NCIt synonyms : Autologous Anti-BCMA/CS1 Bispecific CAR T-cells; Autologous BCMA/CS1 Bispecific CAR T Cells;
NCIt definition : A preparation of autologous T-lymphocytes engineered to express a chimeric antigen
receptor (CAR) targeting both the tumor-associated antigens (TAAs) B-cell maturation
antigen (BCMA; TNFRSF17) and human CS1 (CD2 subset 1; SLAM family member 7; SLAMF7;
CD319; CRACC), with potential immunomodulating and antineoplastic activities. Upon
administration, the autologous anti-BCMA/CS1 bispecific CAR-T cells target and bind
to tumor cells expressing BCMA and/or CS1 and induce selective cytotoxicity in those
cells. BCMA, a receptor for both a proliferation-inducing ligand (APRIL) and B-cell
activating factor (BAFF), is a member of the tumor necrosis factor receptor superfamily
(TNFRSF). BCMA is found on the surfaces of plasma cells, is overexpressed on malignant
plasma cells and plays a key role in plasma cell proliferation and survival. SLAMF7
is a member of the signaling lymphocytic activation molecule (SLAM) family of transmembrane
receptors that modulate the function of immune cells through immunoreceptor tyrosine-based
switch motifs (ITSMs) and intracellular adaptor proteins. SLAMF7 is highly expressed
on certain malignant plasma cells and is minimally expressed on healthy immune cells.
Targeting the two different TAAs highly expressed on malignant plasma cells may improve
coverage and protect against antigen escape and resistance as tumor cells would need
to lose both antigens.;