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Ultrasound priming gated by solid tumor hallmarks to guide CAR-T therapy - PubMed

4 hours ago
  • #Solid Tumors
  • #CAR-T Therapy
  • #Ultrasound Priming
  • CAR-T therapy is effective in hematologic cancers but faces challenges in solid tumors.
  • Researchers developed SHIFTERS, an AND-gated circuit that converts tumor hallmarks into CD19 under focused ultrasound control.
  • SHIFTERS uses split Gal4-VP64 driven by hypoxia and heat-shock promoters, restricting CD19 to sonicated, hallmark-positive areas.
  • This enables local CD19 expression to activate synNotch CAR-T cells, achieving strong tumor suppression in 3D and in vivo models.
  • SHIFTERS is modular and adaptable to tumor-specific promoters like enAFP for hepatocellular carcinoma, enhancing precision.
  • The platform provides a tumor-constrained, ultrasound-controllable system to improve CAR-T therapy precision and efficacy for solid tumors.