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Harrer, Dennis Christoph ; Baldwin, Jeremy G. ; Barden, Markus ; Pan, Hong ; Gergely, Bence ; Szöőr, Árpád ; Vereb, György ; Herr, Wolfgang ; Abken, Hinrich

Augmenting CAR T cell functionality and metabolism through CD39 downtuning

Harrer, Dennis Christoph , Baldwin, Jeremy G., Barden, Markus, Pan, Hong, Gergely, Bence, Szöőr, Árpád, Vereb, György, Herr, Wolfgang und Abken, Hinrich (2026) Augmenting CAR T cell functionality and metabolism through CD39 downtuning. Molecular Therapy Oncology 34 (3), S. 201277.

Veröffentlichungsdatum dieses Volltextes: 02 Jul 2026 09:46
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.79742


Zusammenfassung

The CD39/CD73 axis is a potent intrinsic repressor of T cell functionality. CAR T cell activation triggers the increase of CD39; its downregulation reduced extracellular ATP degradation and enhanced the functional capacities in CD39low CAR T cells compared with conventional CAR T cells with respect to an increase in granzyme/perforin and degranulation upon repetitive CAR stimulation. CD39low CAR ...

The CD39/CD73 axis is a potent intrinsic repressor of T cell functionality. CAR T cell activation triggers the increase of CD39; its downregulation reduced extracellular ATP degradation and enhanced the functional capacities in CD39low CAR T cells compared with conventional CAR T cells with respect to an increase in granzyme/perforin and degranulation upon repetitive CAR stimulation. CD39low CAR T cells, moreover, displayed superior mitochondrial function and enhanced glycolytic activities. Consequently, CD39low CAR T cells outperformed conventional CAR T cells in controlling CEA+ gastric carcinoma in xeno-transplanted NSG mice. The CD39 effect is unique, since downtuning CD38, also involved in the regulation of exhaustion, did not provide benefits under stimulatory “stress conditions”. Activation-induced upregulation of CD39/CD73 contributes to a negative feedback loop for CAR T cells; downregulated CD39 levels augmented T cell anti-tumor activities by reducing AMP and adenosine-mediated repression. In the broader context, CD39 downregulation is unlikely to be sufficient as a standalone intervention in all settings but may be particularly valuable as part of combination strategies with complementary approaches targeting additional metabolic or immune checkpoint pathways to further enhance CAR T cell persistence and anti-tumor activity.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftMolecular Therapy Oncology
Verlag:Elsevier
Open Access Art:DEAL (Elsevier Gold)
Band:34
Nummer des Zeitschriftenheftes oder des Kapitels:3
Seitenbereich:S. 201277
Datum17 Juni 2026
InstitutionenMedizin > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Projekte
Gefördert von: Deutsche Forschungsgemeinschaft (DFG) (324392634)
Identifikationsnummer
WertTyp
10.1016/j.omton.2026.201277DOI
Stichwörter / KeywordsCAR T cell adoptive T cell therapy metabolism adenosine exhaustion CD39
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenZum Teil
URN der UB Regensburgurn:nbn:de:bvb:355-epub-797424
Dokumenten-ID79742

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