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Enhancing Chimeric Antigen Receptor-Extracellular Vesicles (CAR-EV) Technology: The Future of Cancer Therapy
Published on: September 19, 2025
Engineering Axl specific CAR and SynNotch receptor for cancer therapy
Jang Hwan Cho1,2, Atsushi Okuma1,2, Dalal Al-Rubaye1,2,3
1Department of Biomedical Engineering, Boston University, Boston, MA, 02215, USA.
Abstract:
Axl is a tyrosine kinase receptor that is commonly overexpressed in many cancers. As such, Axl represents an attractive therapeutic target. The transfer of engineered T cell expressing chimeric antigen receptor (CAR) is an exciting cancer therapeutic approach that shows high efficacy against cancers in clinical trials, especially for B cell malignancies. Furthermore, recently developed synthetic Notch (synNotch) receptor has demonstrated potential in enhancing the specificity of CAR T cell therapy and delivering therapeutic payloads to tumors in an antigen-dependent manner. Therefore, a CAR or synNotch against Axl could be a valuable therapeutic reagent against many cancers. Here, we develop a single-chain variable fragment from a humanized monoclonal antibody against Axl. The scFv is attached to CD3ζ, CD28, and 4-1BB signaling domains to generate an anti-Axl CAR. When introduced into human primary T cells, the anti-Axl CAR can lead to cytokine production and cell killing in response to tumor cells expressing Axl. Moreover, an anti-Axl synNotch generated using the same scFv can be activated with Axl expressing tumor cells. Given the fact that Axl is an important cancer therapeutic target, these receptors could be valuable reagents for developing anti-Axl therapies.
Insights
Researchers developed novel chimeric antigen receptor (CAR) and synthetic Notch (synNotch) receptors targeting Axl, a protein overexpressed in many cancers. These engineered T cells show promise for cancer therapy by targeting Axl-expressing tumors.
Area of Science:
- Oncology
- Immunology
- Biotechnology
Background:
- Axl, a tyrosine kinase receptor, is frequently overexpressed in various cancers, making it a significant therapeutic target.
- Chimeric antigen receptor (CAR) T cell therapy has shown high efficacy in treating cancers, particularly B cell malignancies.
- Synthetic Notch (synNotch) receptors offer enhanced specificity and payload delivery for CAR T cell therapy in an antigen-dependent manner.
Purpose of the Study:
- To develop novel CAR and synNotch receptors targeting the cancer-associated receptor Axl.
- To evaluate the therapeutic potential of anti-Axl CAR and synNotch receptors in T cell-based cancer therapies.
Main Methods:
- Generation of a single-chain variable fragment (scFv) from a humanized monoclonal antibody targeting Axl.
- Construction of an anti-Axl CAR by linking the scFv to CD3ζ, CD28, and 4-1BB signaling domains.
- Development of an anti-Axl synNotch receptor utilizing the same Axl-targeting scFv.
Main Results:
- The anti-Axl CAR, when introduced into human primary T cells, induced cytokine production and tumor cell killing in response to Axl-expressing cancer cells.
- The anti-Axl synNotch receptor demonstrated activation upon encountering Axl-expressing tumor cells.
- Both developed receptors showed antigen-dependent activity against Axl-positive targets.
Conclusions:
- Engineered anti-Axl CAR and synNotch receptors are valuable reagents for developing targeted cancer therapies.
- These receptors hold promise for treating a range of cancers where Axl is overexpressed.
- The study validates Axl as a viable target for novel immunotherapeutic strategies.
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