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Nat Biotechnol ; 38(4): 426-432, 2020 04.
Article in English | MEDLINE | ID: mdl-32015549

ABSTRACT

Approaches to increase the activity of chimeric antigen receptor (CAR)-T cells against solid tumors may also increase the risk of toxicity and other side effects. To improve the safety of CAR-T-cell therapy, we computationally designed a chemically disruptable heterodimer (CDH) based on the binding of two human proteins. The CDH self-assembles, can be disrupted by a small-molecule drug and has a high-affinity protein interface with minimal amino acid deviation from wild-type human proteins. We incorporated the CDH into a synthetic heterodimeric CAR, called STOP-CAR, that has an antigen-recognition chain and a CD3ζ- and CD28-containing endodomain signaling chain. We tested STOP-CAR-T cells specific for two antigens in vitro and in vivo and found similar antitumor activity compared to second-generation (2G) CAR-T cells. Timed administration of the small-molecule drug dynamically inactivated the activity of STOP-CAR-T cells. Our work highlights the potential for structure-based design to add controllable elements to synthetic cellular therapies.


Subject(s)
Receptors, Antigen, T-Cell/chemistry , Receptors, Chimeric Antigen/chemistry , Small Molecule Libraries/pharmacology , T-Lymphocytes/drug effects , Cell Engineering , Cells, Cultured , Humans , Immunotherapy, Adoptive , Jurkat Cells , Lymphocyte Activation/drug effects , PC-3 Cells , Protein Binding , Protein Engineering , Protein Multimerization , Receptors, Antigen, T-Cell/antagonists & inhibitors , Receptors, Antigen, T-Cell/genetics , Receptors, Antigen, T-Cell/metabolism , Receptors, Chimeric Antigen/antagonists & inhibitors , Receptors, Chimeric Antigen/genetics , Receptors, Chimeric Antigen/metabolism , Signal Transduction , Small Molecule Libraries/chemistry , T-Lymphocytes/immunology , T-Lymphocytes/metabolism
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