Language

English

Publication Date

2-1-2025

Journal

European Journal of Immunology

DOI

10.1002/eji.202451172

PMID

39663681

PMCID

PMC12208297

PubMedCentral® Posted Date

6-30-2025

PubMedCentral® Full Text Version

Author MSS

Abstract

Chimeric antigen receptor-T cell (CAR-T) immunotherapy has shown remarkable results for the treatment of certain hematologic malignancies. A redirection strategy that utilizes clinically relevant CAR-T cells in combination with adapter proteins may be an effective strategy to target other hematologic and solid cancers. We established a fusion antibody-based strategy with flexibility to target multiple tumor types in combination with a novel anti-leukocyte immunoglobulin-like receptor-B 4 (LILRB4) CAR-T cell. Specifically, we engineered switch protein (SwP) adapters containing the LILRB4 extracellular domain fused to either an anti-CD19 or anti-CD20 single-chain variable fragment (scFv). These SwPs were sufficient to stimulate anti-LILRB4 CAR-T cells against SwP-tagged LILRB4−CD19+ and LILRB4−CD20+ cancers in vitro and in vivo. This strategy may allow CAR-T cells to be redirected against a variety of tumor antigens and cancer types and become a valuable approach to expand the impact of cellular immunotherapy.

Keywords

Humans, Receptors, Immunologic, Immunotherapy, Adoptive, Receptors, Chimeric Antigen, Animals, Antigens, CD19, Mice, T-Lymphocytes, Single-Chain Antibodies, Cell Line, Tumor, Neoplasms, Antigens, CD20, Membrane Glycoproteins, cancer, chimeric antigen receptor-T (CAR-T), inhibitory receptor, leukocyte immunoglobulin-like receptor-B 4 (LILRB4), switch protein, tumor microenvironment, universal chimeric antigen receptor-T (CAR-T)

Published Open-Access

yes

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