Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing

Chimeric antigen receptor (CAR) T-cell therapy has been widely successful in the treatment of B-cell malignancies, including B-cell lymphoma, mantle cell lymphoma, and multiple myeloma; and three generations of CAR designs have led to effective FDA approved therapeutics. Traditionally, CAR antigen s...

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Main Authors: Gianna M. Branella, Harold Trent Spencer
Format: Article
Language:English
Published: MDPI AG 2021-12-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/1/21
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author Gianna M. Branella
Harold Trent Spencer
author_facet Gianna M. Branella
Harold Trent Spencer
author_sort Gianna M. Branella
collection DOAJ
description Chimeric antigen receptor (CAR) T-cell therapy has been widely successful in the treatment of B-cell malignancies, including B-cell lymphoma, mantle cell lymphoma, and multiple myeloma; and three generations of CAR designs have led to effective FDA approved therapeutics. Traditionally, CAR antigen specificity is derived from a monoclonal antibody where the variable heavy (V<sub>H</sub>) and variable light (V<sub>L</sub>) chains are connected by a peptide linker to form a single-chain variable fragment (scFv). While this provides a level of antigen specificity parallel to that of an antibody and has shown great success in the clinic, this design is not universally successful. For instance, issues of stability, immunogenicity, and antigen escape hinder the translational application of some CARs. As an alternative, natural receptor- or ligand-based designs may prove advantageous in some circumstances compared to scFv-based designs. Herein, the advantages and disadvantages of scFv-based and natural receptor- or ligand-based CAR designs are discussed. In addition, several translational aspects of natural receptor- and ligand-based CAR approaches that are being investigated in preclinical and clinical studies will be examined.
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spelling doaj.art-b6587b8b926b46e18199ebb424eb48b52023-11-23T11:18:59ZengMDPI AGCells2073-44092021-12-011112110.3390/cells11010021Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell KillingGianna M. Branella0Harold Trent Spencer1Aflac Cancer and Blood Disorders Center, Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA 30322, USAAflac Cancer and Blood Disorders Center, Department of Pediatrics, School of Medicine, Emory University, Atlanta, GA 30322, USAChimeric antigen receptor (CAR) T-cell therapy has been widely successful in the treatment of B-cell malignancies, including B-cell lymphoma, mantle cell lymphoma, and multiple myeloma; and three generations of CAR designs have led to effective FDA approved therapeutics. Traditionally, CAR antigen specificity is derived from a monoclonal antibody where the variable heavy (V<sub>H</sub>) and variable light (V<sub>L</sub>) chains are connected by a peptide linker to form a single-chain variable fragment (scFv). While this provides a level of antigen specificity parallel to that of an antibody and has shown great success in the clinic, this design is not universally successful. For instance, issues of stability, immunogenicity, and antigen escape hinder the translational application of some CARs. As an alternative, natural receptor- or ligand-based designs may prove advantageous in some circumstances compared to scFv-based designs. Herein, the advantages and disadvantages of scFv-based and natural receptor- or ligand-based CAR designs are discussed. In addition, several translational aspects of natural receptor- and ligand-based CAR approaches that are being investigated in preclinical and clinical studies will be examined.https://www.mdpi.com/2073-4409/11/1/21chimeric antigen receptorCARligand-based CARnatural receptor-based CARimmunotherapycell therapy
spellingShingle Gianna M. Branella
Harold Trent Spencer
Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
Cells
chimeric antigen receptor
CAR
ligand-based CAR
natural receptor-based CAR
immunotherapy
cell therapy
title Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
title_full Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
title_fullStr Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
title_full_unstemmed Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
title_short Natural Receptor- and Ligand-Based Chimeric Antigen Receptors: Strategies Using Natural Ligands and Receptors for Targeted Cell Killing
title_sort natural receptor and ligand based chimeric antigen receptors strategies using natural ligands and receptors for targeted cell killing
topic chimeric antigen receptor
CAR
ligand-based CAR
natural receptor-based CAR
immunotherapy
cell therapy
url https://www.mdpi.com/2073-4409/11/1/21
work_keys_str_mv AT giannambranella naturalreceptorandligandbasedchimericantigenreceptorsstrategiesusingnaturalligandsandreceptorsfortargetedcellkilling
AT haroldtrentspencer naturalreceptorandligandbasedchimericantigenreceptorsstrategiesusingnaturalligandsandreceptorsfortargetedcellkilling