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This therapeutic approach involves chimeric antigen receptor (CAR) T cells engineered to locally secrete a protein-based inhibitor of Galectin-3 (Gal3). Developed to overcome the immunosuppressive tumor microenvironment (TME) in pediatric solid tumors, the therapy targets Gal3, a carbohydrate-binding protein predominantly expressed by M2-like macrophages that correlates with reduced T-cell infiltration and activation. By neutralizing Gal3 within the TME, these "armed" CAR T cells aim to reprogram myeloid-driven suppression, thereby improving T-cell infiltration and enhancing the overall anti-tumor efficacy and durability of the CAR T-cell response in solid malignancies.
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