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Real-time Monitoring of Mitochondrial Respiration in Cytokine-differentiated Human Primary T Cells
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Improved CAR-T cell activity associated with increased mitochondrial function primed by galactose.

Golda Gross1,2, Suha Alkadieri1,2, Amilia Meir1

  • 1Cell Therapy Lab, Sheba Medical Center, Tel Hashomer, Israel.

Biorxiv : the Preprint Server for Biology
|October 9, 2023
PubMed
Summary

Optimizing CAR-T cell metabolism by switching to galactose-based media enhances mitochondrial function and improves efficacy in B-cell malignancies. This metabolic shift boosts CAR-T cell effectiveness, offering a new strategy to improve patient outcomes.

Keywords:
CAR-Tchimeric antigen receptorgalactoseimmunotherapymetabolismmitochondria

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Area of Science:

  • Immunology
  • Cellular Metabolism
  • Oncology

Background:

  • Chimeric antigen receptor T-cell (CAR-T) therapy shows promise for B-cell malignancies but often faces long-term relapse.
  • Interventions to enhance CAR-T cell efficacy are under investigation, with a focus on cellular metabolism.
  • CD19-28z CAR-T cells are used in treating acute lymphoblastic leukemia.

Conclusions:

  • Mitochondrial metabolism is a critical determinant of CAR-T cell efficacy.
  • Switching the carbon source to galactose represents a translational strategy to enhance the metabolic fitness and anti-leukemia activity of clinical CAR-T cell products.
  • Metabolic optimization holds potential for improving long-term remission rates in patients with B-cell malignancies.