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A computationally designed chimeric antigen receptor provides a small-molecule safety switch for T-cell therapy.

Nat Biotechnol. 2020; 
Giordano-Attianese G,, Gainza P,, Gray-Gaillard E,, Cribioli E,, Shui S,, Kim S, Kwak MJ, Vollers S,, Corria Osorio AJ,, Reichenbach P,, Bonet J,, Oh BH, Irving M,, Coukos G,, Correia BE0,.
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摘要

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 anti... More

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