2019
DOI: 10.3389/fonc.2019.00126
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Chimeric Antigen Receptors for T-Cell Malignancies

Abstract: Development of chimeric antigen receptor (CAR)-modified T cells for the treatment of T-lineage leukemia and lymphoma has encountered several unique challenges. The most widely expressed tumor antigen targets for malignant T cells are often also expressed on non-malignant T cells. Transducing T cells with CARs targeted to these shared antigens can therefore promote over-activation or fratricide of CAR T cells, reducing their therapeutic potency. If fratricide is resolved, clinical CAR T cell activity may elimin… Show more

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Cited by 56 publications
(42 citation statements)
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“…In addition, one more thing we want to point out based on this study, the SV 95 -specific CTLs are slightly cytotoxic to both activated HLA-A2 positive PBMCs (but not cytotoxic to normal PBMC) and hematopoietic stem cells (Figure 5C). This phenomenon has been previously reported (Leisegang et al, 2010), because the most widely expressed tumor antigen targets for malignant cells are often also expressed on non-malignant cells (Scherer et al, 2019). However, this fratricide phenomenon will not affect the space for CTLs in clinical applications but needs to be noted.…”
Section: Discussionmentioning
confidence: 70%
“…In addition, one more thing we want to point out based on this study, the SV 95 -specific CTLs are slightly cytotoxic to both activated HLA-A2 positive PBMCs (but not cytotoxic to normal PBMC) and hematopoietic stem cells (Figure 5C). This phenomenon has been previously reported (Leisegang et al, 2010), because the most widely expressed tumor antigen targets for malignant cells are often also expressed on non-malignant cells (Scherer et al, 2019). However, this fratricide phenomenon will not affect the space for CTLs in clinical applications but needs to be noted.…”
Section: Discussionmentioning
confidence: 70%
“…By design, each component of the convertibleCAR system-the iNKG2D-based CAR receptor and the MicAbody (which is ADCC-deficient)-are functionally inert on their own. This has advantages during manufacturing, particularly in the context of indications such as T cell malignancies where traditional scFvbased CARs encounter expansion hurdles due to fratricide 37 . Additionally, it provides enhanced control of CAR function during treatment.…”
Section: Discussionmentioning
confidence: 99%
“…By design, each component of the convertibleCAR system -the iNKG2D-based CAR receptor and the MicAbody (which is ADCC-deficient) -are functionally inert on their own. This has significant advantages during manufacturing, particularly in the context of indications such as T cell malignancies where traditional scFv-based CARs encounter expansion hurdles due to fratricide 34 . Additionally, it provides enhanced control of CAR function during treatment.…”
Section: Discussionmentioning
confidence: 99%