Targeting RNA-Binding proteins Roquin-1 and Regnase-1 could enhance CAR-iPSC-derived macrophage immunotherapy for

Fatemeh Mirzaei1, Andisheh Mosaffa Jahromi1, Haniyeh Molavi1

  • 1Department of Immunology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

RNA Biology
|October 28, 2025
PubMed

Insights

Engineered chimeric antigen receptor-macrophages (CAR-iMacs) show promise for solid tumors. Simultaneously knocking out Roquin-1 and Regnase-1 enhances their anti-tumor activity by promoting a pro-inflammatory state.

Area of Science:

  • Immunotherapy
  • Cancer Biology
  • Cellular Engineering

Background:

  • Solid tumors possess immunosuppressive microenvironments, limiting traditional CAR T-cell therapy effectiveness.
  • CAR-macrophages (CAR-iMacs) offer a novel approach, but their plasticity towards immunosuppressive M2-like phenotypes in the tumor microenvironment (TME) hinders efficacy.
  • Roquin-1 and Regnase-1 are key negative regulators of inflammatory genes, influencing macrophage plasticity.

Purpose of the Study:

  • To present a novel strategy for enhancing CAR-iMac anti-tumor responses.
  • To investigate the simultaneous knockout of Roquin-1 and Regnase-1 in CAR-iMacs.
  • To shift CAR-iMacs from an immunosuppressive M2-like state to an anti-tumor M1 state.

Main Methods:

  • Utilizing CRISPR-Cas9 gene editing to simultaneously knock out Roquin-1 and Regnase-1 in CAR-iMacs.
  • Analyzing the phenotypic shift of CAR-iMacs from M2-like to M1 states within the TME.
  • Evaluating the impact on pro-inflammatory signaling, phagocytic, and cytotoxic capabilities.

Main Results:

  • Simultaneous knockout of Roquin-1 and Regnase-1 successfully shifted CAR-iMacs to an M1-like phenotype.
  • This dual-targeting approach promoted sustained pro-inflammatory signaling within the TME.
  • Enhanced phagocytic and cytotoxic capabilities of CAR-iMacs were observed, improving anti-tumor potential.

Conclusions:

  • Simultaneous Roquin-1 and Regnase-1 knockout is a potent strategy to enhance CAR-iMac efficacy against solid tumors.
  • This approach overcomes the limitations of CAR-iMac phenotypic plasticity in the immunosuppressive TME.
  • The dual-targeting platform offers a promising, scalable immunotherapeutic option for solid malignancies.