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The Interleukin-21 receptor (IL-21R) is a type I cytokine receptor that forms a functional heterodimeric complex with the common cytokine receptor gamma chain (CD132) (Parrish-Novak et al., 2000; UniProt Q9HBE5). It is primarily expressed on lymphocytes, including T, B, and NK cells, where it mediates the pleiotropic effects of IL-21 through the activation of the JAK1/JAK3 and STAT3 signaling pathways (Leonard & Wan, 2019). In the context of engineered T cell therapies, such as CAR-T cells, the IL-21/IL-21R axis is a critical target for genetic modulation to overcome the limitations of T cell exhaustion and poor persistence in the tumor microenvironment (Singh et al., 2011). Engineering T cells to constitutively express IL-21R or providing IL-21 signaling promotes a stem cell memory (Tscm) phenotype, which is associated with superior expansion and long-term anti-tumor efficacy in clinical settings (Davis et al., 2007). While enhancing this pathway is a strategy for oncology, its inhibition is being investigated for treating autoimmune diseases like systemic lupus erythematosus and rheumatoid arthritis, where overactive IL-21 signaling drives pathology (Spolski & Leonard, 2014). Potential safety concerns associated with modulating this receptor in engineered cells include the risk of cytokine release syndrome (CRS) and unintended systemic inflammation (Santegoets et al., 2019).
Agonism of the IL-21R complex activates the JAK/STAT pathway (primarily STAT3) to enhance T cell memory, persistence, and effector function in engineered cell therapies.
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