Precision Tumor Recognition by T Cells With Combinatorial Antigen-Sensing Circuits
Overview
Authors
Affiliations
T cells can be re-directed to kill cancer cells using chimeric antigen receptors (CARs) or T cell receptors (TCRs). This approach, however, is constrained by the rarity of tumor-specific single antigens. Targeting antigens also found on bystander tissues can cause life-threatening adverse effects. A powerful way to enhance ON-target activity of therapeutic T cells is to engineer them to require combinatorial antigens. Here, we engineer a combinatorially activated T cell circuit in which a synthetic Notch receptor for one antigen induces the expression of a CAR for a second antigen. These dual-receptor AND-gate T cells are only armed and activated in the presence of dual antigen tumor cells. These T cells show precise therapeutic discrimination in vivo-sparing single antigen "bystander" tumors while efficiently clearing combinatorial antigen "disease" tumors. This type of precision dual-receptor circuit opens the door to immune recognition of a wider range of tumors. VIDEO ABSTRACT.
Influence of CAR T-cell therapy associated complications.
Umair M, Lai X, Xue Y, Yao H Front Oncol. 2025; 15:1494986.
PMID: 40052127 PMC: 11882432. DOI: 10.3389/fonc.2025.1494986.
Yang Z, Ha B, Wu Q, Ren F, Yin Z, Zhang H Front Immunol. 2025; 16:1544532.
PMID: 40046061 PMC: 11880241. DOI: 10.3389/fimmu.2025.1544532.
Advancing biliary tract malignancy treatment: emerging frontiers in cell-based therapies.
Ao J, Hu M, Wang J, Jiang X Front Immunol. 2025; 16:1559465.
PMID: 40013133 PMC: 11862832. DOI: 10.3389/fimmu.2025.1559465.
A R, Ueki H, Nishioka S, Yamazaki R, Maekawa M, Kitagawa K Cancer Gene Ther. 2025; .
PMID: 40011711 DOI: 10.1038/s41417-025-00879-8.
Precision Medicine in Myeloid Neoplasia: Challenges and Opportunities.
Hochman M, Muniz J, Papadantonakis N J Pers Med. 2025; 15(2).
PMID: 39997326 PMC: 11856194. DOI: 10.3390/jpm15020049.