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Published on: February 21, 2025
Single-Domain Antibody-Based TCR-Like CAR-T: A Potential Cancer Therapy
Lichen Zhu1,2, Xiaomei Yang1,2, Dani Zhong1,3
1Nanobody Research Center, Guangxi Medical University, Nanning, Guangxi 530021, China.
Abstract:
Retargeting the antigen-binding specificity of T cells to intracellular antigens that are degraded and presented on the tumor surface by engineering chimeric antigen receptor (CAR), also named TCR-like antibody CAR-T, remains limited. With the exception of the commercialized CD19 CAR-T for hematological malignancies and other CAR-T therapies aiming mostly at extracellular antigens achieving great success, the rareness and scarcity of TCR-like CAR-T therapies might be due to their current status and limitations. This review provides the probable optimized initiatives for improving TCR-like CAR-T reprogramming and discusses single-domain antibodies administered as an alternative to conventional scFvs and secreted by CAR-T cells, which might be of great value to the development of CAR-T immunotherapies for intracellular antigens.
Insights
Chimeric antigen receptor (CAR)-T cell therapy targeting intracellular antigens is limited. This review explores improving TCR-like CAR-T therapies using single-domain antibodies for intracellular targets.
Area of Science:
- Immunotherapy
- Oncology
- Cellular Engineering
Background:
- CAR-T cell therapy shows success against extracellular antigens, notably CD19 CAR-T for hematological malignancies.
- Targeting intracellular antigens with CAR-T cells (TCR-like CAR-T) remains a significant challenge.
- The rarity of TCR-like CAR-T therapies is attributed to current limitations in targeting intracellular tumor antigens.
Purpose of the Study:
- To review and propose optimized strategies for enhancing TCR-like CAR-T cell reprogramming.
- To discuss the potential of single-domain antibodies as an alternative to scFvs in CAR-T therapy.
- To highlight advancements for CAR-T immunotherapies targeting intracellular antigens.
Main Methods:
- Literature review of current CAR-T therapy approaches.
- Analysis of limitations in targeting intracellular antigens.
- Exploration of single-domain antibodies as novel CAR components.
Main Results:
- Identified limitations in current TCR-like CAR-T therapy.
- Proposed optimized initiatives for improving TCR-like CAR-T reprogramming.
- Highlighted the potential of single-domain antibodies for intracellular antigen targeting.
Conclusions:
- TCR-like CAR-T therapies face challenges in targeting intracellular antigens.
- Single-domain antibodies offer a promising alternative to conventional scFvs for CAR-T development.
- Optimized strategies and novel antibody formats are crucial for advancing CAR-T immunotherapies against intracellular targets.
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