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1928z-GLUT3 CAR T cells are an experimental cellular immunotherapy developed at Memorial Sloan Kettering Cancer Center. The therapy consists of T cells engineered with a second-generation chimeric antigen receptor (CAR) targeting CD19, utilizing the clinically validated 19-28z construct which incorporates a CD28 costimulatory domain and a CD3-zeta signaling domain. These cells are further modified to constitutively overexpress the glucose transporter GLUT3 (SLC2A3) to theoretically enhance metabolic fitness and glucose uptake within the competitive, glucose-depleted tumor microenvironment. However, preclinical research presented at ASH 2023 indicated that GLUT3 overexpression, unlike GLUT1, resulted in reduced T-cell viability and impaired therapeutic efficacy in models of B-cell acute lymphoblastic leukemia (ALL), such as NALM6.
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