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Updated: Apr 1, 2026

Enhancing Chimeric Antigen Receptor-Extracellular Vesicles (CAR-EV) Technology: The Future of Cancer Therapy
Published on: September 19, 2025
Shifting the Evolving CAR T Cell Platform into Higher Gear
Daniel R Holohan1, James C Lee1, Jeffrey A Bluestone1
1UCSF Diabetes Center and Department of Medicine, University of California, San Francisco, 513 Parnassus Avenue, Box 0540, San Francisco, CA 94143, USA.
Chimeric antigen receptor (CAR) T cells engineered to express 4-1BBL enhance T cell expansion and tumor eradication. This CAR T cell therapy approach reduces T cell exhaustion, improving cancer treatment outcomes.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Chimeric antigen receptor (CAR) T cell therapy is a promising cancer treatment.
- Optimizing CAR T cell function, including expansion and persistence, is crucial for efficacy.
- T cell exhaustion can limit the effectiveness of CAR T cell therapies.
Purpose of the Study:
- To evaluate the impact of different chimeric antigen receptor (CAR) T cell constructs on T cell function.
- To determine if constitutive expression of 4-1BBL enhances CAR T cell anti-tumor activity.
- To assess the effect of 4-1BBL expression on T cell expansion and exhaustion.
Main Methods:
- Testing various chimeric antigen receptor (CAR) T cell designs in vitro and/or in vivo.
- Quantifying T cell expansion and tumor eradication.
- Measuring markers of T cell exhaustion.
Main Results:
- CD28-CD3ζ CAR T cells constitutively expressing 4-1BBL demonstrated enhanced T cell expansion.
- These engineered CAR T cells led to improved tumor eradication.
- The expression of 4-1BBL reduced T cell exhaustion.
Conclusions:
- Constitutive 4-1BBL expression in CD28-CD3ζ CAR T cells promotes robust anti-tumor responses.
- This strategy offers a potential method to overcome T cell exhaustion in CAR T cell therapy.
- The findings support the development of improved CAR T cell therapies for cancer patients.
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