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Antigen-induced chimeric antigen receptor multimerization amplifies on-tumor cytotoxicity.


ABSTRACT: Ligand-induced receptor dimerization or oligomerization is a widespread mechanism for ensuring communication specificity, safeguarding receptor activation, and facilitating amplification of signal transduction across the cellular membrane. However, cell-surface antigen-induced multimerization (dubbed AIM herein) has not yet been consciously leveraged in chimeric antigen receptor (CAR) engineering for enriching T cell-based therapies. We co-developed ciltacabtagene autoleucel (cilta-cel), whose CAR incorporates two B-cell maturation antigen (BCMA)-targeted nanobodies in tandem, for treating multiple myeloma. Here we elucidated a structural and functional model in which BCMA-induced cilta-cel CAR multimerization amplifies myeloma-targeted T cell-mediated cytotoxicity. Crystallographic analysis of BCMA-nanobody complexes revealed atomic details of antigen-antibody hetero-multimerization whilst analytical ultracentrifugation and small-angle X-ray scattering characterized interdependent BCMA apposition and CAR juxtaposition in solution. BCMA-induced nanobody CAR multimerization enhanced cytotoxicity, alongside elevated immune synapse formation and cytotoxicity-mediating cytokine release, towards myeloma-derived cells. Our results provide a framework for contemplating the AIM approach in designing next-generation CARs.

SUBMITTER: Sun Y 

PROVIDER: S-EPMC10703879 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Antigen-induced chimeric antigen receptor multimerization amplifies on-tumor cytotoxicity.

Sun Yan Y   Yang Xiu-Na XN   Yang Shuang-Shuang SS   Lyu Yi-Zhu YZ   Zhang Bing B   Liu Kai-Wen KW   Li Na N   Cui Jia-Chen JC   Huang Guang-Xiang GX   Liu Cheng-Lin CL   Xu Jie J   Mi Jian-Qing JQ   Chen Zhu Z   Fan Xiao-Hu XH   Chen Sai-Juan SJ   Chen Shuo S  

Signal transduction and targeted therapy 20231208 1


Ligand-induced receptor dimerization or oligomerization is a widespread mechanism for ensuring communication specificity, safeguarding receptor activation, and facilitating amplification of signal transduction across the cellular membrane. However, cell-surface antigen-induced multimerization (dubbed AIM herein) has not yet been consciously leveraged in chimeric antigen receptor (CAR) engineering for enriching T cell-based therapies. We co-developed ciltacabtagene autoleucel (cilta-cel), whose C  ...[more]

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