Preclinical development and selection of nanobody-based CAR-T cells targeting HER2-positive solid tumors

Fien Meeus1,2, Arne Van der Vreken3, Dorien Autaers1

  • 1Vrije Universiteit Brussel (VUB), Translational Oncology Research Center, Department of Biomedical Sciences, Molecular and Cellular Therapy Research Group, Brussels, Belgium.

Molecular Therapy. Oncology
|December 11, 2025
PubMed

Insights

This study evaluated 12 nanobody-based chimeric antigen receptor (CAR)-T cell therapies targeting HER2. A lead candidate demonstrated potent anti-tumor activity in solid tumors, offering promise for clinical development.

Area of Science:

  • Immunotherapy
  • Oncology
  • Biotechnology

Background:

  • Chimeric antigen receptor (CAR)-T cell therapy shows success in blood cancers but faces challenges in solid tumors.
  • Nanobodies offer advantages for CAR design, yet their impact on CAR-T cell function requires further investigation.

Purpose of the Study:

  • To evaluate and compare the efficacy of 12 distinct nanobody-based CAR-T cell constructs targeting HER2 in solid tumors.
  • To identify optimal nanobody CAR designs for enhanced anti-tumor activity and to select a lead candidate for further development.

Main Methods:

  • Side-by-side screening of 12 nanobody-based CARs (nanoCARs) against HER2-expressing cells.
  • In vitro assessment of T cell activation, cytokine secretion, and cytotoxicity against glioblastoma, breast cancer, and melanoma cell lines.
  • In vivo evaluation of a lead nanoCAR in a xenograft tumor model.

Main Results:

  • All nanoCARs recognized HER2-positive cells, with 6/12 showing significant reactivity and cytotoxicity against HER2-positive glioblastoma and breast cancer cells.
  • Only one nanoCAR demonstrated potent cytotoxicity against HER2-positive melanoma cells.
  • A lead nanoCAR (1R59b) exhibited superior cytotoxicity across multiple solid tumor cell lines and demonstrated tumor control in vivo.

Conclusions:

  • Nanobody selection for CAR-T cell therapy necessitates extensive screening, as efficacy varies significantly.
  • The identified lead nanoCAR (1R59b) shows promise as a potential therapeutic agent for HER2-positive solid tumors, warranting further preclinical investigation.