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Human VH-antibody-based CAR T cells targeting folate receptor-alpha show enhanced persistence and reduced T-cell exhaustion against ovarian cancer - PubMed

3 hours ago
  • #CAR T-cell therapy
  • #Ovarian cancer
  • #Folate receptor-alpha
  • Folate receptor-alpha (FOLR1) is highly expressed in ovarian cancer and is a target for adoptive cell therapy.
  • A second-generation FOLR1-specific CAR was developed using a fully human VH-only antibody and compared with a MOv19-derived scFV CAR.
  • Both VH-based and scFV-based FOLR1 CAR T cells showed potent cytotoxicity against FOLR1-positive ovarian cancer cells.
  • FOLR1-VH CAR T cells exhibited lower activation and cytokine release initially, with reduced exhaustion markers like PD-1 and LAG-3.
  • FOLR1-VH CAR T cells maintained a central-memory phenotype and demonstrated superior persistence and tumor control in repeated rechallenge assays.
  • Both CAR formats achieved similar cytotoxicity in 3D spheroid models.
  • Human FOLR1-VH CAR T cells showed potent antitumor activity with reduced exhaustion and enhanced persistence, highlighting the VH domain's potential for next-generation CAR T-cell therapies.