMR_final library. Libraries were frozen in SD-CAA+15% glycerol and stored at -80 °C.
Flow cytometric analysis of yeast libraries
Yeast cultures were cultured in SD-CAA at 30 °C and surface expression was induced in SG-CAA at 20 °C
as described previously. 45,67 Cells were harvested, centrifuged, washed with ice-cold PBSA and
resuspended in PBSA to the desired cell concentration. Typically, 1 or 2x106 cells were used for staining
in 96-well V-bottom plates with 5 µg/mL anti-c-myc-AF488 antibody (Thermo Fisher Scientific, clone
9E10) and 1 µg/mL anti-HA-AF647 antibody (BioLegend, clone 16B12). Samples were incubated for 30
minutes (4 °C, shaking, in the dark), subsequently washed twice with 200 µL ice-cold PBSA and analyzed
with a Cytoflex S instrument (Beckman Coulter).
Analysis of AA frequency of yeast libraries
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DNA of yeast libraries was isolated using an adapted protocol of the Zymoprep Yeast Plasmid Miniprep
Kit II (Zymo Research), using 8 µL of Zymolase and an incubation of 3 hours at 37 °C for increased cell
wall degradation. DNA isolates were used for the electroporation of 10-beta E. coli (New England
Biolabs) according to the manufa cturer’s protocol using 1 µL of Zymoprep isolate (for 25 µL E. coli).
After overnight incubation on selective LB agar plates, individual E. coli colonies were used for Sanger
sequencing in a 96-well plate format (Microsynth). The resulting nucleotide sequences were translated
(EMBOSS Transeq, https://www.ebi.ac.uk/Tools/st/emboss_transeq/) 68,69 and the AA sequence was
used for Multiple Sequence Alignment (MSA) (Clustal Omega,
https://www.ebi.ac.uk/Tools/msa/clustalo/).68,70,71
Yeast surface display selections
Yeast surface display selections against a variety of targets (CD22, CD276 and an adapter peptide) were
carried out. In general, all selections started wi th a pooled 5UMR/3SHU superlibrary (5UMR_final +
3SHU_final). 1010 cells (covering 10x the diversity of the pooled library) were used for the initial rounds
of selections. Selection campaigns started with magnetic bead selections using Dynabeads Biotin
Binder (Thermo Fisher Scientific) as described previously.45,66
Yeast display selections for miniCARbids against CD22 were based on a soluble, biotinylated
CD22 protein (AcroBiosystems, SI2-H82E3). Initially, 2 rounds of bead selections were performed with
the naïve 5UMR/3SHU superlibrary, followed by a round of error prone PCR (epPCR, GeneMorph II
Random Mutagenesis Kit, Agilent) and several rounds of flow cytometric sorting, including a round of
negative sorting using a CD276 protein, which carried the same tags (Biotinylated Human B7-H3 (4Ig),
His, Avitag; B7B-H82E8).
For yeast display selections against CD276, we used two recombinant proteins by
AcroBiosystems (Biotinylated Human B7-H3 (4Ig), B7B-H82E8 and Human B7-H3, B73-H52E2), blocking
strategies with anti-CD276 antibody 8H9 (Thermo Fisher Scientific) and cell based pannings with Caco-
2 cells. Initially, all sorting strategies started wi th the naïve 5UMR/3SHU superlibrary and two rounds
of bead selections with CD276 4Ig, followed by a round of epPCR and one flow cytometric sort with
CD276 4Ig. Subsequently, the yeast library was split up to five different sorting campaigns including
selections against CD276 4Ig only (with and without blocking sorts with 8H9), selections incorporating
both 2Ig and 4Ig isoforms (with and without blocking sorts with 8H9) and selections incorporating cell
pannings
72 on Caco-2 cells as well as flow cytometric selections with CD276 4Ig.
Yeast display selections for miniCARbids ag ainst the adapter peptide (GGGGSYVVERWRHRP)
incorporated two rounds of bead selections, in total two rounds of epPCR and eight rounds of flow
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cytometric sorting. The peptide with different labels (N-terminal FITC or biotin) was used for the
selections and synthesized at peptides&elephants.
Flow cytometric sorting of yeast libraries
For cell sorting either a FACS Aria Fusion cell sorter (BD Biosciences) or SH800S cell sorter (Sony
Biotechnology) were used. Either 3x10 7 or 5x106 yeast cells were harvested and washed twice with 1
mL ice-cold PBSA. All subsequent washing steps were conducted likewise. Yeast cells were stained with
the antigen for one hour (4 °C, shaking). The incubation time and staining volume to reach an
equilibrium and avoid ligand depletion was calculated as described elsewhere. 67 Subsequently cells
were washed twice and stained with a secondary staining reagent, when required (30 min, 4 °C,
shaking, in the dark) with either 5 µg/mL anti-penta-His (conjugated to either AF647 or AF488, Qiagen)
or 5 µg/mL streptavidin conjugated to either AF647 or AF488 (Thermo Fisher Scientific), as wells as
anti-HA-AF647, anti-HA-AF488 (2 µg/mL, BioLegend, clone 16B12), anti-c-myc-AF488 or anti-c-myc-
AF647 (5 µg/mL, Invitrogen, clone 9E10). Prior to sorting, the yeast cells were resuspended in ice-cold
PBSA and after sorting incubated in SD-CAA with 1 00 U/mL penicillin and 100 µg/mL streptomycin at
30 °C while shaking.
Titration of antigen on yeast displayed miniCARbids
For the titration of peptide-miniCARbids displayed on yeast cells two different antigens were used:
biotinylated peptide (Biotin-GGGGSYVVERWRHRP-OH) or a SUMO fusion protein with the adapter
peptide sequence at its C-terminus (Suppl. Table 1) with an N-terminal 6xHis-tag for detection. 1x10
6
PBSA-washed yeast cells (50,000 displaying, 950,00 0 non-induced cells) were stained in 200 µL
overnight (4 °C, shaking, 96-well V-bottom plates). The number of displaying cells, incubation time and
staining volume to reach an equilibrium and avoid ligand depletion was calculated as described
elsewhere.
67 Subsequently, samples were washed thrice with 200 µL ice-cold PBSA and stained with 2
µg/mL anti-HA-AF488 and either 5 µg/mL anti-penta-His-AF647 or 20 µg/mL streptavidin-AF647 for 30
minutes (4 °C, shaking, in the dark). After two more washing steps, cells were pelleted and resuspended
just before measurement with a Cytoflex S instrument.
Titration of soluble miniCARbids on cell lines
Binding experiments with CD22-miniCARbids: Cells were harvested and washed with ice-cold PBSA
(200 g, 5 min, 4 °C). For affinity determination, 100,00 0 NALM6 cells were incubated with a range of
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CD22-miniCARbids concentrations for 4 hours (4 °C, shaking, 96-well V-bottom plates), followed by
two washing steps (200 µL ice-cold PBSA) and staining with 5 µg/mL anti-penta-His-AF488 for 20 min
(4 °C, shaking, dark) in 25 µL staining volume. After two more washing steps the cells were pelleted
and resuspended just before measurement with a Cytoflex S instrument. Data were fitted with a 1:1
binding model to calculate the K
D values as described previously.67 Analysis for unspecific binding was
performed likewise, but staining was only performed with 250 nM CD22-miniCARbids for 1 hour (4 °C,
shaking).
Binding experiments with CD276-miniCARbids: Titrations with CD276-miniCARbids were
performed likewise as described for the analysis of CD22-miniCARbids, but 100,000 cells were stained
for 1 hour.
Quantification of CD22 and CD276 expression on cell lines
Jurkat, NALM6 and Raji cells were harvested and washed twice with ice-cold PBSA (200 g, 5 min, 4 °C).
100,000 cells were stained in 100 µL PBSA with prior blocking (5 min, 4 °C, shaking) of the Fc-receptors
using 1 µL TruStain FcX (BioLegend). Subsequently cells were stained with 1 µg/mL anti-CD22-PE
antibody (BioLegend, clone HIB22) for 20 min (4 °C , shaking, dark). After tw o washing steps with 200
µL ice-cold PBSA, cells were resuspended just before measurement with a Cytoflex S instrument. For
quantification purposes, Quantibrite PE beads (BD Biosciences) were reconstituted in 500 µL PBSA and
analyzed in parallel. Quantification analysis assumed a binding ratio mAb:CD22 of 1:1 and obtained
antigen densities were corrected for the fluorophore labelling ratio (PE:mAb) of the antibody.
A-431, A-549, SK-BR-3, Caco-2 and Jurkat cells were analyzed likewise with 3.5 µg/mL of anti-
CD276-PE antibody (BioLegend, clone MIH42).
Blocking experiments of CD276-miniCARbids on Caco-2 cells
100,000 Caco-2 cells were washed with ice-cold PBSA and subsequently blocked with 666 nM of 8H9
or MGA271 (Abeomics) for 1 hour (4°C, shaking, 96-well V-bottom plates) in 18.75 µL staining volume.
Subsequently, CD276-miniCARbid was added to reach a final concentration of 500 nM miniCARbid and
500 nM antibody in 25 µL. Samples were incubated for 1 hour (4 °C, shaking, 96-well V-bottom plates)
and subsequently washed twice with 200 µL ice-cold PBSA (200 g, 5 minutes, 4 °C). After a secondary
staining step with 5 µg/mL anti-penta-His-AF488 for 30 min (4 °C, shaking, dark), two more washing
steps were conducted prior to analysis with a Cytoflex S instrument.
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Expression and activation of novel CD22- and CD276-CARs in a Jurkat Nur77 reporter cell line
In vitro transcription of CAR transgenes was performed wi th HiScribe T7 ARCA mRNA Kit, followed by
RNA purification with Monarch RNA Cleanup Kit (both from New England Biolabs). Electroporation was
performed as described above, using 2x10 6 Jurkat Nur77 reporter cells. After 2 hours of incubation,
cells were counted using a Vi-CELL XR (Beckman Coulter). 50,000 Jurkat Nur77 reporter cells were co-
cultured with 100,000 target cells (A-549 for CD276-CARs, NALM6 for CD22-CARs) or no target cells in
200 µL in 96-well U-bottom plates in full-growt h medium overnight (15-18 hours). Samples were
transferred to 96-well V-bottom plates, washed with 200 µL ice-cold PBSA (300 g, 5 min, 4 °C),
resuspended in 50 µL PBSA containing 10% of human serum (PAN Biotech) and incubated for 10
minutes at 4 °C. Subsequently, samples were stai ned with 2.5 µg/mL anti-MAP-AF647 (BioLegend,
clone pmab-1) for 30 min (4 °C, shaking, dark) and finally washed two times prior to analysis with a
Cytoflex S instrument.
Construction of transgenes
The sequence for scFv 376.96 was used in a V
L-3xG4S-VH orientation (patent US 10,233,226 B2); scFv
HA22: VH-3xG4S-VL orientation;73 scFv m971 originates from patent US 10,072,078 B2 and was used in
a VH-linker-VL orientation with both a 1xG4S and a 4xG4S linker;27 scFv MGA271 VH-3xG4S-VL orientation
(patent US 2018/0346544 A1). The 28 ζ backbone used was published in Dobersberger et al., 31 while
the BBζ (Q65K) backbone was published in Salzer et al.9
In vitro analysis of peptide-miniCARbids
Lentiviral transduction: Peptide-miniCARbids were cloned in to a second-generation CAR backbone
containing a GM-CSF leader sequence , linker, miniCARbid sequences, 2xG
4S linker, IgG4 hinge, CD8
transmembrane domain, 4-1BB and CD3 ζ. As a benchmark an scFv based binding domain specific for
the FGFR2 epitope tag was used in the same backbone, though lacking the miniCARbid-flanking linkers
and with an IL22Ra leader sequence. In all constructs, truncated low-affinity nerve growth factor
receptor (LNGFR) served as a transduction marker (aa 1-274, Ref sequence: NP_002498.1), which was
separated from the CAR via a P2A site. Primary human T cells were isolated from PBMCs of five donors
using the Pan T cell isolation Kit, human (Miltenyi Biotec). Subsequently T cells were activated using
TransAct (Miltenyi Biotec) according to the manufacturer’s instructions. On the following day, the
activated T cells were lentivirally transduced with a MOI of 15 – 20 and washed one day later. The cells
were cultivated in TexMACS (Miltenyi Biotec) containing 155 U/mL IL-7 (Miltenyi Biotec) and 290 U/mL
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IL-15 (Miltenyi Biotec). On day 6, LNGFR positive cells were enriched using the MACSelect™ LNGFR
MicroBeads (Miltenyi Biotec) according to the manufacturer’s instructions to 60 – 90% LNGFR+ cells.
Cytotoxicity assay and analysis of activation markers: On day 8 – 11 post T cell isolation, 1x105
AdCAR T cells were used for setting up a co-culture with 5x104 CD33+ OCl-AML2 target cells and 50 or
500 ng/mL of CD33-peptide adapter in target cell medium. Target cell lysis was analyzed using flow
cytometry on day four post co-culture initiation with a MACSQuant® 10 Analyzer or MACSQuant® X
(Miltenyi Biotec). For th is, 100 µL of cells were transferred into a new 96 well plate and 2x10 3
CountBright absolute counting beads (Thermo Fisher Scientific) were added. After centrifugation and
removal of supernatant, T cells were stained in 50 µL CliniMACS® PBS/ EDTA buffer supplemented with
0.5% BSA (Miltenyi Biotec) and following antibodies (all Miltenyi Biotec): 7AAD staining solution, CD3-
Vioblue (REA613), CD271 (LNGFR)-Viogreen (REA844), CD25-PE-Vio770 (REA570), CD137-APC
(REA765) and CD69-APC-Vio770 (REA824) for 10 min at 4°C. All antibodies were used according to
manufacturer’s protocol. After washing, cells were analyzed by flow cytometry and cell counts were
calculated based on analyzed CountBright absolute counting bead numbers.
Cytokine release by CAR T cells: Release of cytokines IFN- Υ, TNF- α, GM-CSF and IL-2 were
analyzed one day after the initiation of co-culture with 50 ng/mL CD33-peptide adapter using the
MACSPlex Cytokine 12 Kit, human (all Miltenyi Biotec) according to the manufacturer’s protocol.
In vitro analysis of CD22 and CD276-miniCARbids
Lentiviral transduction: Lenti-X 293T cells (Takara) were split one day prior to transfection in DMEM
(Thermo Fisher Scientific) + 10% FCS (Capricorn Scient ific) to reach confluency of 70-80% at the time
of transfection. Lenti-X 293T cells were co-transfected with a pCDH expression vector (System
Biosciences) carrying puromycin resistance genes and second-generation viral packaging plasmids
pMD2.G and psPAX2 (Addgene plasmids #12259 and #12260, respectively; gifts from Didier Trono)
using the PureFection Transfection Reagent (Sys tem Biosciences). The transfection mixture was
vortexed for 10 seconds and incubated at RT for 15 min, before the dropwise addition to the cells.
Supernatants were collected on day two and three after transfection and concentrated 50x using Lenti-
X Concentrator (Takara). Lentiviral particles we re resuspended gently in AIM V (Thermo Fisher
Scientific) supplemented with 2% Octaplas (Octapharma) supplemented with 2.5% HEPES (PAN-
Biotech), 1% L-Glutamine (Gibco) and 200 U/ml IL-2 (Peproptech) and stored at -80 °C. One day prior
to transduction primary human T cells were activated with T-Activator CD3/CD28 dynabeads (Thermo
Fisher Scientfic) according to the manufacturer’s instructions in AIM V™ medium supplemented with
2% Octaplas, 2.5% HEPES, 1% L-Glutamine and 200 U/ml IL-2. Activated T cells (10
6 cells/mL) were
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transduced in retronectin (Takara) coated cell culture dishes with thawed lentiviral suspension at a
final dilution of 1:2. To ensure growth of transduced cells only, puromycin was added to a final
concentration of 1 µg/mL for 48 hours two days post transduction. Transduced T cells were expanded
at densities below 1.5x10 6 cells/mL to ensure high cell fitness and stained for the expression of CD3
(anti-CD3-Viogreen, Miltenyi, clon e REA613, final dilution 1:50), CD4 (anti-CD4-PerCP, BioLegend,
clone OKT4, 1:30), CD8 (anti-CD8-FITC, Miltenyi, clone REA734, 1:50) and the CAR (anti-MAP-PE, Novus
Bio, clone pmab-1, 1:250), incubated for 25 min, washed twice and analyzed with a BD FACSymphony™
A5 Cell Analyzer instrument (BD Biosciences).
Cytokine release by CAR T cells: Cytokine secretion was quantified in the supernatants from
cytotoxicity experiments (described above). Supernat ants were centrifuged (500 g, 5 min, 4 °C) and
subsequently stored at -20 °C. IFN- γ and IL-2 were quantified using ELISA MAX Deluxe Set for human
IFN-γ and IL-2 (Biozym).
Cytotoxicity assay: A luciferase-assay was used to determine the cytotoxicity of primary human
T cells. For anti-CD22 CAR T cells GFP & luciferase expressing target cell lines NALM6 and Raji were co-
cultured at E:T ratios 2:1 and 5:1 for either 4 h (NALM6) or 24 h (Raji) in 100 µL RPMI without phenol
red (Thermo Fisher Scientific, RPMI 1640 Medium, no phenol red) supplemented with 2% Octaplas and
1% penicillin-streptomycin (Thermo Fisher Scientific) in white 96-well U-bottom plates. For anti-CD276
CAR T cells GFP & luciferase expressing target cells lines A-431, A-549 and Caco-2 were seeded 16 h
prior to the assay in 100 µL RPMI without phenol red supplemented with 2% Octaplas and 1% penicillin-
streptomycin in white round-bottom 96-well plates. On the following day 50 µL primary T cells were
added to reach E:T ratios of 5:1 and 10:1 for either 6 or 24 h. After co-culture the number of viable
cells was determined by their luciferase activity. Th e plates were eq uilibrated 10 min at RT, before
luciferin (Revvity) was added to reach a final concentration of 150 µg/mL. Luminescence was quantified
after 20 min at RT using an ENSPIRE Multimode pla te reader (Perkin Elmer). The lysis of target cells
was calculated as following:
% lysis = 100 െ
ோ ௧௧ ା ௧ ௦
ோ ௧௧ ௦ ∗ 100
In vivo experiments
NOD.Cg-Prkdcscid Il2rgtm1Wjl/SzJ (NSG, The Jackson La boratory) mice were bred at the core facility
laboratory animal breeding and husbandry of the Medical University of Vienna under specific
pathogen-free conditions according to FELASA recommendations. All practices were approved by the
Ethics and Animal Welfare Committee of the Medical University of Vienna and granted by the national
authority (Austrian Federal Ministry of Education, Science and Research) according to Section 8ff of
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the Law for Animal Experiments under license GZ 66.009/0243-V/3b/2019 and were performed
according to the guidelines of FELASA and ARRIVE. Primary human T cells were lentivirally transduced
to express a m971-1xG4S-, 22_1410- or 22_1333-CAR and expanded for 13 days. 0.5x10 5 NALM6 cells
in 200 µL RPMI were injected i.v. into the tail veins of NSG mice (female, 10-13 weeks of age). Three
days later 5x10
6 CAR T cells or untransduced T cells (“mock”) in 200 µL RPMI were injected i.v. into the
tail veins likewise. The mice were monitored daily and sacrificed nine days after the injection of CAR T
cells.
Bone marrow single-cells suspensions were obtained by flushing two femurs with 20 mL PBS
and subsequent filtering through a 70 µm cell strainer. Spleen samples were disrupted and passed
through 70 µm filters twice, while the liver sample s were filtered once following disruption. Liver
single-cell suspensions were subjected to a 33.75% Percoll gradient centrifugation to separate
lymphocytes from hepatocytes. All single-cell suspensions were subjected to multiple washing steps
and lysis of red blood cells through ammonium chloride potassium (ACK) Lysing Buffer. Finally, cells
were blocked with 5% Octaplas and a fourth of the volume was stained in 50 µL antibody mix (anti-
CD3-BV605, BioLegend, clone OKT3, final dilution 1:50; anti-MAP-PE, Novus Bio, clone pmab-1, 1:100;
anti-CD19-APC, Miltenyi Biotec, clone REA675, 1:100; fixable viability dye eF780, Invitrogen, 1:1000),
washed twice and measured on a BD FACSymphony™ A3 Cell Analyzer instrument together with 10 µL
beads.
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