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Nb157 CAR T cells are an experimental adoptive cellular immunotherapy developed for the treatment of acute myeloid leukemia (AML). These T cells are engineered to express a chimeric antigen receptor (CAR) featuring a nanobody (Nb157) derived from a llama phage-display library using the Sequentially Tumor-Selected Antibody and Antigen Retrieval (STAR) system. The Nb157 nanobody specifically targets CD13 (aminopeptidase N), a cell surface protein highly expressed on AML blasts and leukemia stem cells (LSCs). Upon binding to CD13, the CAR T cells are activated to release cytotoxic cytokines such as interferon-gamma (IFN-γ) and tumor necrosis factor-alpha (TNF-α) and undergo degranulation to eliminate tumor cells. Research also explores a bispecific and split CAR (BissCAR) configuration where Nb157 provides the primary activation signal (CD3z) while an anti-TIM3 scFv provides costimulatory signals (CD28 and 4-1BB) to enhance specificity and reduce toxicity to normal hematopoietic stem cells.
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