Molecular Dynamics Reveal Fast vs. Steady CAR T Cell Therapy Behavior
In a new study published in Science Advances, researchers at the Baylor College of Medicine explore the cellular mechanics behind CAR T cell therapies and their varying efficacy in treating different types of cancers. While CAR T cells have revolutionized treatment for blood cancers like leukemia, their success in solid tumors has been limited. The team’s research sheds new light on the molecular interactions that drive these therapies, offering hope for improved designs in the future.
“We wanted to understand the distinct mechanisms that make some CAR T cells effective in certain cancers but less so in others,” explains senior author Nabil Ahmed, professor of pediatrics—hematology and oncology at Baylor and Texas Children’s. “By delving into what happens at the molecular level, we can potentially design a new generation of CAR T cells better suited for solid tumors.”
The dual nature of CAR T Cells
CAR T cells, or chimeric antigen receptor T cells, are genetically engineered immune cells programmed to target and destroy cancer. Two main CAR T cell designs dominate the clinical landscape, each with unique strengths and limitations. Almost all clinically tested CARs use costimulatory domains from CD28ζ or 4-1BB.
Ahmed explains that the 28ζ CAR T cells acts like a muscle car, offering rapid, high-intensity responses. However, their energy-intensive approach often results in short-lived effectiveness. Conversely, the 4-1BB CAR T cells are akin to a fuel-efficient vehicle, delivering slower but more sustainable performance. This dichotomy is well-documented in leukemia treatments but poorly understood in the context of solid tumors.
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