CAR T cells re-directed by a rationally designed human peptide tag demonstrate efficacy in preclinical models

Nele Knelangen1, Ulrika Bader2, Evangelia Maniaki2

  • 1Research and Development, Miltenyi Biotec, Bergisch Gladbach, Germany; Division of Functional Immune Cell Modulation, Leibniz Institute for Immunotherapy, Regensburg, Germany.

Cytotherapy
|April 21, 2025
PubMed

Insights

A new adapter CAR (AdCAR) T cell platform offers flexible targeting of multiple tumor antigens. This innovation allows precise control over CAR T cell activity for broader cancer treatment applications.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Limited approved chimeric antigen receptor (CAR) T cell therapies exist, primarily for B-cell malignancies.
  • Broader application of CAR T cell technology requires enhanced control and flexible targeting of multiple tumor antigens.

Purpose of the Study:

  • To develop a novel adapter CAR (AdCAR) T cell platform for versatile targeting of multiple tumor antigens.
  • To engineer AdCAR T cells with specificity for a peptide tag derived from mutated fibroblast growth factor receptor 2 (FGFR2).

Main Methods:

  • A multistep pooled screening approach using MACS separation and next-generation sequencing was employed to select AdCARs.
  • In vitro and in vivo model systems were utilized to evaluate AdCAR T cell activity.
  • Functional adapter molecules (AM) were expressed in primary T cells under a drug-inducible promoter.

Main Results:

  • A highly specific AdCAR for the FGFR2-derived peptide tag was successfully developed.
  • AdCAR T cell activity was demonstrated to be dependent on the presence of the adapter and target antigen.
  • AdCAR T cells could be redirected to different antigens using adapter molecules, and in situ expression of functional AM was achieved.

Conclusions:

  • The novel AdCAR T cell platform enables flexible and controlled targeting of multiple tumor antigens.
  • This platform holds potential for expanding CAR T cell therapy applications beyond current indications.
  • Controlling AdCAR T cell activity via cellular micropharmacies presents a promising therapeutic strategy.

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