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Genomic DNA at the PDCD1, B2M, and FAS loci serves as a multiplexed target for site-specific nucleases in the production of engineered T-cell therapies (Stadtmauer et al., 2020, Science). The PDCD1 locus encodes Programmed Cell Death 1 (PD-1), an inhibitory receptor that limits T-cell activity; its disruption prevents exhaustion and enhances anti-tumor potency (UniProt Q15116). The B2M locus encodes Beta-2-Microglobulin, essential for the assembly of MHC class I molecules; knocking out this gene allows for the creation of allogeneic, 'off-the-shelf' CAR-T cells by reducing host-mediated rejection (Ren et al., 2017, Clin Cancer Res). The FAS (CD95) locus encodes a death receptor that mediates apoptosis; its deletion protects therapeutic cells from Fas-ligand-induced death within the immunosuppressive tumor microenvironment (UniProt P25445). These genomic sites are typically targeted using CRISPR-Cas9, TALENs, or zinc finger nucleases to achieve permanent gene knockout (Jung et al., 2018, ACS Synth Biol). This strategy is a cornerstone of next-generation adoptive immunotherapy, aiming to improve the persistence and safety of cellular products in treating both liquid and solid tumors (PubMed PMC7471464).
Targeted genomic disruption via site-specific nucleases (e.g., CRISPR-Cas9) to induce double-strand breaks followed by error-prone non-homologous end joining (NHEJ), resulting in gene knockout to eliminate inhibitory protein expression or reduce immunogenicity.
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