1. Advances in modular control of CAR-T therapy with adapter-mediated CARs
- Author
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Amelia C, McCue, Zhiyuan, Yao, and Brian, Kuhlman
- Subjects
Receptors, Chimeric Antigen ,T-Lymphocytes ,Antigens, CD19 ,Receptors, Antigen, T-Cell ,Humans ,Pharmaceutical Science ,Immunotherapy, Adoptive - Abstract
Protein engineering has contributed to successes in the field of T cell-based immunotherapy, including chimeric antigen receptor (CAR) T cell therapy. CAR T cell therapy has become a pillar of cancer immunotherapy, demonstrating clinical effectiveness against B cell malignancies by targeting the B cell antigen CD19. Current gene editing techniques have limited safety controls over CAR T cell activity, which presents a hurdle for control of CAR T cells in patients. Alternatively, CAR T cell activity can be controlled by engineering CARs to bind soluble adapter molecules that direct the interaction between the CAR T cell and target cell. The flexibility in this adapter-mediated approach overcomes the rigid specificity of traditional CAR T cells to allow targeting of multiple cell types. Here we describe adapter CAR T technologies and how these methods emphasize the growing role of protein engineering in the design of programmable tools for T cell therapies.
- Published
- 2022
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