The invention belongs to the technical field of tumor immune drugs, and provides a preparation method and application of a CD19 and CD20 targeted double-target CAR-
T cell, a CD19 and CD20 targeted CAR sequence is used, a combined structure of an
antigen recognition domain and a
hinge region is optimized, and the CD19 and CD20 targeted double-target CAR-
T cell is obtained. Three groups of double-target CAR-T cells, namely, CAR2019-01, CAR2019-02 and CAR2019-03, are prepared by adopting a
lentivirus transduction technology, and two groups of single-target CAR-T cells, namely, CAR19 and CAR20, are used as contrasts; the CAR-
T cell comprises an
antigen recognition domain, a
hinge region, a transmembrane structural domain, a 4-1 BB costimulatory factor and a CD3 zeta
intracellular signal domain, the double-target design is that scFv of CD19 / CD20 is connected in series through an (EAAAK) * 3
linker, the killing effect of the double-target CAR-T
cell on blood
system tumors is remarkably better than that of a single-target CAR-T
cell, and CAR2019-03 shows a more excellent anti-tumor function than other two double-target CAR-T cells, so that the CAR-T
cell can be used for preparing a
medicine for treating tumors. The CAR-T cell
drug is suitable for preparing the CAR-T cell
drug for treating the recurrent /
refractory B-cell malignant tumor.