Tuning charge density of chimeric antigen receptor optimizes tonic signaling and CAR-T cell fitness
Open accessAbstract
Tonic signaling of chimeric antigen receptor (CAR), i.e., the spontaneous CAR activation in the absence of tumor antigen stimulation, is considered to be a pivotal event controlling CAR-T efficacy. However, the molecular mechanism underlying the spontaneous CAR signals remains elusive. Here, we unveil that positively charged patches (PCPs) on the surface of the CAR antigen-binding domain mediate CAR clustering and result in CAR tonic signaling. For CARs with high tonic signaling (e.g., GD2.CAR and CSPG4.CAR), reducing PCPs on CARs or boosting ionic strength in the culture medium during ex vivo CAR-T cell expansion minimizes spontaneous CAR activation and alleviates CAR-T cell exhaustion. In contrast, introducing PCPs into the CAR with weak tonic signaling, such as CD19.CAR, results in improved in vivo persistence and superior antitumor function. These results demonstrate that CAR tonic signaling is induced and maintained by PCP-mediated CAR clustering. Notably, the mutations we generated to alter the PCPs maintain the antigen-binding affinity and specificity of the CAR. Therefore, our findings suggest that the rational tuning of PCPs to optimize tonic signaling and in vivo fitness of CAR-T cells is a promising design strategy for the next-generation CAR.
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Tonic signaling of CAR might be overactivated in T cells with lower CD4/CD8 ratios due to higher transduction.
“As a result, tonic signaling of CAR, which has been shown to be associated with T cell exhaustion,22,23 might be overactivated.”
From Point-of-care manufacturing of anti-CD19 CAR-T cells using a closed production platform: Experiences of an academic in Thailand (2024) · cites this paper as [22]
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Cites
Targeting a CAR to the TRAC locus with CRISPR/Cas9 enhances tumour rejection
Eyquem, J., Mansilla-Soto, J., Giavridis, T., van der Stegen, S. J. C., Hamieh, M., Cunanan, K. M., Odak, A., Gönen, M., & Sadelain, M. (2017) · Nature · doi:10.1038/nature21405 · Cited by 1,831 · cited 1× · see citing works
“Taken together, these fi ndings imply that the point mutations we induced within the scFv framework region of CD19.CAR and GD2.CAR have minimal effects on CAR ’ s antigen af fi nity, antigen speci fi city, and safety pro fi le.”
c-Jun overexpression in CAR T cells induces exhaustion resistance
Lynn, R. C., Weber, E. W., Sotillo, E., Gennert, D., Xu, P., Good, Z., Anbunathan, H., Lattin, J., Jones, R., Tieu, V., et al. (2019) · Nature · doi:10.1038/s41586-019-1805-z · Cited by 891 · cited 1× · see citing works
“4,5 Alternatively, inef fi cient CAR tonic signaling can also lead to limited ef fi cacy.”
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Hou, Q., Kwasigroch, J. M., Rooman, M., & Pucci, F. (2020) · Bioinformatics · doi:10.1093/bioinformatics/btz773 · Cited by 86 · see citing works
Zhu, X., & Niedermann, G. (2015) · Oncoscience · doi:10.18632/oncoscience.164 · Cited by 15 · see citing works
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Luanpitpong, S., Klaihmon, P., Janan, M., Kungwankiattichai, S., Owattanapanich, W., Kunacheewa, C., Chanthateyanonth, S., Donsakul, N., U-pratya, Y., Warindpong, T., et al. (2024) · Molecular Therapy: Oncology · doi:10.1016/j.omton.2024.200889 · Cited by 17 · see citing works
“As a result, tonic signaling of CAR, which has been shown to be associated with T cell exhaustion, 22,23 might be overactivated.”
- Authors
- Chen, J., Qiu, S., Li, W., Wang, K., Zhang, Y., Yang, H., Liu, B., Li, G., Li, L., Chen, M., Lan, J., Niu, J., He, P., Cheng, L., Fan, G., Liu, X., Song, X., Xu, C., Wu, H., & Wang, H.
- Affiliations
- Fudan University (CN)
- ShanghaiTech University (CN)
- Austrian Academy of Sciences (AT)
- Chinese Academy of Sciences (CN)
- Shanghai Jiao Tong University (CN)
- Shanghai Medical College of Fudan University (CN)
- Corresponding author
- Song, Xianmin
- Xu, Chenqi
- Wu, Haitao
- Wang, Haopeng
- ORCID
- Venue
- Cell Research
- Published
- 2023-03-08
- Volume
- 33
- Issue
- 5
- Pages
- 341-354
- ISSN
- 1001-0602 (ISSN-L)
- 1748-7838
- PMC
- PMC10156745
- OpenAlex
- W4323349483
- Cited by
- 195
- References
- 4
- Citations by year
- 2026: 62 · 2025: 58 · 2024: 57 · 2023: 18
- FWCI
- 23.79
- Type
- journal article
- Language
- en
- Update notices
- correction (2026-09-14)
- Open access
- hybrid
- doi.org
- Locations
- Cell Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Youth Foundation of China (82102863)
- Shanghai Science and Technology Development Foundation (21ZR1480200, 21Y11912000)
- National Natural Science Foundation of China (82271149)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
- Keywords
- chimeric antigen receptor, tonic signaling, CAR-T cell exhaustion, antigen-binding domain, CD19 CAR, ionic strength, CAR T cell persistence, automotive design
- MeSH terms
- Receptors, Chimeric Antigen, Antigens, Neoplasm, T-Lymphocytes, Signal Transduction, Immunotherapy, Adoptive
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