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ATLCAR.κ.28 is an autologous chimeric antigen receptor (CAR) T-cell therapy developed by the UNC Lineberger Comprehensive Cancer Center. It is designed to target the kappa (κ) light chain of human immunoglobulins, which is expressed on the surface of malignant B cells in certain types of non-Hodgkin lymphoma (NHL), chronic lymphocytic leukemia (CLL), and small lymphocytic lymphoma (SLL). The CAR construct incorporates an anti-kappa light chain single-chain variable fragment (scFv) linked to a CD28 co-stimulatory endodomain and the CD3ζ signaling domain. By targeting the light chain rather than a pan-B-cell marker like CD19, the therapy aims to selectively eliminate the clonal malignant B-cell population while potentially sparing B cells expressing the lambda (λ) light chain, thereby reducing the severity of humoral immunodeficiency. It is currently being evaluated in Phase 1 clinical trials for relapsed or refractory kappa-positive B-cell malignancies.
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