The paper that invented the CAR. A T cell was given the business end of an antibody, and it killed what the antibody recognised without needing the immune system's usual permission step.
Zelig Eshhar's group at the Weizmann Institute of Science asked whether the specificity of a T cell could be designed rather than selected. They built chimeric T-cell receptor genes in which the variable domains of the heavy and light chains of an anti-trinitrophenyl antibody (SP6) were spliced to the constant regions of the T-cell receptor alpha or beta chain, and expressed them in a cytotoxic T-cell hybridoma.
The transfectants expressed a functional receptor carrying the antibody's idiotope, and responded to trinitrophenyl-bearing targets without major histocompatibility complex restriction, killing them and producing interleukin-2 across strain and species barriers. They also responded to immobilised trinitrophenyl-protein conjugates, which means cellular processing and presentation were bypassed entirely. Because the binding site of this particular antibody lies almost wholly in the heavy chain, a construct containing only the heavy-chain variable domain fused to either constant region was enough.
Eshhar called the construct a T-body. Everything that followed, the single-chain variable fragment format, the CD28 and 4-1BB costimulatory domains added by Michel Sadelain, Carl June and Dario Campana, and the manufacturing that turns the idea into a product, is built on this experiment.
Every approved CAR-T product descends from this design. It is the reason a T cell can be pointed at CD19 or BCMA at all, and the reason the question of what to point it at in solid tumours is a question about antigens rather than about the receptor.
Shares Manufacturing cost and time for living and radioactive medicines, CD19, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CD19, CAR-T cell therapy.
Shares CD19, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CD19, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CAR-T cell therapy.
Shares Manufacturing cost and time for living and radioactive medicines, CAR-T cell therapy.