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MUC1.TR2.4-1BB CAR-T cells are genetically engineered autologous T cells designed to target mucin 1 (MUC1)-expressing solid tumors, specifically breast cancer, while overcoming the immunosuppressive tumor microenvironment (TME). Developed by researchers at the Baylor College of Medicine and the National Cancer Institute, these CAR-T cells co-express a novel chimeric co-stimulatory receptor, TR2.4-1BB. This receptor consists of a single-chain variable fragment (scFv) derived from a TRAIL receptor 2 (TR2/TNFRSF10B) agonistic monoclonal antibody (DS-8273a) fused to a 4-1BB (TNFRSF9) intracellular co-stimulatory endodomain. Upon engagement with TR2 expressed on myeloid-derived suppressor cells (MDSCs) within the TME, the TR2.4-1BB receptor induces MDSC apoptosis and simultaneously delivers a co-stimulatory signal to the CAR-T cells, enhancing their proliferation, persistence, and antitumor efficacy.
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