CAR-T Cell-Based Immunotherapy: Basic Principles

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CAR-T CELL-BASED IMMUNOTHERAPY BASIC PRINCIPLES

The basic design of CAR includes a tumor-associated antigen (TAA) binding region (usually scFv), an extracellular hinge region, a transmembrane region and an intracellular signal. The first chimeric TCR was constructed by replacing the Vα and Vβ extracellular domains of the TCR chains. Single chain antibody links the CD3ζ for the first generation. Costimulatory molecule, such as CD28, has been engineered to the signal transduction region for the second generation. Another costimulatory molecule based on the second generation for the third generation has been engineered to the signal transduction region. The cytokines based on the second generation for the fourth generation has been engineered to the signal transduction region. A dual CAR T cell expresses two separate CARs with different ligand binding targets. Dual CAR T cell activation requires co‑expression of both targets on the tumour. A conditional CAR T cell is by default unresponsive until the addition of a small molecule to complete the circuit. A tandem CAR T cell expresses a single CAR consisting of two linked scFvs that have different affinities. The physiological CAR consists of an antigen receptor and a CD3ζ intracellular signaling domain with/without a transmembrane and a spacer region. The universal CAR utilizes biotin or anti-FITC scFv as targeting region fused with the transmembrane domain. Marked CAR T cells express a CAR plus a tumour epitope to which an existing monoclonal antibody agent binds.

Creative Biolabs CAR/TCR-related Products & Services

Structural and Functional Basis of CAR

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VL Antigen-binding region (scFv)

VH

Monoclonal antibody

Hinge region Transmembrane region

TCR-CD3 complex γ ε

α β

ε δ

T cell

Seminal research

1993

1989

1st-generation

Tumor cell

Cell activation Cytotoxicity induction Cytokine production Cell survival Cell proliferation

Signal transduction region

ζ ζ

Evolution of CAR

2

VH

Tumor antigen

Anti-tumor signal

2nd-generation 1998

2003

4th-generation

2007 2004

3rd-generation

2009

VL

γ ε α β ε δ ζ ζ

CD3ζ

CD8α

CD4

CD28

4-1BB

Hinge

IgG1 sequences

Transgene 3

Classic CAR

1

2

Dual CAR

1

Cytokine Co-stimulating ligand

New CAR Models and Concepts Conditional CAR

2

Additional small molecule

1

Receptor & ligand

2

Tandem CAR

1

Physiological CAR

2

1

Avidin/anti-FITC labeled scFv

Universal CAR

Biotin/FITC

2

Marked CAR

1

2

Selection marker

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