Patent Publication Number: US-2022220201-A1

Title: Cs1 antibody and anti-cs1-car-t cells

Description:
This application is a continuation of PCT/US2020/048542, filed Aug. 28, 2020; which claims the priority of U.S. Provisional Application No. 62/895,803, filed Sep. 4, 2019. The contents of the above-identified applications are incorporated herein by reference in their entireties. 
    
    
     REFERENCE TO SEQUENCE LISTING, TABLE OR COMPUTER PROGRAM 
     The Sequence Listing is concurrently submitted herewith with the specification as an ASCII formatted text file via EFS-Web with a file name of Sequence Listing.txt with a creation date of Aug. 26, 2020, and a size of 25.7 kilobytes. The Sequence Listing filed via EFS-Web is part of the specification and is hereby incorporated in its entirety by reference herein. 
     FIELD OF THE INVENTION 
     The present invention relates to CS1-specific antibody (clone 5G584) and anti-CS1-CAR-T cells, which are useful in the field of adoptive immunity gene therapy for tumors. 
     BACKGROUND OF THE INVENTION 
     Immunotherapy is emerging as a highly promising approach for the treatment of cancer. T cells or T lymphocytes, the armed forces of our immune system, constantly look for foreign antigens and discriminate abnormal (cancer or infected cells) from normal cells. Genetically modifying T cells with CAR (Chimeric antigen receptor) constructs is the most common approach to design tumor-specific T cells. CAR-T cells targeting tumor-associated antigens (TAA) can be infused into patients (called adoptive cell transfer or ACT) representing an efficient immunotherapy approach [1, 2]. The advantage of CAR-T technology compared with chemotherapy or antibody is that reprogrammed engineered T cells can proliferate and persist in the patient (“a living drug”) [1, 3]. 
     CARS typically consist of a monoclonal antibody-derived single-chain variable fragment (scFv) at the N-terminal part, hinge, transmembrane domain and a number of intracellular co-activation domains: (i) CD28, (ii) CD137 (4-1BB), CD27, or other co-stimulatory domains, in tandem with an activation CD3-zeta domain. ( FIG. 1 ) [1,2]. The evolution of CARs went from first generation (with no co-stimulation domains) to second generation (with one co-stimulation domain) to third generation CAR (with several co-stimulation domains). Generating CARs with two costimulatory domains (the so-called 3rd generation CAR) have led to increased cytolytic CAR-T cell activity, improved persistence of CAR-T cells leading to its augmented antitumor activity. 
       FIG. 1  illustrates the structures of CAR. The left panel shows the structure of the first generation of CAR (no costimulatory domains). The middle panel shows the structure of the second generation of CAR (one co-stimulation domain CD28 or 4-BB). The right panel shows the third generation of CAR (two or several co-stimulation domains) [4]. 
     CS1 Antigen. 
     CS1 (SLAM family member 7, CD319) antigen is overexpressed in multiple myeloma cells. The extracellular domain (23-226 amino-acids) is shown in  FIG. 2  underlined in bold font). Based on high expression of CS1 in multiple myeloma it was used as a target with CS1 antibodies or CAR-T cells.  FIG. 2  shows the amino-acid sequence of CS1 protein. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  shows the structures of CAR. 
         FIG. 2  shows the amino acid sequence of CS1 protein (SEQ ID NO: 1). The extracellular domain is underlined and in bold. 
         FIG. 3  shows the structure of CS1 CAR construct. The second-generation CAR was used with mouse CS1 ScFv and either CD28 or 4-1BB as co-stimulatory domains 
         FIG. 4  shows the detection of CAR-positive T cells by FACS with mouse anti-FAB antibody. 
         FIG. 5A  shows that CS1-CAR-T cells killed CHO-CS1 cells.  FIG. 5B  shows that CS1-CAR-T cells did not kill negative control.CHO cells. 
         FIG. 6  shows the IFN-γ secretion by CS1-CAR-T cells in RPMI8226, H929 and MM1S multiple myeloma cells. Different Mock-CAR-T cells were used as negative control cells. * p&lt;0.05 CAR-T cells versus Mock CAR-T cells, Student&#39;s t-test. 
         FIG. 7  shows that CS1-CAR-T cells secreted high level of IFN-gamma against CHO-CS1 cells but not against CHO cells. 
         FIG. 8A  shows the images of RPMI8226 xenografts in NSG mice after treatment with CS1-CAR-T cells, PBS, and T cells. Mice showed decreased signals after treating with CS1-28-CD3 CAR-T cells (top panel).  FIG. 8B  shows that total flux (photons/sec) vs. days after the injection of RPMI8226 cells into NSG mice. Total flux was decreased after treatment with CS1-28-CD3 CAR-T cells. 
         FIG. 9  shows the quantitation of the cytotoxicity assay with CS1-CAR-T cells and Hela-CS1 target cells. Cytotoxicity was calculated as (X−Y)*100/X, where X is the average impedance of the HeLa-CS1 monolayer in the absence of effector cells (HeLa-CS1 alone) and Y is the average impedance of the HeLa-CS1 monolayer in the presence of effector cells (3 replicates). For each T cell donor (000, 178, and 202), at each time-point and at each E:T ratio, the p values for CAR-T cells vs T cells are &lt;0.0001 by 2-way ANOVA with Sidak&#39;s post-hoc test. 
         FIG. 10  shows the cytotoxic activity of anti-CS1 CAR-T cells against myeloma cells. Anti-CS1 CAR-T cells or control T cells were cultured with CS1 +  MM1S multiple myeloma cells or CS1 −  K562 control cells, and the mixtures were analyzed by flow cytometry with 7-AAD and a CD3 antibody. The average cytolysis of 2 replicates is shown. For all 3 donors cultured with MM1S cells, the p values for CAR-T cells vs T cells are &lt;0.0001 (2-way ANOVA with Sidak&#39;s post-hoc test). 
         FIG. 11  shows the cytokine production by CS1-CAR-Tcells in response to myeloma cells. Medium was collected from the cultures, centrifuged to remove cells and analyzed by ELISA for the levels of IFN-γ, IL-2 and IL-6. The average of 2 replicates is shown. IL-6 was not detected. For all 3 donors cultured with MM1S cells, the p values for CAR-T cells vs T cells are &lt;0.0001 for both IFN-γ and IL-2 (2-way ANOVA with Sidak&#39;s post-hoc test). 
         FIG. 12  shows the quantitation of the cytotoxicity assay and expression of CS1 on the target cells. Cytotoxicity was calculated as (X−Y)*100/X, where X is the average impedance of the HeLa-CS1 monolayer in the absence of effector cells (HeLa-CS1 alone) and Y is the average impedance of the HeLa-CS1 monolayer in the presence of effector cells (3 replicates). The p value for CAR-T cells vs T cells is 0.0001 at the 10:1 ratio and &lt;0.0001 at the 3:1 ratio (2-way ANOVA with Sidak&#39;s post-hoc test). HeLa-CS1 target cells were stained with a mouse monoclonal antibody against CS1 or an isotype control antibody, followed by a PE-conjugated anti-mouse IgG secondary antibody. 
         FIG. 13A  shows the cytokine production of CS1-41BB-CD3-CAR-T cells (PMC713) in response to HeLa-CS1 cells. Medium was collected from the RTCA wells, it was centrifuged to remove cells and analyzed by ELISA for the levels of IFN-γ, and IL-6. The p values for CAR-T cells vs T cells are 0.0002 for IFN-γ at 10:1, 0.0034 for IFN-γ at 3:1, 0.038 for IL-6 at 10:1 and &lt;0.0001 for IL-6 at 3:1 (2-way ANOVA with Sidak&#39;s post-hoc test).  FIG. 13B  shows the IFN-γ production by PMC713 CS1-41BB-CD3 CAR-T cells in response to myeloma cells. Medium was collected from the cultures, centrifuged to remove cells and analyzed by ELISA for the levels of IFN-γ. The average of two replicates is shown. The p value for CAR-T cells vs T cells is 0.0006 for MM1S cells by 2-way ANOVA with Sidak&#39;s post-hoc test. 
         FIG. 14A  shows the bioluminescent imaging of labeled RPMI8226 myeloma cells in mice. Mice were treated with PBS, mock CAR-T cells, PMC713 anti-CS1 CAR-T cells or PMC621 anti-CS1 CAR-T cells.  FIG. 14B  shows the quantitation of tumor burden in mice inoculated with RPMI8226 myeloma cells. p values=0.0063 for Mock vs PMC713 and &lt;0.0001 for Mock vs PMC621 (both on day 28) by 2-way ANOVA with Tukey&#39;s post-hoc test. 
     
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     Definitions 
     As used herein, a “chimeric antigen receptor (CAR)” is a receptor protein that has been engineered to give T cells the new ability to target a specific protein. The receptor is chimeric because they combine both antigen-binding and T-cell activating functions into a single receptor. CAR is a fused protein comprising an extracellular domain capable of binding to an antigen, a transmembrane domain, and at least one intracellular domain. The “chimeric antigen receptor (CAR)” is sometimes called a “chimeric receptor”, a “T-body”, or a “chimeric immune receptor (CIR).” The “extracellular domain capable of binding to an antigen” means any oligopeptide or polypeptide that can bind to a certain antigen. The “intracellular domain” means any oligopeptide or polypeptide known to function as a domain that transmits a signal to cause activation or inhibition of a biological process in a cell. 
     As used herein, a “domain” means one region in a polypeptide which is folded into a particular structure independently of other regions. 
     As used herein, a “single chain variable fragment (scFv)” means a single chain polypeptide derived from an antibody which retains the ability to bind to an antigen. An example of the scFv includes an antibody polypeptide which is formed by a recombinant DNA technique and in which Fv regions of immunoglobulin heavy chain (H chain) and light chain (L chain) fragments are linked via a spacer sequence. Various methods for engineering an scFv are known to a person skilled in the art. 
     As used herein, a “tumor antigen” means a biological molecule having antigenicity, expression of which causes cancer. 
     The inventors have generated mouse anti-human monoclonal antibody specifically targeting human CS1. The present invention is directed to a monoclonal anti-human CS1 antibody comprising V H  having the amino acid of SEQ ID NO: 3 and VL having the amino acid of SEQ ID NO: 7. In one embodiment, the monoclonal anti-human CS1 antibody is a single-chain variable fragment (scFv). ScFv can be VH-linker-VL or VL-linker-VH. 
     The present invention is also directed to a chimeric antigen receptor fusion protein comprising from N-terminus to C-terminus: (i) a single-chain variable fragment (scFv) against CS1, in which V H  has the amino acid sequence of SEQ ID NO: 3, and V L  has the amino acid of SEQ ID NO: 7, (ii) a transmembrane domain, (iii) at least one co-stimulatory domains, and (iv) an activating domain. The CAR is referred to as CS1-CAR or anti-CS1-CAR throughout the application. 
     The inventors have produced CS1-CAR-T cells to target cancer cells overexpressing CS1 tumor antigen. The CS1-CAR-T cells of the present invention have high cytotoxic activity against hematological cancer cells. 
     In some embodiments, the CAR structures are shown in  FIG. 3 . 
     In one embodiment, the co-stimulatory domain is selected from the group consisting of CD28, 4-1BB, GITR, ICOS-1, CD27, OX-40 and DAP10. A preferred the co-stimulatory domain is CD28 or 4-1BB. 
     A preferred activating domain is CD3 zeta (CD3 Z or CD3ζ). 
     The transmembrane domain may be derived from a natural polypeptide, or may be artificially designed. The transmembrane domain derived from a natural polypeptide can be obtained from any membrane-binding or transmembrane protein. For example, a transmembrane domain of a T cell receptor α or β chain, a CD3 zeta chain, CD28, CD3ε, CD45, CD4, CD5, CD8, CD9, CD16, CD22, CD33, CD37, CD64, CD80, CD86, CD134, CD137, ICOS, CD154, or a GITR can be used. The artificially designed transmembrane domain is a polypeptide mainly comprising hydrophobic residues such as leucine and valine. It is preferable that a triplet of phenylalanine, tryptophan and valine is found at each end of the synthetic transmembrane domain. Optionally, a short oligopeptide linker or a polypeptide linker, for example, a linker having a length of 2 to 10 amino acids can be arranged between the transmembrane domain and the intracellular domain. In one embodiment, a linker sequence having a glycine-serine continuous sequence can be used. 
     The present invention provides a nucleic acid encoding the CS1-CAR. The nucleic acid encoding the CAR can be prepared from an amino acid sequence of the specified CAR by a conventional method. A base sequence encoding an amino acid sequence can be obtained from the aforementioned NCBI RefSeq IDs or accession numbers of GenBank for an amino acid sequence of each domain, and the nucleic acid of the present invention can be prepared using a standard molecular biological and/or chemical procedure. For example, based on the base sequence, a nucleic acid can be synthesized, and the nucleic acid of the present invention can be prepared by combining DNA fragments which are obtained from a cDNA library using a polymerase chain reaction (PCR). 
     A nucleic acid encoding the CAR of the present invention can be inserted into a vector, and the vector can be introduced into a cell. For example, a virus vector such as a retrovirus vector (including an oncoretrovirus vector, a lentivirus vector, and a pseudo type vector), an adenovirus vector, an adeno-associated virus (AAV) vector, a simian virus vector, a vaccinia virus vector or a sendai virus vector, an Epstein-Barr virus (EBV) vector, and a HSV vector can be used. A virus vector lacking the replicating ability so as not to self-replicate in an infected cell is preferably used. 
     For example, when a retrovirus vector is used, a suitable packaging cell based on a LTR sequence and a packaging signal sequence possessed by the vector can be selected for preparing a retrovirus particle using the packaging cell. Examples of the packaging cell include PG13 (ATCC CRL-10686), PA317 (ATCC CRL-9078), GP+E-86 and GP+envAm-12, and Psi-Crip. A retrovirus particle can also be prepared using a 293 cell or a 293T cell having high transfection efficiency. Many kinds of retrovirus vectors produced based on retroviruses and packaging cells that can be used for packaging of the retrovirus vectors are widely commercially available from many companies. 
     A CAR-T cell binds to a specific antigen via the CAR, thereby a signal is transmitted into the cell, and as a result, the cell is activated. The activation of the cell expressing the CAR is varied depending on the kind of a host cell and an intracellular domain of the CAR, and can be confirmed based on, for example, release of a cytokine, improvement of a cell proliferation rate, change in a cell surface molecule, or the like as an index. For example, release of a cytotoxic cytokine (IFN-gamma, a tumor necrosis factor, lymphotoxin, etc.) from the activated cell causes destruction of a target cell expressing an antigen. In addition, release of a cytokine or change in a cell surface molecule stimulates other immune cells, for example, a B cell, a dendritic cell, a NK cell, and a macrophage. 
     The cell expressing the CAR can be used as a therapeutic agent for a disease. The therapeutic agent comprises the cell expressing the CAR as an active ingredient, and it may further comprise a suitable excipient. 
     The inventors have generated CS1-CAR-T cells against hematological cancer cells overexpressing CS1 (e.g., multiple myeloma). The inventors have provided data demonstrating efficient expression of CS1 in hematological cancers (e.g., multiple myeloma). CS1-CAR-T cells express higher cytotoxic activity against CS1-positive cancer cells than non-transduced T cells or mock-CAR-T cells. 
     The advantage of the CS1 monoclonal antibody or CS1-ScFv of the present invention over other known CS1 antibodies is that the present antibody has high binding activity to multiple myeloma antigen, and it is highly specific against CS1-positive cancer cells of multiple myeloma. The CS1 monoclonal antibody or CS1-ScFv provides a wide range of antibody application for targeting hematological cancers. The CS1 antibody is highly potent as a therapeutic agent in many clinical applications. 
     The present monoclonal mouse anti-human CS1 antibody detects CS1 in CS1-positive cancer cells. 
     The present CS1 antibody can be used for immunotherapy applications: toxin/drug-conjugated antibody, monoclonal therapeutic antibody, humanization of CS1 antibody, CAR-T cell immunotherapy. 
     CS1-CAR-T cells using the present CS1 antibody can be effectively used to target CS1 antigen in CS1-positive cell lines (e.g., multiple myeloma). 
     CS1-CAR-T can be used in combination with different chemotherapies: checkpoint inhibitors, targeted therapies, small molecule inhibitors, and antibodies. 
     CS1 antibody can be modified by site-directed mutagenesis for affinity tuning; it can be used for humanization and for complete human antibody generation. 
     CS1-CAR-T cells can be used clinically against CS1-positive cells. 
     Modifications of co-stimulating domains (CD28, 4-1BB and others) can be used to increase the efficacy of CSI-CAR-T cells. Tag-conjugated CS1 scFv can be used for CAR generation. 
     Third generation CAR-T or other co-stimulating domains can be used with the present CS1-scFv to prepare CS1-CAR. 
     The present mouse CS1 antibody can be humanized for generation of CS1-CAR. 
     Combination of CS1 with other CAR targeting other tumor antigens or tumor microenvironment (VEGFR-1-3), PDL-1, CD80 or bi-scFv-CAR can be used to enhance activity of monotherapy CS1-CAR. Bi-specific antibodies with CS1 and CD3 or other antigens can be generated for therapy. 
     The present CS1-CAR can be used to generate other types of cells such as CS1-CAR-natural killer (NK) cells, CS1-CAR-macrophages, and other CS1-CAR hematopoietic cells, which can target CS1-positive cancers. The present invention provides T cells, or NK cells, macrophages, or other hematopoietic cells, modified to express the CS1-CAR. 
     The following examples further illustrate the present invention. These examples are intended merely to be illustrative of the present invention and are not to be construed as being limiting. 
     EXAMPLES 
     Example 1. Anti-CS1 Antibody: V H  and V L  and scFv Sequences 
     We generated mouse monoclonal anti-human CS1 antibody, clone 5G5A4 using hybridoma standard technology. We sequenced CS1 antibody. The structure of CS1 scFv is: VH-linker-VL. CS1 scFv was obtained by sequencing one of the hybridoma clones positive for CS1. The structure of CS1 scFv is: V H -linker-V L . Linker is G4Sx3. 
     The nucleotide sequence and the amino acid sequence of mouse CS1 V H  are shown below. 
     
       
         
           
               
            
               
                 (SEQ ID NO: 2) 
               
               
                 GAGGTGAAGCTGGTGGAGTCTGGGGGAGCCTTAGTGAAGCCTGGAGGGTCC 
               
               
                   
               
               
                 CTGAAACTCGCCTGTGCTGCCTCTGGATTCGCTTTCAGCAGCTATGACATG 
               
               
                   
               
               
                 TCTTGGGTTCGCCAGACTCCGGAGAAGAGGCTGGAGTGGGTCGCAACCATT 
               
               
                   
               
               
                 AGTAGTGGTGGTAGGAACACCTACTATCCAGACAGTGTGAGGGGCCGATTC 
               
               
                   
               
               
                 ACCATCTCCAGAGACAATGCCAGAAACACCCTGTATCTGCAAATGAGCAGT 
               
               
                   
               
               
                 CTGAGGTCTGAGGACACGGCCTTGTATTACTGTGCAACAAGAAATAGTAAC 
               
               
                   
               
               
                 TACGCCTTTGCTTATTGGGGCCAAGGGACTCTGGTCACTGTCTCTGCA 
               
               
                   
               
               
                 (SEQ ID NO: 3) 
               
               
                 EVKLVESGGALVKPGGSLKLACAASGFAFSSYDMSWVRQTPEKRLEWVATI 
               
               
                   
               
               
                 SSGGRNTYYPDSVRGRFTISRDNARNTLYLQMSSLRSEDTALYYCATRNSN 
               
               
                   
               
               
                 YAFAYWGQGTLVTVSA 
               
            
           
         
       
     
     The nucleotide sequence and the amino acid sequence of a linker are shown below. 
     
       
         
           
               
            
               
                 (SEQ ID NO: 4) 
               
               
                 GGTGGCGGTGGTTCT GGTGGCGGTGGTTCT GGTGGCGGTGGTTCT 
               
               
                   
               
               
                 (SEQ ID NO: 5) 
               
               
                 GGGGSGGGGSGGGGS 
               
            
           
         
       
     
     The nucleotide sequence and the amino acid sequence of mouse CS1 V L  are shown below. 
     
       
         
           
               
            
               
                 (SEQ ID NO: 6) 
               
               
                 GACATCAAGATGACCCAGTCTCCATCTTCCATGTATGCATCTCTAGGAGAG 
               
               
                   
               
               
                 AGAGTCACTATCACTTGCAAGGCAAGTCAGGACATTAATATCTATTTAAAC 
               
               
                   
               
               
                 TGGTTCCAGCAGAGACCAGGGAAATCTCCTAAGACCCTGATCTATCGTGCA 
               
               
                   
               
               
                 AACAGATTGGTTGACGGGGTCCCAGCAAGGTTCAGTGGCAGTGGATCTGGG 
               
               
                   
               
               
                 CAAGATTTTTCTCTCACCATCACCAGCCTGGAATATGAAGATATGGGAATT 
               
               
                   
               
               
                 TATTATTGTCTACAGTTTGATGAGTTTCCGCTCACGTTCGGTGCTGGGACC 
               
               
                   
               
               
                 AAGCTGGAGCTGAAACGG 
               
               
                   
               
               
                 (SEQ ID NO: 7) 
               
               
                 DIKMTQSPSSMYASLGERVTITCKASQDINIYLNWFQQRPGKSPKTLIYRA 
               
               
                   
               
               
                 NRLVDGVPARFSGSGSGQDFSLTITSLEYEDMGIYYCLQFDEFPLTFGAGT 
               
               
                   
               
               
                 KLELKR 
               
            
           
         
       
     
     The amino acid sequence of CS1 scFv (V H -linker-V L ) is shown below. The bold highlights the amino acid sequence of V H  (SEQ ID NO: 3); the underlined highlights the amino sequence of V L  (SEQ ID NO: 7); in between (italicized) is the linker sequence (SEQ ID NO: 5). 
     
       
         
           
               
            
               
                 (SEQ ID NO: 8) 
               
               
                 
                   EVKLVESGGALVKPGGSLKLACAASGFAFSSYDMSWVRQTPEKRLEWVATI 
                 
               
               
                   
               
               
                 
                   SSGGRNTYYPDSVRGRFTISRDNARNTLYLQMSSLRSEDTALYYCATRNSN 
                 
               
               
                   
               
               
                 
                   YAFAYWGQGTLVTVSA 
                   GGGGSGGGGSGGGGS 
                   DIKMTQSPSSMYASLGERVT 
                 
               
               
                   
               
               
                 
                   ITCKASQDINIYLNWFQQRPGKSPKTLIYRANRLVDGVPARFSGSGSGQDF 
                 
               
               
                   
               
               
                 
                   SLTITSLEYEDMGIYYCLQFDEFPLTFGAGTKLELKR 
                 
               
            
           
         
       
     
     Example 2. CS1 Antibody Detected CS1 Proteins by FACS in Multiple Myeloma Cells and in Stable CHO-CS1 Cells 
     The antibody CS1 detected extracellular CS1 protein by FACS staining in three different multiple myeloma cell lines (H929, MM1S, RPMI8226) but not in leukemia K562 cells. We also detected CS1 in CHO-CS1 stably transformed cells. Both our CS1 antibody and positive control Biolegend CS1 antibody detected CS1 antigen. 
     Example 3. Expression of CS1 was Low in Normal Tissues 
     We performed immunohistochemistry staining at 1:1400 dilution of antibody with normal and neoplastic human tissues. A panel of normal and neoplastic human tissues was stained with the antibody, then counterstained with hematoxylin. Strong antibody staining was not detected in several normal tissues: cardiac muscle, cerebellum, brain, lung, pancreas, kidney, rectum, and thyroid; but was detected in tonsils. We also tested three cancer tissues, and the negative staining was detected in lung cancer, ovarian cancer, and colon cancer. Thus, this antibody (clone 5G584) has a good specificity and is suitable for CAR design. 
     Example 4. CS1-CAR Sequences 
     The scheme of CS1-CAR construct is shown in  FIG. 3 . Lentiviral vector with either EF1 promoter or MNDU3 promoter was used for cloning of all scFv CAR sequences. 
     The following nucleotide and amino sequences show CS1 ScFv-CD8 hinge-TM28-CD28/41-BB-CD3 zeta of the present invention. The structure includes human CD8 signaling peptide, mouse CS1 scFv (V H -Linker-V L ), human CD8 hinge, human CD28 transmembrane, co-stimulating domain human CD28 or 41-BB, activation domain human CD3 zeta ( FIG. 3 ). 
     A. CD28 as a Co-Stimulating Domain 
     The nucleic acid sequence and amino acid sequence of each segment of CD8 leader-CS1 scFv (V H -Linker-V L )-CD8 hinge-CD28 TM-CD28-CD3-zeta (CS1-CD28 CAR) are shown below. 
                        &lt;CD8 leader&gt;           (SEQ ID NO: 9)           ATGGCCTTACCAGTGACCGCCTTGCTCCTGCCGCTGGCCTTGCTGCTCCACGCCGCC                   AGGCCGgctagc               (SEQ ID NO: 10)           MALPVTALLLPLALLLHAARPAS                   &lt;CS1 ScFv&gt;(V H -Linker-V L )       See Example 1 for nucleic acid sequences and amino acid sequences.               &lt;XhoI restriction site&gt;       CTCGAG               &lt;CD8 hinge&gt;       (SEQ ID NO: 11)           AAGCCCACCACGACGCCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTC                   GCAGCCCCTGTCCCTGCGCCCAGAGGCGAGCCGGCCAGCGGCGGGGGGCGCAGTGC               ACACGAGGGGGCTGGACTTCGCCAGTGATaagccc               (SEQ ID NO: 12)           KPTTTPAPRPPTPAPTIASQPLSLRPEASRPAAGGAVHTRGLDFASDKP                   &lt;CD28 TM&gt;       (SEQ ID NO: 13)           TTTTGGGTGCTGGTGGTGGTTGGTGGAGTCCTGGCTTGCTATAGCTTGCTAGTAACA                   GTGGCCTTTATTATTTTCTGGGTG               (SEQ ID NO: 14)           F W V L V V V G G V L A C Y S L L V T V A F I I F W V                   &lt;CD28/Co-stimulation domain&gt;       (SEQ ID NO: 15)           AGGAGTAAGAGGAGCAGGCTCCTGCACAGTGACTACATGAACATGACTCCCCGCCG                   CCCCGGGCCCACCCGCAAGCATTACCAGCCCTATGCCCCACCACGCGACTTCGCAGC               CTATCGCTCC               (SEQ ID NO: 16)           R S K R S R L L H S D Y M N M T P R R P G P T R K H Y Q P Y A P P R D F A A Y R S                   &lt;CD3 zeta&gt;       (SEQ ID NO: 17)           AGAGTGAAGTTCAGCAGGAGCGCAGACGCCCCCGCGTACCAGCAGGGCCAGAACC                   AGCTCTATAACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAG               AGACGTGGCCGGGACCCTGAGATGGGGGGAAAGCCGAGAAGGAAGAACCCTCAGG               AAGGCCTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGGCCTACAGTGAGATT               GGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAGGGTCT               CAGTACAGCCACCAAGGACACCTACGACGCCCTTCACATGCAGGCCCTGCCCCCTCG               CTAATAG               (SEQ ID NO: 18)           RVKFSRSADAPAYQQGQNQLYNELNLGRREEYDVLDKRRGRDPEMGGKPRRKNPQEG                   LYNELQKDKMAEAYSEIGMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR               &lt;EcoRI restriction site&gt;       gaattc            
Full length of CS1-CAR nucleotide sequence (with CD 28 as co-stimulating domain) is shown below:
 
                    (SEQ ID NO: 19)       ATGGCCTTACCAGTGACCGCCTTGCTCCTGCCGCTGGCCTTGCTGCTCCAC               GCCGCCAGGCCGgctagc GAGGTGAAGCTGGTGGAGTCTGGGGGAGCCTTA                   GTGAAGCCTGGAGGGTCCCTGAAACTCGCCTGTGCTGCCTCTGGATTCGCT                   TTCAGCAGCTATGACATGTCTTGGGTTCGCCAGACTCCGGAGAAGAGGCTG                   GAGTGGGTCGCAACCATTAGTAGTGGTGGTAGGAACACCTACTATCCAGAC                   AGTGTGAGGGGCCGATTCACCATCTCCAGAGACAATGCCAGAAACACCCTG                   TATCTGCAAATGAGCAGTCTGAGGTCTGAGGACACGGCCTTGTATTACTGT                   GCAACAAGAAATAGTAACTACGCCTTTGCTTATTGGGGCCAAGGGACTCTG                   GTCACTGTCTCTGCA    GGTGGCGGTGGTTCT GGTGGCGGTGGTTCT GGT                   GGCGGTGGTTCT   GACATCAAGATGACCCAGTCTCCATCTTCCATGTATGCA                   TCTCTAGGAGAGAGAGTCACTATCACTTGCAAGGCAAGTCAGGACATTAAT                   ATCTATTTAAACTGGTTCCAGCAGAGACCAGGGAAATCTCCTAAGACCCTG                   ATCTATCGTGCAAACAGATTGGTTGACGGGGTCCCAGCAAGGTTCAGTGGC                   AGTGGATCTGGGCAAGATTTTTCTCTCACCATCACCAGCCTGGAATATGAA                   GATATGGGAATTTATTATTGTCTACAGTTTGATGAGTTTCCGCTCACGTTC                   GGTGCTGGGACCAAGCTGGAGCTGAAACGG ctcgagAAGCCCACCACGACG               CCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGCCCCTG               TCCCTGCGCCCAGAGGCGAGCCGGCCAGCGGCGGGGGGCGCAGTGCACACG               AGGGGGCTGGACTTCGCCAGTGATaagcccttttgggtgctggtggtggtt               ggtggagtcctggcttgctatagcttgctagtaacagtggcctttattatt               ttctgggtgaggagtaagaggagcaggctcctgcacagtgactacatgaac               atgactccccgccgccccgggcccacccgcaagcattaccagccctatgcc               ccaccacgcgacttcgcagcctatcgctccAGAGTGAAGTTCAGCAGGAGC               GCAGACGCCCCCGCGTACCAGCAGGGCCAGAACCAGCTCTATAACGAGCTC               AATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAGAGACGTGGCCGG               GACCCTGAGATGGGGGGAAAGCCGCAGAGAAGGAAGAACCCTCAGGAAGGC               CTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGGCCTACAGTGAGATT               GGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCCTTTACCAG               GGTCTCAGTACAGCCACCAAGGACACCTACGACGCCCTTCACATGCAGGCC               CTGCCCCCTCGCTAA            
The translated amino-acid sequence of CS1-CAR is shown below.
 
     
       
         
           
               
            
               
                 (SEQ ID NO: 20) 
               
               
                 MALPVTALLLPLALLLHAARPASEVKLVESGGALVKPGGSLKLACAASGFA 
               
               
                   
               
               
                 FSSYDMSWVRQTPEKRLEWVATISSGGRNTYYPDSVRGRFTISRDNARNTL 
               
               
                   
               
               
                 YLQMSSLRSEDTALYYCATRNSNYAFAYWGQGTLVTVSAGGGGSGGGGSGG 
               
               
                   
               
               
                 GGSDIKMTQSPSSMYASLGERVTITCKASQDINIYLNWFQQRPGKSPKTLI 
               
               
                   
               
               
                 YRANRLVDGVPARFSGSGSGQDFSLTITSLEYEDMGIYYCLQFDEFPLTFG 
               
               
                   
               
               
                 AGTKLELKRLEKPTTTPAPRPPTPAPTIASQPLSLRPEASRPAAGGAVHTR 
               
               
                   
               
               
                 GLDFASDKPFWVLVVVGGVLACYSLLVTVAFIIFWVRSKRSRLLHSDYMNM 
               
               
                   
               
               
                 TPRRPGPTRKHYQPYAPPRDFAAYRSRVKFSRSADAPAYQQGQNQLYNELN 
               
               
                   
               
               
                 LGRREEYDVLDKRRGRDPEMGGKPQRRKNPQEGLYNELQKDKMAEAYSEIG 
               
               
                   
               
               
                 MKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR  
               
            
           
         
       
     
     B. 41-BB as a Co-Stimulating Domain 
     We also generated CAR (PMC713) with 41BB domain instead of CD28 domain. The nucleotide sequence is below (41BB domain is in bold underlined): 
     
       
         
           
               
            
               
                 (SEQ ID NO: 21) 
               
               
                 ATGGCCTTACCAGTGACCGCCTTGCTCCTGCCGCTGGCCTTGCTGCTCCAC 
               
               
                   
               
               
                 GCCGCCAGGCCGgctagc GAGGTGAAGCTGGTGGAGTCTGGGGGAGCCTTA   
               
               
                   
               
               
                 
                   GTGAAGCCTGGAGGGTCCCTGAAACTCGCCTGTGCTGCCTCTGGATTCGCT 
                 
               
               
                   
               
               
                 
                   TTCAGCAGCTATGACATGTCTTGGGTTCGCCAGACTCCGGAGAAGAGGCTG 
                 
               
               
                   
               
               
                 
                   GAGTGGGTCGCAACCATTAGTAGTGGTGGTAGGAACACCTACTATCCAGAC 
                 
               
               
                   
               
               
                 
                   AGTGTGAGGGGCCGATTCACCATCTCCAGAGACAATGCCAGAAACACCCTG 
                 
               
               
                   
               
               
                 
                   TATCTGCAAATGAGCAGTCTGAGGTCTGAGGACACGGCCTTGTATTACTGT 
                 
               
               
                   
               
               
                 
                   GCAACAAGAAATAGTAACTACGCCTTTGCTTATTGGGGCCAAGGGACTCT 
                 
               
               
                   
               
               
                 
                   GGTCACTGTCTCTGCA 
                   
                   
                 
               
               
                   
               
               
                 
                   
                   GACATCAAGATGACCCAGTCTCCATCTTCCATGT 
                 
               
               
                   
               
               
                 
                   ATGCATCTCTAGGAGAGAGAGTCACTATCACTTGCAAGGCAAGTCAGGACA 
                 
               
               
                   
               
               
                 
                   TTAATATCTATTTAAACTGGTTCCAGCAGAGACCAGGGAAATCTCCTAAGA 
                 
               
               
                   
               
               
                 
                   CCCTGATCTATCGTGCAAACAGATTGGTTGACGGGGTCCCAGCAAGGTTCA 
                 
               
               
                   
               
               
                 
                   GTGGCAGTGGATCTGGGCAAGATTTTTCTCTCACCATCACCAGCCTGGAAT 
                 
               
               
                   
               
               
                 
                   ATGAAGATATGGGAATTTATTATTGTCTACAGTTTGATGAGTTTCCGCTCA 
                 
               
               
                   
               
               
                   CGTTCGGTGCTGGGACCAAGCTGGAGCTGAAACGG ctcgag AAGCCCACCA   
               
               
                   
               
               
                 
                   CGACGCCAGCGCCGCGACCACCAACACCGGCGCCCACCATCGCGTCGCAGC 
                 
               
               
                   
               
               
                 
                   CCCTGTCCCTGCGCCCAGAGGCGAGCCGGCCAGCGGCGGGGGGCGCAGTGC 
                 
               
               
                   
               
               
                   ACACGAGGGGGCTGGACTTCGCCAGTGAT aagcccttttgggtgctggtgg 
               
               
                   
               
               
                 tggttggtggagtcctggcttgctatagcttgctagtaacagtggccttta 
               
               
                   
               
               
                 ttattttctgggtg   AAACGGGGCAGAAAGAAACTCCTGTATATATTCAAAC     
               
               
                   
               
               
                 
                   
                     AACCATTTATGAGACCAGTACAAACTACTCAAGAGGAAGATGGCTGTAGCT 
                   
                 
               
               
                   
               
               
                     GCCGATTTCCAGAAGAAGAAGAAGGAGGATGTGAACTG   AGAGTGAAGTTCA 
               
               
                   
               
               
                 GCAGGAGCGCAGACGCCCCCGCGTACCAGCAGGGCCAGAACCAGCTCTATA 
               
               
                   
               
               
                 ACGAGCTCAATCTAGGACGAAGAGAGGAGTACGATGTTTTGGACAAGAGAC 
               
               
                   
               
               
                 GTGGCCGGGACCCTGAGATGGGGGGAAAGCCGCAGAGAAGGAAGAACCCTC 
               
               
                   
               
               
                 AGGAAGGCCTGTACAATGAACTGCAGAAAGATAAGATGGCGGAGGCCTACA 
               
               
                   
               
               
                 GTGAGATTGGGATGAAAGGCGAGCGCCGGAGGGGCAAGGGGCACGATGGCC 
               
               
                   
               
               
                 TTTACCAGGGTCTCAGTACAGCCACCAAGGACACCTACGACGCCCTTCACA 
               
               
                   
               
               
                 TGCAGGCCCTGCCCCCTCGCTAA 
               
            
           
         
       
     
     Amino-Acid Sequence of CS1-41BB-CD3 CAR: (41BB Underlined, Bold) 
       
     
       
         
           
               
            
               
                 (SEQ ID NO: 22) 
               
               
                 MALPVTALLLPLALLLHAARPASEVKLVESGGALVKPGGSLKLACAASGFA 
               
               
                   
               
               
                 FSSYDMSWVRQTPEKRLEWVATISSGGRNTYYPDSVRGRFTISRDNARNTL 
               
               
                   
               
               
                 YLQMSSLRSEDTALYYCATRNSNYAFAYWGQGTLVTVSAGGGGSGGGGSGG 
               
               
                   
               
               
                 GGSDIKMTQSPSSMYASLGERVTITCKASQDINIYLNWFQQRPGKSPKTLI 
               
               
                   
               
               
                 YRANRLVDGVPARFSGSGSGQDFSLTITSLEYEDMGIYYCLQFDEFPLTFG 
               
               
                   
               
               
                 AGTKLELKRLEKPTTTPAPRPPTPAPTIASQPLSLRPEASRPAAGGAVHTR 
               
               
                   
               
               
                 GLDFASDKPFWVLVVVGGVLACYSLLVTVAFIIFWV   KRGRKKLLYIFKQPF     
               
               
                   
               
               
                     MRPVQTTQEEDGCSCRFPEEEEGGCEL   RVKFSRSADAPAYQQGQNQLYNEL 
               
               
                   
               
               
                 NLGRREEYDVLDKRRGRDPEMGGKPQRRKNPQEGLYNELQKDKMAEAYSEI 
               
               
                   
               
               
                 GMKGERRRGKGHDGLYQGLSTATKDTYDALHMQALPPR 
               
            
           
         
       
     
     Nucleotide Sequence of 4-1BB Domain: 
       
     
       
         
           
               
            
               
                 (SEQ ID NO: 23) 
               
               
                 AAACGGGGCAGAAAGAAACTCCTGTATATATTCAAACAACCATTTATGAGA 
               
               
                   
               
               
                 CCAGTACAAACTACTCAAGAGGAAGATGGCTGTAGCTGCCGATTTCCAGAA 
               
               
                   
               
               
                 GAAGAAGAAGGAGGATGTGAACTG 
               
            
           
         
       
     
     Amino Acid Sequence of 4-1BB Domain: 
       
     
       
         
           
               
               
            
               
                   
                 (SEQ ID NO: 24) 
               
               
                   
                 KRGRKKLLYIFKQPFMRPVQTTQEEDGCSCRFPEEEEGGCEL 
               
            
           
         
       
     
     Example 5. CAR Lentivirus Production 
     The inventors generated CS1 CAR constructs inside lentiviral vector cloned into lentiviral vector. CS1-28-CD3 lentiviral CAR construct containing the CS1 ScFv-CD28-CD3zeta insert under EF1 (PMC273) or MNDU3 promoter (PMC621)—or same CAR under MNDU3 promoter with 41BB domain instead of CD28 domain (PMC713). 
     The lentiviruses were generated in 293 T cells and titer was established by RT-PCR or by functional FACS with 293 cells as described [5]. Then equal dose of lentiviruses was used for transduction of T cells. 
     Example 6. Peripheral Blood Mononuclear Cell (PBMC) Isolation from Whole Blood 
     Whole blood (Stanford Hospital Blood Center, Stanford, Calif.) was collected from individual or mixed donors (depending on the amount of blood required) in 10 mL Heparin vacutainers (Becton Dickinson). Approximately 10 ml of whole anti-coagulated blood was mixed with sterile phosphate buffered saline (PBS) buffer for a total volume of 20 ml in a 50 ml conical centrifuge tube (PBS, pH 7.4, is without Ca +2 /Mg +2 ). The layer of cells containing peripheral blood mononuclear cells (PBMC), seen at the diluted plasma/Ficoll interface was removed very carefully, avoiding any Ficoll, washed twice with PBS, and centrifuged at 200×g for 10 min at room temperature. Cells were counted with a hemocytomter. The PBMC were washed once with CAR-T media (AIM V-AlbuMAX(BSA)(Life Technologies), with 5% AB serum and 1.25 ug/mL amphotericin B (Gemini Bioproducts, Woodland, Calif.), 100 U/mL penicillin, and 100 ug/mL streptomycin) and were either used for experiments or were frozen at −80° C. for next experiment. 
     Example 7. T-Cell Activation from PBMC 
     Freshly isolated PBMC were washed with 1×PBS (pH7.4, no Ca 2+ /Mg 2+ ) and washed once in CAR-T media (AIM V-AlbuMAX(BSA)(Life Technologies), with 5% AB serum and 1.25 μg/mL amphotericin B (Gemini Bioproducts, Woodland, Calif.), 100 U/mL penicillin, and 100 μg/mL streptomycin), in the absence of human interleukin-2 (huIL-2)(Invitrogen), at a concentration of 5×10 5  cells/mL. The cells were resuspended to a final concentration of 5×10 5  cells/mL in CAR-T medium with 300U/mL huIL2. The PBMC was activated with CD3-CD28 beads with 1:1 bead-to-cell ratio. Desired number of aliquots were dispensed to single wells of a culture plate, and then incubated at 37° C. in the presence of CO 2  for 24 hours before viral transduction. 
     Example 8. T-Cell Transduction and Expansion 
     Following activation of PBMC, the cells were incubated for 24 hr at 37° C., 5% CO 2 . To each well of 1×10 6  cells, 5×10 6  lentivirus, and 2 μL/mL of media of Transplus (Alstem, Richmond, Calif.) (a final dilution of 1:500) were added. Cells were incubated for an additional 24 hours before repeating addition of virus. Cells were then grown in the continued presence of 300 U/Ml of IL-2 Fresh medium with IL-2 for a period of 12-14 days (total incubation time was dependent on the final umber of CAR-T cells required). Cells concentrations were analyzed every 2-3 days, with media being added at that time to dilute the cell suspension to 1×10 6  cells/mL. 
     Example 9. FACS for Detection of CAR-Positive Cells 
     Cells were washed and suspended in FACS buffer (phosphate-buffered saline (PBS) plus 0.1% sodium azide and 0.4% BSA). Cells were divided them 1×10 6  aliquots. 
     Fc receptors were blocked with normal goat IgG (Life Technologies) in ice for 10 min. 
     Biotin-labeled polyclonal goat anti-mouse-F(ab) 2  antibodies (Life Technologies) were used to detect CS1 ScFv; biotin-labeled normal polyclonal goat IgG antibodies (Life Technologies) were used as an isotype control. (1:200 dilution, reaction volume of 100 μl). Cells were incubated at 4° C. for 25 minutes and washed once with FACS buffer. 
     Cells were suspended in FACS buffer and blocked with normal mouse IgG (Invitrogen) by adding 100 μl 1:1000 diluted normal mouse IgG to each tube. Cells were incubated in ice for 10 min and washed with FACS buffer and re-suspended in 100 μl FACs buffer. The cells were then stained with phycoerythrin (PE)-labeled streptavidin (BD Pharmingen, San Diego, Calif.) and allophycocyanin (APC)-labeled CD3 (eBiocience, San Diego, Calif.). 
     Example 10. Cytotoxicity Assay 
     The Real-time Cytotoxicity Assay (RTCA) was performed using ACEA machine according to manufacturer&#39;s protocol as described [5]. 
     Example 11. CS1-CD28-CD3 CAR-T Cells Expressed CS1 ScFv 
     The CS1 scFv sequence was inserted with CD28 costimulatory and CD3 zeta activation domains inside CAR (PMC273), and CAR lentiviruses were transduced into T cells. The CS1-CAR cells were effectively expanded in vitro. Mock control with scFv from intracellular protein were generated and used as a negative control in cytotoxicity and cytokine assay.  FIG. 4  shows that 63% of CS1-CAR cells were detected by FACS with a mouse FAB antibody, whereas only 0.8% of control T cells were positively detected. 
     Example 12. CS1-CAR-T Cells Killed CHO-CS1 Cells 
     CS1-CAR-T cells were co-incubated with CHO-CS1 stable cell lines and CHO cells (CS1-negative) and the RTCA was performed using empedance-based XCelligence system. CS1-CAR-T cells of the present invention (Promab CS1-CAR-T cells) killed CHO-CS1 cells better than another known CS1 antibody-CAR-T cells ( FIG. 5A ). CS1-CAR-T cells did not kill CHO ( FIG. 5B ). 
     Example 13. CS1-CD28-CD3 CAR-T Cells Secreted High Level of IFN-Gamma Against CS1-Positive Multiple Myeloma Cancer Cells 
     We collected supernatant of CS1-CD28-CD3-CAR-T incubated with multiple myeloma cancer cells and performed ELISA with kit from Fisher according to manufacturer&#39;s protocol. The CS1-CAR-T secreted significantly higher level of IFN-gamma against CS1-positive cancer cells than the negative controls of Mock 1, Mock 2-CAR-T cells ( FIG. 6 ). These data show that CS1-CD28-CD3 CAR-T cell secreted IFN-gamma against multiple myeloma. 
       FIG. 7  shows that high level of IFN-gamma was detected after incubation of CS1-CAR-T cells with CHO-CS1 cells but not with CHO cells. This shows high specificity of CS1-CAR-T cells. 
     Example 14. CS1-28-CD3-CAR-T Cells Significantly Decreased RPMI8226 Multiple Myeloma Tumor Growth In Vivo 
     We used NSG mice and injected RPMI8226-luciferase positive cells intravenously into mice. Next day we performed intravenous injections of CS1-CD28-CD3-CAR-T cells in NSG mice. The bioluminescnce signal was significantly decreased by CS1-CAR-T cells ( FIG. 8A ), which demonstrates that CS1-CAR-T cells significantly decreased RPMI8226 multiple myeloma tumor growth. 
       FIG. 8B  shows total flux (photons/sec) vs. days after RPMI8226 cells injection into NSG mice.  FIG. 8B  shows that CS1-CAR-T cells also prolonged survival of mice. 
     Example 15. CS1-CD28-CD3 CAR Under MNDU3 Promoter had Higher Expression of CAR-Positive Cells 
     We also generated PMC621 with same CAR as PMC273 except with MNDU3 promoter rather than Ef1 promoter to drive expression of CAR. We used cells from three different donor (Donor 000, Donor 178, and Donon202) to prepare CAR-T cells. 
     On day 10 of T/CAR-T cell expansion, the T cells were analyzed by flow cytometry for CAR expression using a biotinylated goat polyclonal antibody specific for the Fab′2 fragment of mouse IgG which is present in the CS1-CAR. Stained cells were detected with fluorochrome-conjugated streptavidin. Over 95% of the cells in each CAR-T culture were stained, indicating that the vast majority of the cells in the cultures were CAR-T cells. Staining of the control cultures was under 1%. 
     High killing activity of CAR-T cells from the 3 donors was observed in Hela-CS1 ( FIG. 9 ) and multiple myeloma cells (MM1S) but not in leukemia K562 cells ( FIG. 10 ). 
     High secretion of IFN-γ and IL-2 cytokines was observed in Hela-CS1 cells (not shown) and multiple myeloma ( FIG. 11 ). 
     Example 16. CS1-41BB-CD3 CAR-T Cells had High In Vitro and In Vivo Activity Against CS1-Positive Cells 
     PMC713 CAR-T cells. We substituted the CD28 costimulatory domain of PMC621 with the 4-1BB costimulatory domain to improve CAR-T cell persistence in vivo. The new vector, PMC713, was used to produce virus and that virus was used in the manufacture of CAR-T cells in the 1-liter G-Rex container as described above. The cells expanded from 15 million on day 0 to 1.22 billion on day 10, an 80-fold increase. The cells were characterized on day 10 by flow cytometry with antibodies against mouse Fab′2. Almost all of the cells were CAR-T cells (not shown). 
     The CS1-41BB-CD3-CAR-T cells had high cytotoxic activity against Hela-CS1 cells ( FIG. 12 ). The CS1-41BB-CD3 CR-T secreted high level of IFN-γ and IL-6 cytokines in Hela-CS1 cells ( FIG. 13A ) and multiple myeloma cells (MM1S) but not in leukemia K562 cells ( FIG. 13B ). 
     Example 17. CS1-28-CD3 (PMC621)-CAR-T and CS1-41BB-CD3 (PMC713) Inhibited Multiple Myeloma Tumor Growth In Vivo 
     PMC621 CAR-T cells and PMC713 CAR-T cells were used to test in vivo efficacy of CAR-T cells using NSG-RPMI8226 xenograft mouse model. Both PMC621 and PMC713 used the MNDU3 promoter to drive CAR expression; PMC621 contains the CD28 costimulatory domain, whereas PMC713 contains the 4-1BB costimulatory domain. In addition, the control cells were transduced with a TF tagged mock CAR lacking an scFv, and 99% of the cells were CAR + . Ninety percent of the PMC621 cells were CAR-T cells and 40% of the PMC713 cells were CAR-T cells, determined by flow cytometry. Both PMC621 and PMC713 significantly inhibited growth of RPMI8226 myeloma cells ( FIGS. 14A and 14B ). PMC621 completely blocked tumor growth in vivo. 
     REFERENCES 
     
         
         [1] S. A. Grupp, M. Kalos, D. Barrett, R. Aplenc, D. L. Porter, S. R. Rheingold, D. T. Teachey, A. Chew, B. Hauck, J. F. Wright, M. C. Milone, B. L. Levine, and C. H. June, Chimeric antigen receptor-modified T cells for acute lymphoid leukemia. N Engl J Med 368 (2013) 1509-18. 
         [2] M. V. Maus, A. R. Haas, G. L. Beatty, S. M. Albelda, B. L. Levine, X. Liu, Y. Zhao, M. Kalos, and C. H. June, T cells expressing chimeric antigen receptors can cause anaphylaxis in humans. Cancer Immunol Res 1 (2013) 26-31. 
         [3] M. V. Maus, S. A. Grupp, D. L. Porter, and C. H. June, Antibody-modified T cells: CARs take the front seat for hematologic malignancies. Blood 123 (2014) 2625-35. 
         [4] V. Golubovskaya, and L. Wu, Different Subsets of T Cells, Memory, Effector Functions, and CAR-T Immunotherapy. Cancers (Basel) 8 (2016). 
         [5] R. Berahovich, H. Zhou, S. Xu, Y. Wei, J. Guan, J. Guan, H. Harto, S. Fu, K. Yang, S. Zhu, L. Li, L. Wu, and V. Golubovskaya, CAR-T Cells Based on Novel BCMA Monoclonal Antibody Block Multiple Myeloma Cell Growth. Cancers (Basel) 10 (2018).