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GR-ZFN is an ex vivo gene-editing therapeutic agent consisting of a pair of zinc finger nucleases (ZFNs) designed to specifically target and disrupt the *NR3C1* gene, which encodes the human glucocorticoid receptor (GR). Developed by Sangamo Therapeutics in collaboration with the City of Hope National Medical Center, this technology is used to engineer T cells—such as CMV-specific T cells or CAR-T cells—to be resistant to the immunosuppressive effects of glucocorticoids like dexamethasone. By knocking out the GR, these modified T cells can maintain their cytotoxic anti-tumor activity even when patients are treated with steroids to manage inflammatory side effects or cerebral edema. The therapy has been evaluated in Phase 1 clinical trials for patients with recurrent glioblastoma multiforme.
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