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V-aCD3 is a bispecific recombinant fusion protein designed for cancer immunotherapy. It consists of a binding domain derived from the malaria protein VAR2CSA, which selectively targets oncofetal chondroitin sulfate (ofCS) found broadly on cancer cells, linked to an anti-CD3 single-chain variable fragment that recruits and activates T cells. This construct facilitates T cell engagement with tumor cells, inducing potent antitumor cytotoxicity and immune activation. The molecule can be engineered to recognize either murine or human CD3, with murine-specific versions used in preclinical mouse models and human-specific versions under development. Combination with immune checkpoint inhibitors converts immunologically “cold” tumors into “hot,” resulting in complete regression and lasting immune memory. It is in preclinical and early-stage development as a broad therapeutic strategy for various solid tumors.[1][3]
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