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VIPRa CAR T cells are an engineered cellular immunotherapy designed to overcome the immunosuppressive effects of the vasoactive intestinal peptide (VIP) signaling axis in the tumor microenvironment. These CAR T cells are genetically modified to continuously and locally secrete a synthetic short peptide that acts as a VIP receptor antagonist (VIPRa). VIP is a neuropeptide often overproduced by hematologic malignancies that suppresses adaptive immune responses and promotes T-cell exhaustion. By blocking VIP receptors on the CAR T cells themselves and in the surrounding environment, VIPRa CAR T cells exhibit improved metabolic fitness, enhanced mitochondrial activity, reduced exhaustion, and superior in vivo expansion compared to conventional CAR T cells. This approach aims to improve the efficacy of CAR T therapy in blood cancers by neutralizing a key mechanism of immune evasion.
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