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Nr2f6-deficient chimeric antigen receptor T cells are an experimental cell therapy engineered using gene editing to delete the NR2F6 gene, which encodes an intracellular immune checkpoint. NR2F6 normally functions as a negative regulator of T cell activation; its absence in CAR-T cells prevents exhaustion, maintains a progenitor-like state (TCF1+), and enhances metabolic fitness. This modification allows the cells to sustain cytotoxic activity in the immunosuppressive tumor microenvironment of solid tumors. Furthermore, these cells induce 'epitope spreading,' a process where the initial CAR-T activity triggers a broader, polyclonal host immune response against various tumor antigens, providing long-term protection even after the engineered cells are cleared. Preclinical studies have demonstrated efficacy in models of glioblastoma and pancreatic adenocarcinoma.
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