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  5. Tumor MicroEnvironment Actuated T-Cells (MEAT-Cells) to Conditionally Express Chimeric Antigen Receptors and Mitigate Lethal toxicity

Tumor MicroEnvironment Actuated T-Cells (MEAT-Cells) to Conditionally Express Chimeric Antigen Receptors and Mitigate Lethal toxicity

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File(s)
pes2019.pdf (4.5 MB)
No Access Until
2028-10-20
Permanent Link(s)
https://hdl.handle.net/1813/118293
Collections
Weill Cornell Theses and Dissertations
Author
Silberman, Pedro
Abstract

Adoptive cell therapies have the potential to create a new paradigm in solid cancer treatment. Patient T-cells can be engineered to express synthetic proteins such as chimeric antigen receptors (CARs) to redirect them to kill cancer cells. Current clinically approved CAR T-cells kill after recognizing one antigen on hematologic cancers. However, there are few known cancer-specific cell surface antigens and the repertoire of truly specific CAR targets is limited. As a consequence, CAR T-cells therapies are designed to target antigens that are overly expressed on cancer cells but are also on normal cells. Unfortunately, the high potency of CAR T-cells enables them to kill these normal cells resulting in severe toxicity, as seen in anti-HER2 CAR T-cell clinical trials and in anti-GD2 CAR and anti-ROR1 CAR T-cell preclinical models. However, cancer cells can express surface proteins that uniquely distinguish them from antigens on tissues in their metastatic sites. Hence, we developed “gated” (i.e. conditionally expressed) CAR T-cells that exclusively express their CARs only in the presence of cancer microenvironments in those metastatic sites, offering a safety and specificity advantage to current CAR T-cell therapies. These cellular constructs were achieved by designing microenvironment “sensors” on T-cells that initiate expression of the CARs reactive to tumor cells and not to surroundings cells. Termed the “Microenvironment Environment Actuated T-Cell (MEAT-cell)” system, these cells increase the repertoire of usable cancer target ligands by gating CAR therapies to actuate within tumor microenvironments and thus limit on-target, off-tumor toxicities.

Date Issued
2023-10-20
Keywords
WCM Library Coordinated Deposit
•
Cancer
•
Chimeric Antigen Receptor
•
Synthetic Biology
•
Tumor Microenviornment
Committee Chair
Scheinberg, David
Committee Member
Sadelain, Michel
Grimm, Jan
van den Brink, Marcel
Li, Yueming
Degree Discipline
Pharmacology
Degree Name
Ph. D., Pharmacology
Degree Level
Doctor of Philosophy
Type
dissertation or thesis

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