Redirection of Genetically Engineered CAR-T Cells Using Bifunctional Small MoleculesClick to copy article linkArticle link copied!
- Min Soo Kim
- Jennifer S. Y. Ma
- Hwayoung Yun
- Yu Cao
- Ji Young Kim
- Victor Chi
- Danling Wang
- Ashley Woods
- Lance Sherwood
- Dawna Caballero
- Jose Gonzalez
- Peter G. Schultz
- Travis S. Young
- Chan Hyuk Kim
Abstract
Chimeric antigen receptor (CAR)-engineered T cells (CAR-Ts) provide a potent antitumor response and have become a promising treatment option for cancer. However, despite their efficacy, CAR-T cells are associated with significant safety challenges related to the inability to control their activation and expansion and terminate their response. Herein, we demonstrate that a bifunctional small molecule “switch” consisting of folate conjugated to fluorescein isothiocyanate (folate-FITC) can redirect and regulate FITC-specific CAR-T cell activity toward folate receptor (FR)-overexpressing tumor cells. This system was shown to be highly cytotoxic to FR-positive cells with no activity against FR-negative cells, demonstrating the specificity of redirection by folate-FITC. Anti-FITC-CAR-T cell activation and proliferation was strictly dependent on the presence of both folate-FITC and FR-positive cells and was dose titratable with folate-FITC switch. This novel treatment paradigm may ultimately lead to increased safety for CAR-T cell immunotherapy.
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