NCIt definition : Autologous T-lymphocytes transduced with a lentiviral vector expressing a chimeric
antigen receptor (CAR) consisting of an anti-prostate specific membrane antigen (PSMA)
single chain variable fragment (scFv) and expressing a dominant negative (DN) form
of transforming growth factor-beta (TGF-beta; TGFb) receptor, with potential immunomodulating
and antineoplastic activities. Upon transfusion, the autologous PSMA-specific TGFb-resistant
CAR T cells are directed to and induce selective toxicity in PSMA-expressing tumor
cells. The tumor-associated antigen (TAA) PSMA is overexpressed by prostate cancers;
its expression is associated with poor prognosis and metastasis. The inclusion of
the DN TGFb receptor blocks signaling of the immunosuppressive cytokine TGFb in the
tumor microenvironment (TME) and makes the CAR T cells resistant to TGFb. TGFb negatively
regulates T-cell proliferation and activation and plays a key role in tumor immune
suppression.;