Truncated EGFR Marker for Genetically Modified Cell Selection
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Solution Overview
Problem
Current methods for treating HIV infection, such as antiretroviral drug therapy (ART), are costly and have significant side effects, and CAR T cell therapy is challenging to administer effectively due to the need for target antigens which are minimal during ART, and there are difficulties in manufacturing and selecting genetically modified therapeutic cells.
Innovation Solution
A nucleic acid construct comprising a polynucleotide encoding a gene editing agent, a linker peptide, and a truncated epidermal growth factor receptor (tEGFR) is used to identify and enrich genetically modified cells by expressing tEGFR, allowing for their selection and use in therapeutic applications.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If CAR T cell therapy is administered to treat HIV, then therapeutic efficacy is improved, but the therapy fails to persist because HIV-1 antigenemia is minimal during ART
Solution Approach 1:
The patent changes the target parameter from HIV-1 antigens (which are minimal during ART) to endogenous cell surface proteins (CD3, CD4, CD8, or CD28) that are consistently expressed. This parameter change ensures CAR T cells can persist and function throughout the patient's body without relying on fluctuating viral antigen levels.
Solution Approach 2:
Instead of targeting the virus directly (HIV-1 antigens), the invention inverts the approach by targeting host cell proteins that are naturally present on all nucleated cells. This inversion allows CAR T cells to track and kill infected cells through antigen presentation rather than direct viral antigen recognition.
2Reliability
If genetically modified therapeutic cells are manufactured, then therapeutic capability is improved, but manufacturing scalability and selection efficiency deteriorate
Solution Approach 1:
The patent employs selectable markers (antibiotic resistance genes, fluorescent proteins, or enzymatic markers) that allow genetically modified cells to self-identify and self-select during manufacturing. This self-service mechanism enables automated flow cytometry-based sorting and simplifies the manufacturing process, significantly improving scalability and selection efficiency.
3Measurement precision
If selection markers are used to identify genetically modified cells, then selection precision is improved, but manufacturing complexity increases
Solution Approach 1:
The patent replaces complex manual selection methods with flow cytometry-based automated sorting. By using fluorescent or enzymatic markers that can be detected optically, the system substitutes mechanical/manual cell-by-cell inspection with high-speed optical detection and magnetic-actuated sorting, dramatically improving precision while reducing operational complexity.
Data Source
AI summary
Provided herein, inter alia, are constructs and methods for making genetically modified cells that express truncated EGFR (tEGFR). The constructs can be used for identifying, selecting and determining efficacy of the genetically modified cells. Further provided are methods of using the genetically modified cells for treating diseases.


