Split-design approach enhances the therapeutic efficacy of ligand-based CAR-T cells against multiple B-cell

Shuhong Li1, Licai Shi1, Lijun Zhao1

  • 1State Key Laboratory of Chemical Oncogenomics, Shenzhen Key Laboratory of Chemical Genomics, Peking University Shenzhen Graduate School, Shenzhen, Guangdong, China.

Nature Communications
|November 11, 2024
PubMed

Insights

This study introduces a novel split chimeric antigen receptor (CAR)-T-cell strategy using natural ligands to prevent immune escape in cancer therapy. This approach enhances CAR-T-cell efficacy and safety for B-cell malignancies.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Cancer immune escape is a significant challenge in CAR-T-cell therapy.
  • Multi-specific CAR-T-cell strategies aim to overcome this by targeting multiple receptors on cancer cells.
  • Natural ligands like APRIL and BAFF offer potential for specific targeting.

Purpose of the Study:

  • To develop a split CAR design that preserves the natural conformation of ligands.
  • To enhance CAR-T-cell recognition, efficacy, and safety.
  • To investigate antitumor activity against B-cell malignancies.

Main Methods:

  • Proposed a split CAR design with a universal receptor and ligand-based switch molecules.
  • Optimized hinge regions and switch labeling sites.
  • Evaluated CAR-T-cell strategy in B-cell malignancy models in female mice.

Main Results:

  • The split CAR design maintained the native trimeric structure of ligands (APRIL, BAFF).
  • Facilitated optimal immune synapse formation between CAR-T cells and cancer cells.
  • Demonstrated significant antitumor activities against various B-cell malignancy models.

Conclusions:

  • The ligand-based split CAR design offers a novel approach to optimize CAR recognition and enhance therapeutic efficacy.
  • This strategy shows potential for preventing immune escape due to antigen loss or switching.
  • The design may broadly apply to cellular therapies utilizing natural receptors or ligands, improving clinical translation and safety.

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