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IMMUNOTHERAPY

Tumors evading CARs—the chase is on

Acquired resistance to CD19-targeted CAR T cell therapy can occur through mutations in the CD19 gene or after insertion of a chimeric antigen receptor (CAR) into leukemia cells, resulting in the adjacent receptor being masked by the CAR.

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Fig. 1: CD19 antigen escape from CAR T cell therapy.

References

  1. Majzner, R. G. & Mackall, C. L. Cancer Discov. https://doi.org/10.1158/2159-8290.CD-18-0442 (2018).

    Article  Google Scholar 

  2. Orlando, E. J. et al. Nat. Med. https://doi.org/10.1038/s41591-018-0146-z (2018).

  3. Ruella, M. et al. Nat. Med. https://doi.org/10.1038/s41591-018-0201-9 (2018).

  4. Sotillo, E. et al. Cancer Discov. 5, 1282–1295 (2015).

  5. Sommermeyer, D. et al. Leukemia 31, 2191–2199 (2017).

    Article  CAS  Google Scholar 

  6. Bagashev, A. et al. Mol. Cell. Biol. https://doi.org/10.1128/MCB.00383-18 (2018).

  7. Fischer, J. et al. J. Immunother. 40, 187–195 (2017).

    Article  CAS  Google Scholar 

  8. Ali, S. A. et al. Blood 128, 1688–1700 (2016).

    Article  CAS  Google Scholar 

  9. Cho, J. H., Collins, J. J. & Wong, W. W. Cell 173, 1426–1438.e11 (2018).

    Article  CAS  Google Scholar 

  10. Jackson, H. J., Rafiq, S. & Brentjens, R. J. Nat. Rev. Clin. Oncol. 13, 370–383 (2016).

    Article  CAS  Google Scholar 

  11. Avanzi, M. P. et al. Cell Reports 23, 2130–2141 (2018).

    Article  CAS  Google Scholar 

  12. Rafiq, S. et al. Nat. Biotechnol. 36, 847–856 (2018).

Download references

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Correspondence to Renier J. Brentjens.

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R.J.B. is a cofounder of and receives royalties from Juno Therapeutics.

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Rafiq, S., Brentjens, R.J. Tumors evading CARs—the chase is on. Nat Med 24, 1492–1493 (2018). https://doi.org/10.1038/s41591-018-0212-6

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