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HER2.TR2.4-1BB CAR-T cells (also known as CAR.HER2.TR2.4-1BB T cells) are genetically engineered autologous T cells developed by researchers at the Baylor College of Medicine. These CAR-T cells are designed to target HER2-expressing solid tumors, such as HER2-positive breast cancer, while simultaneously overcoming the immunosuppressive tumor microenvironment (TME). They co-express a HER2-specific chimeric antigen receptor (CAR) and a novel chimeric co-stimulatory receptor, TR2.4-1BB. The TR2.4-1BB receptor consists of a single-chain variable fragment (scFv) derived from a monoclonal antibody targeting tumor necrosis factor-related apoptosis-inducing ligand receptor 2 (TRAIL-R2/TR2), which is highly expressed on myeloid-derived suppressor cells (MDSCs) in the TME, fused to a 4-1BB (CD137) costimulatory endodomain. Upon binding to TR2 on MDSCs, the TR2.4-1BB receptor induces apoptosis in the suppressive MDSCs while delivering a costimulatory signal to the CAR-T cells, enhancing their persistence, proliferation, and anti-tumor efficacy.
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