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Tan5-7 CAR-T cells are an experimental tandem bispecific chimeric antigen receptor T-cell (CAR-T) therapy designed to simultaneously target two T-cell surface antigens: CD5 and CD7. The construct utilizes fully human heavy chain variable (FHVH) antibody domains for both targets, integrated into a tandem CAR structure with a 4-1BB costimulatory domain and a CD3ζ signaling domain (BBz). To prevent fratricide (self-killing) during production and after infusion, CRISPR/Cas9-based knockout of the endogenous CD5 and CD7 genes is performed in the T cells prior to lentiviral transduction. This dual-targeting approach aims to overcome antigen escape and improve efficacy in relapsed or refractory T-cell malignancies, such as T-cell acute lymphoblastic leukemia (T-ALL) and T-cell leukemia/lymphoma. Additionally, it has been explored as a conditioning regimen alternative to enable allogeneic hematopoietic stem cell transplantation (HSCT). The research originates from academic institutions in China, including Tongji Medical College.
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