Provided herein are systems, kits, compositions, and methods for treating a subject with
cancer or other
disease with a CAR T-
cell (or other immune
cell) that has at least one endogenous
gene that is modulated, and / or wherein mRNA from the
gene is over-expressed or under-expressed, or that has exogenous mRNA that is expressed (e.g., expressed by an
expression vector, or comprising modified bases). In certain embodiments, the endogenous
gene, or mRNA therefrom, is inhibited or silenced and is selected from Table 2 (e.g., selected from PCNX1, PDCD10, MYC, ASXL1, RPTOR, BCAP31, ANKRD11, TCF3, IQCB1, CTLA4, ZZEF1, SRCAP, CARD8, DNMT1 and HSF2). In some embodiments, the endogenous gene, or mRNA therefrom, or mRNA in an
expression vector, is over-expressed and is selected from Table 1 (e.g., NOSIP, FADD, RUNX1, AQR, ATE1, ATP9B, LSM2, CD3D, WNK1, EIF2B3, and TAL2).