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Updated: Jan 28, 2026

Studying Interactions between Myeloid Cells and CAR T Cells In Vitro and In Vivo
Published on: July 25, 2025
CAR is a cell-cell adhesion protein in human cancer cells and is expressionally modulated by dexamethasone, TNFalpha,
1Department of Obstetrics and Gynecology, Molecular Biology Laboratory, University of Freiburg, Hugstetter Strasse 55, D-79106 Freiburg, Germany.
Abstract:
The coxsackie adenovirus receptor (CAR) has become of interest for gene therapy due to its crucial function in adenoviral cell entry. In clinical trials with adenoviral vectors, dexamethasone is applied to reduce side effects such as inflammatory reactions or emesis. By using a beta-galactosidase-expressing adenovirus (AdGal), we observed that dexamethasone treatment resulted in decreased adenoviral gene transfer into human cancer cells. Expression of CAR and integrin alpha5beta1 was transcriptionally downregulated by dexamethasone as shown for HeLa cervical cancer cells and U87MG glioblastoma cells. TNFalpha increased CAR expression in HeLa and ovarian cancer cells but decreased CAR expression in U87MG cells. In all tested cancer cell lines, TNFalpha induced a significant increase in the expression of adenovirus-binding integrins alpha5beta1, alphavbeta3 and alphavbeta5. Pretreatment with TNFalpha increased AdGal gene transfer into cancer cells and enhanced the cytotoxic effect of a p53-expressing adenovirus. In contrast, TGFbeta reduced CAR expression level and adenoviral gene transfer into OV-UL-2 ovarian cancer cells. Confocal immunofluorescence analysis revealed localization of CAR at cell-cell adhesions in several human cancer cell lines and disruption of cell-cell contacts increased adenoviral gene transfer into human cancer cells. In clinical cancer gene therapy, efficiency of adenoviral gene delivery could be altered by cell adhesion, TNFalpha, TGFbeta, and dexamethasone.
Insights
Dexamethasone reduces adenoviral gene transfer by downregulating the coxsackie adenovirus receptor (CAR). Tumor necrosis factor-alpha and transforming growth factor-beta also impact CAR expression and adenoviral delivery efficiency.
Area of Science:
- Molecular Biology
- Gene Therapy
- Cell Biology
Background:
- The coxsackie adenovirus receptor (CAR) is vital for adenoviral vector entry in gene therapy.
- Dexamethasone is used in clinical trials to mitigate adenoviral vector side effects.
Purpose of the Study:
- To investigate the impact of dexamethasone, TNF-alpha, and TGF-beta on adenoviral gene transfer.
- To explore the role of CAR and integrins in adenoviral vector efficiency.
Main Methods:
- Adenoviral vectors (AdGal, p53-expressing) were used to assess gene transfer in human cancer cell lines.
- Quantitative analysis of CAR and integrin expression via transcriptional downregulation.
- Confocal immunofluorescence microscopy to determine CAR localization.
Main Results:
- Dexamethasone decreased adenoviral gene transfer and downregulated CAR and integrin alpha5beta1 expression.
- TNF-alpha differentially affected CAR expression but increased adenovirus-binding integrins, enhancing gene transfer.
- TGF-beta reduced CAR expression and adenoviral gene transfer in ovarian cancer cells.
Conclusions:
- Cell adhesion, dexamethasone, TNF-alpha, and TGF-beta can modulate adenoviral gene delivery efficiency.
- Understanding these factors is crucial for optimizing clinical cancer gene therapy strategies.
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