Dual CAR T Cells for Solid Tumor Expansion and Maintenance
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Solution Overview
Problem
Current CAR T cell therapy is effective for treating blood cancers but struggles to achieve long-term maintenance and efficacy for solid tumors, necessitating improved methods to expand and maintain CAR T cells in patients.
Innovation Solution
The use of genetically modified cells expressing multiple antigen binding domains, including a first domain for expanding and maintaining CAR T cells and a second domain for targeting and killing tumor cells, enhances the therapeutic efficacy of CAR T cell therapy.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If CAR T cells are used to treat solid tumors, then tumor targeting capability is improved, but long-term maintenance and persistence of CAR T cells deteriorates
Solution Approach 1:
The patent divides the CAR T cell population into two distinct subsets: (1) CAR T cells expressing a first antigen binding domain specific to solid tumor antigens for tumor targeting, and (2) CAR T cells expressing a second antigen binding domain specific to B cell markers for expansion and maintenance. This segmentation allows each subset to perform its specialized function optimally without compromise
Solution Approach 2:
The patent uses B cells as an intermediary host to support the expansion and maintenance of CAR T cells. The second antigen binding domain targets B cell surface markers, allowing CAR T cells to utilize B cells as a biological niche for persistence and expansion in the patient's body, thereby solving the long-term maintenance problem
2Quantity of substance
If CAR T cells are expanded in the patient using B cells, then quantity of CAR T cells is improved, but complexity of the therapeutic approach deteriorates
Solution Approach 1:
The patent creates a dual-function CAR T cell therapy where the same modified T cells can both target tumors directly (via first antigen binding domain) and expand through B cell interaction (via second antigen binding domain). This multi-functionality reduces the need for separate expansion protocols and simplifies the overall therapeutic approach
Solution Approach 2:
The patent enables CAR T cells to self-expand within the patient's body by utilizing the second antigen binding domain to interact with abundant B cells. This self-service expansion mechanism eliminates the need for external expansion facilities, repeated infusions, or complex ex vivo manipulation, thereby reducing therapeutic complexity
Data Source
AI summary
The present disclosure relates to compositions and methods for enhancing T cell response and/or CAR cell expansion and/or maintenance in vivo and/or in vitro. For example, a method of enhancing T cell-based therapy comprises administering genetically modified T cells comprising a first chimeric antigen receptor (CAR) and a second CAR, wherein a binding domain of the first CAR binds a first antigen, and a binding domain of the second CAR binds a second antigen. The first antigen is different from the second antigen. In embodiments, the first CAR binds a surface molecule or antigen of a white blood cell.


