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CAR.MUC1 T cells are genetically engineered autologous or allogeneic T cells modified to express a chimeric antigen receptor (CAR) targeting Mucin 1 (MUC1), a transmembrane glycoprotein that is aberrantly glycosylated and overexpressed in various solid tumors, including breast, prostate, pancreatic, and non-small cell lung cancers. The CAR construct typically incorporates a single-chain variable fragment (scFv) derived from a MUC1-specific monoclonal antibody (such as HMFG2 or 5E5) fused to intracellular signaling domains, commonly including CD3ζ and costimulatory domains like 4-1BB (CD137) or CD28. To overcome the immunosuppressive tumor microenvironment and enhance persistence, researchers have explored co-expressing inverted cytokine receptors (e.g., 4/7ICR) or chimeric costimulatory receptors (e.g., TR2.4-1BB) to target myeloid-derived suppressor cells (MDSCs) and promote T-cell expansion at the tumor site.
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