State Key Laboratory of Chemical Oncogenomics, Shenzhen Key Laboratory of Chemical Genomics, Peking University Shenzhen Graduate School, Shenzhen, Guangdong, China.
Fundamenta Therapeutics Co., Ltd, Suzhou, Jiangsu, China.
Nat Commun. 2024 Nov 11;15(1):9751. doi: 10.1038/s41467-024-54150-z.
To address immune escape, multi-specific CAR-T-cell strategies use natural ligands that specifically bind multiple receptors on malignant cells. In this context, we propose a split CAR design comprising a universal receptor expressed on T cells and ligand-based switch molecules, which preserves the natural trimeric structure of ligands like APRIL and BAFF. Following optimization of the hinges and switch labeling sites, the split-design CAR-T cells ensure the native conformation of ligands, facilitating the optimal formation of immune synapses between target cancer cells and CAR-T cells. Our CAR-T-cell strategy demonstrates antitumor activities against various B-cell malignancy models in female mice, potentially preventing immune escape following conventional CAR-T-cell therapies in the case of antigen loss or switching. This ligand-based split CAR design introduces an idea for optimizing CAR recognition, enhancing efficacy and potentially improving safety in clinical translation, and may be broadly applicable to cellular therapies based on natural receptors or ligands.
为了解决免疫逃逸问题,多特异性 CAR-T 细胞策略使用天然配体,这些配体特异性结合恶性细胞上的多个受体。在这种情况下,我们提出了一种由 T 细胞上表达的通用受体和基于配体的开关分子组成的分裂 CAR 设计,该设计保留了 APRIL 和 BAFF 等配体的天然三聚体结构。在铰链和开关标记位点得到优化后,分裂设计的 CAR-T 细胞确保了配体的天然构象,促进了靶癌细胞和 CAR-T 细胞之间免疫突触的最佳形成。我们的 CAR-T 细胞策略在雌性小鼠的各种 B 细胞恶性肿瘤模型中显示出抗肿瘤活性,可能在抗原丢失或切换的情况下,防止常规 CAR-T 细胞治疗后的免疫逃逸。这种基于配体的分裂 CAR 设计为优化 CAR 识别提供了一个思路,提高了疗效,并可能在临床转化中提高安全性,并且可能广泛适用于基于天然受体或配体的细胞治疗。