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CXCR4-modified anti-CD19 CAR T cells represent an advanced form of chimeric antigen receptor (CAR) T-cell therapy. This cellular immunotherapy involves genetically engineering a patient's own T cells to express a CAR that specifically targets the CD19 antigen found on B-cell malignancies. The key modification is the incorporation of CXCR4, a chemokine receptor, which serves a dual purpose: enhancing the T cells' ability to migrate towards tumor sites rich in its ligand, CXCL12 (e.g., bone marrow), and providing co-stimulatory signals that augment CAR-T cell activation and cytotoxic function. This modification aims to overcome limitations of conventional CD19 CAR-T cells, such as poor trafficking to certain tumor microenvironments and mechanisms of relapse. Sichuan University is noted as an originator of this type of therapy.
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