2022
DOI: 10.3389/fonc.2021.802876
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Development of a Novel Anti-CD19 CAR Containing a Fully Human scFv and Three Costimulatory Domains

Abstract: Second-generation anti-CD19-chimeric antigen receptor T cells (anti-CD19-CAR2 T cells) are effective for treating B-cell malignancies; however, anti-CD19-CAR2 T cells can induce human anti-mouse immune responses because anti-CD19 single-chain variable fragment (scFv) in the CAR molecules is derived from a murine FMC63 (mFMC63) monoclonal antibody. Consequently, the persistence of mFMC63-CAR2 T cells and their therapeutic efficiency in patients are decreased, which results in tumor relapse. In an attempt to rem… Show more

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Cited by 12 publications
(10 citation statements)
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“…Indeed, lowering the affinity of an anti-CD19 scFv led to lower TNF-α release in a recent study. The anti-CD19 scFv FMC63 used in this study has a binding affinity in the nanomolar order [ 63 ], while the affinity/avidity of the lectins for Gb3 ranges from the nanomolar to milimolar order [ 64 ]; these differences may help to understand disparities in TNF-α release.…”
Section: Resultsmentioning
confidence: 99%
“…Indeed, lowering the affinity of an anti-CD19 scFv led to lower TNF-α release in a recent study. The anti-CD19 scFv FMC63 used in this study has a binding affinity in the nanomolar order [ 63 ], while the affinity/avidity of the lectins for Gb3 ranges from the nanomolar to milimolar order [ 64 ]; these differences may help to understand disparities in TNF-α release.…”
Section: Resultsmentioning
confidence: 99%
“…The persistence of CAR costimulated by CD28 was identical to that achieved with CD3ζ alone, indicating that CD28 does not support human T-cell survival in vivo [ 172 , 173 ]. The persistence of CD28-costimulated CAR-T cells can be improved by replacing CD28 with 4-1BB [ 174 , 175 ] or CD27 [ 176 ] or by adding 4-1BB alone [ 175 ] or a combination of 4-1BB and CD27 [ 177 ]. CARs harboring the 4-1BB costimulatory domain mediate long-term survival of T cells in the circulation by maintaining central memory phenotype and relying on oxidative metabolism, whereas CD28-costimulated CARs promote effector memory differentiation and rely on aerobic glycolysis [ 50 , 169 , 178 ].…”
Section: Structural Elements Contribute To Car’s Potencymentioning
confidence: 99%
“…Similarly, a few other studies have highlighted the significance of human antigen recognition domain in CAR design in order to overcome the immunological barriers caused by CARs that are not entirely human in origin ( 80 ). Overall, fully human scFvs can minimize immunogenicity while also extending the longevity of CAR-T cells and improving therapeutic output in patients.…”
Section: Strategies To Overcome the Immunogenicity-related Risk Of Ca...mentioning
confidence: 99%