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Armored B7H3-HypoxiCAR T cells are an experimental autologous CAR T-cell therapy designed to treat solid tumors, specifically neuroblastoma. This platform utilizes a dual oxygen-sensing 'HypoxiCAR' switch that restricts the expression of both the B7-H3-targeting chimeric antigen receptor and the 'armoring' payloads (pro-inflammatory cytokines IL-12 and IL-23) to the hypoxic tumor microenvironment (TME). By limiting expression to hypoxic regions, the therapy aims to enhance anti-tumor efficacy through cytokine-mediated immune modulation while minimizing systemic 'on-target, off-tumor' toxicities in healthy, normoxic tissues. Preclinical studies demonstrate superior anti-tumor activity and a favorable safety profile compared to unarmored versions, with the ability to reprogram the TME and boost effector functions selectively within the tumor.
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