Target intelligence / Profile preview

T-cell redirection

Molecular classification
Bispecific antibodies (BsAbs), T-cell engagers, TCR-based bispecific molecules, Chimeric antigen receptors (CARs)
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Overview

T-cell redirection is a therapeutic strategy rather than a specific molecular target or receptor. It's an immunotherapy approach that uses engineered molecules to redirect T cells to recognize and attack cancer cells or pathogens. This strategy involves bispecific antibodies or similar constructs that bind to both T cells and target cells, creating an artificial immunological synapse that activates the T cell to attack the target cell. T-cell redirection represents a promising approach in immunotherapy that bypasses some limitations of conventional T-cell responses by creating artificial recognition and activation mechanisms against specific targets.

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Mechanism of action

T-cell redirection is an immunotherapeutic strategy that uses engineered molecules, such as bispecific antibodies or T-cell engagers. These molecules have two binding domains: one binds to CD3 on T cells, and the other binds to a specific antigen on target cells (e.g., tumor cells). This creates a physical bridge between the T cell and the target cell, forming an artificial immunological synapse. This interaction leads to MHC-unrestricted activation of the T cell, prompting it to kill the target cell through direct delivery of cytotoxic proteases (cell contact-dependent killing), release of inflammatory cytokines (cytokine-mediated killing), and the formation of an immunological synapse.

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Biological functions

Cell contact-dependent killingCytokine-mediated killingImmunological synapse formation
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Disease associations

Cancer immunotherapy (hematological malignancies: acute lymphoblastic leukemia, lymphoma, acute myeloid leukemia, multiple myeloma)Infectious diseases (e.g., Mycobacterium tuberculosis)
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Safety considerations

Limited efficacy and persistence of redirected T cellsShort-lived remissionsT-cell exhaustion due to prolonged activationLimited migration of redirected T cells to tumor sites
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Interacting drugs

blinatumomab
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Biomarkers

Molecular characteristics for patient stratification (to identify patient subgroups likely to respond)

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