CAR-T Cells with Intermediate Affinity for CD6 and CD19
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Solution Overview
Problem
Current chimeric antigen receptor (CAR) therapies for cancer and autoimmune diseases face challenges in targeting specific antigens effectively and often result in severe side effects due to over-activation of immune cells, leading to issues like cytokine release syndrome and immune exhaustion.
Innovation Solution
Development of CARs targeted to CD6, CD19, and IL-13Rα2, expressed in regulatory T cells (Tregs) with intermediate or low affinity, incorporating a CD152 (CTLA-4) cytoplasmic domain and a CD3 zeta signaling domain, to promote immunomodulatory activity and reduce adverse effects.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Measurement precision
If high affinity CAR targeting is used, then antigen binding efficiency is improved, but immune cell over-activation and cytokine release syndrome occur
Solution Approach 1:
The patent applies parameter changes by engineering CARs with intermediate or low affinity for target antigens (CD6, CD19, IL-13Rα2) instead of high affinity binding. This modification of the binding affinity parameter reduces over-activation of immune cells and prevents cytokine release syndrome while maintaining sufficient target recognition and therapeutic efficacy.
2Productivity
If strong CAR activation signaling is used, then tumor cell killing is improved, but immune cell exhaustion occurs
Solution Approach 1:
The patent modifies the activation signaling parameter by using intermediate or low affinity CAR designs that provide sustained, moderate signaling rather than strong transient signals. This prevents immune cell exhaustion and maintains T cell functionality and persistence over extended periods, thereby improving both tumor cell killing and duration of action.
3Speed
If traditional CAR approach in effector T cells is used, then rapid anti-tumor response is achieved, but severe side effects and immune exhaustion occur
Solution Approach 1:
The patent changes the key parameter of CAR affinity from high to intermediate or low, which modulates the activation threshold and signaling intensity. This results in a more controlled and sustained anti-tumor response that maintains effectiveness while significantly reducing adverse cytokine release and immune-related side effects.
4Measurement precision
If high affinity antigen binding is used, then target recognition is improved, but cell lifespan is reduced due to over-activation
Solution Approach 1:
The patent optimizes the binding affinity parameter to intermediate or low levels, which allows sufficient target recognition and binding while avoiding the over-activation that leads to reduced cell lifespan. This parameter adjustment extends CAR-T cell persistence and functionality in vivo.
Data Source
AI summary
Provided herein are, inter alia, CAR-T cell compositions targeting CD6, CD19, and/or an IL-13R, and methods useful for treating autoimmune diseases and cancer.


