NCIt synonyms : Autologous Anti-CEA Logic-gated Tmod CAR T-cells A2B530; Autologous CEA-directed Logic-gated CAR-T Cells A2B530; Autologous Anti-CEA Logic-gated CAR T Cells A2B530;
NCIt definition : A preparation of autologous T-lymphocytes from a human leukocyte antigen (HLA)-A*02-positive
donor that have been transduced with a lentiviral vector expressing an activating
chimeric antigen receptor (CAR) specific for the tumor-associated antigen (TAA) carcinoembryonic
antigen-related cell adhesion molecule 5 (CEA or CEACAM5), a leukocyte immunoglobulin-like
receptor 1 (LIR-1)-based inhibitory receptor specific for HLA-A*02, and a short hairpin
RNA (shRNA) targeting beta-2 microglobulin (B2M), with potential immunomodulating
and antineoplastic activities. Upon administration, the autologous anti-CEA CAR/HLA-A*02-gated
inhibitory receptor/B2M shRNA-expressing T-lymphocytes A2B530 target and bind to CEA-expressing
tumor cells, thereby killing CEA-expressing tumor cells. The inhibitory receptor specific
for HLA-A*02 acts as a safety switch that blocks the killing of HLA-A*02-positive
CEA-expressing normal cells. HLA-A*02 is expressed on normal cells but not on tumor
cells due to loss of heterozygosity (LOH). The B2M shRNA disrupts the expression of
the B2M component of the HLA class I molecule. CEA, a member of the CEA family of
proteins, plays a key role in cell migration, cell invasion and cell adhesion, and
is overexpressed by a variety of cancer types.;