CAR T-Cell Costimulatory Co-Expression for Enhanced Antigen Presentation
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Solution Overview
Problem
Existing CAR-based therapies for adoptive transfer of cytotoxic T lymphocytes (CTLs) are less than optimal in terms of effectiveness, safety, and efficiency, necessitating improvements for enhanced anti-tumor activity.
Innovation Solution
Engineering T cells to co-express a chimeric antigen receptor (CAR) and one or more enhancers of T cell priming (ETPs), which confer enhanced professional antigen-presenting cell function, providing transient yet prolonged immunity.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If CAR-based T cell therapy is used, then antigen-specific cytotoxicity is achieved, but anti-tumor effectiveness is insufficient
Solution Approach 1:
The patent combines CAR T cells with antigen-presenting cell functions by co-introducing costimulatory molecules (CD80, CD86, CD40) and MHC molecules into the T cells. This merging of cytotoxic T cell capabilities with APC functions creates a dual-functional cell that can both directly kill tumor cells and present antigens to activate additional T cells, thereby enhancing overall anti-tumor effectiveness
Solution Approach 2:
The engineered T cells acquire multiple functions: (1) antigen recognition via CAR, (2) direct cytotoxicity through T cell receptor-mediated killing, (3) antigen presentation via MHC molecules, and (4) costimulation via CD80/CD86/CD40 molecules. This multi-functionality allows a single cell type to perform roles previously requiring multiple different cell types
2Reliability
If CAR T cells are engineered with costimulatory molecules, then antigen presentation ability is enhanced, but cell complexity increases
Solution Approach 1:
Multiple functional components (CAR, costimulatory molecules, MHC molecules) are combined into a single T cell through co-introduction of multiple nucleic acid sequences. This consolidation of multiple gene delivery events into one engineering process, while increasing functional complexity, streamlines the overall cell preparation workflow
Solution Approach 2:
The T cell is engineered to express a composite set of molecules including the CAR complex (scFv-transmembrane-signaling domains), costimulatory molecules (CD80, CD86, or CD40), and MHC class I or class II molecules. This composite molecular profile creates a cell with enhanced and multifaceted anti-tumor capabilities
Data Source
AI summary
The invention provides T cells comprising nucleic acid sequence encoding a chimeric antigen receptor and a nucleic acid sequence encoding an enhancer of T cell priming, compositions including the T cells, and methods of using the T cells to treat diseases associated with the expression of disease-associated antigens.


