GITR Co-stimulatory Domain CAR T Cell Specificity
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Solution Overview
Problem
Current CAR-T cell therapies for cancer treatment often face challenges in specificity and safety due to the lack of effective co-stimulatory domains, leading to off-target cytotoxicity and cytokine release syndrome, particularly when targeting tumor antigens like EGFR, mesothelin, and CD19.
Innovation Solution
Incorporating the GITR intracellular domain as a co-stimulatory domain in chimeric antigen receptors (CARs) to enhance T cell effector function and suppress regulatory T cells, thereby improving the specificity and safety of CAR-T cells by reducing cytokine release and increasing cytotoxic activity against tumor cells overexpressing specific antigens.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Power
If traditional co-stimulatory domains (CD28, CD137) are used in CARs, then T cell activation and cytolytic activity are enhanced, but off-target cytotoxicity and cytokine release syndrome occur
Solution Approach 1:
The patent changes the co-stimulatory domain parameter from traditional CD28 or CD137 to GITR intracellular domain, which modifies the signaling characteristics and reduces harmful effects while maintaining therapeutic efficacy
Solution Approach 2:
The patent introduces GITR intracellular domain as an intermediary signaling component that mediates T cell activation with more controlled cytokine release, reducing the harmful effects associated with traditional co-stimulatory domains
2Power
If CAR-T cells are designed to target tumor antigens, then antitumor activity is improved, but specificity against normal cells expressing the same antigen is reduced
Solution Approach 1:
The patent modifies the co-stimulatory signaling parameter to GITR domain, which changes the activation threshold and signaling dynamics to improve specificity while maintaining antitumor potency
Data Source
AI summary
The present invention is directed to a chimeric antigen receptor (CAR) fusion protein comprising from N-terminus to C-terminus: (i) a single-chain variable fragment (scFv) comprising VH and VL, wherein scFv binds to a tumor antigen, (ii) a transmembrane domain, (iii) a co-stimulatory domain of GITR intracellular domain, and (iv) an activating domain. In one embodiment, the tumor antigen is human epidermal growth factor receptor (EGFR), human mesothelin, or human CD19. CARs having GITR intracellular domain as a co-stimulatory domain have certain advantages over other traditional CAR co-stimulatory domains.


