IMM: BLOCK 2: LECTURE 9: CAR-T CELLS
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Questions and Answers

What is the primary function of chimeric antigen receptors (CARs) in CAR T cell therapy?

  • To minimize the activity of T cells against normal cells.
  • To prevent T cells from proliferating after infusion.
  • To produce antibodies against non-cancerous tissue.
  • To enhance the ability of T cells to recognize and attack cancer cells. (correct)

Which component is NOT part of the CAR structure described in CAR T cell therapy?

  • Transmembrane portion of CD28
  • CD3 zeta proteins
  • Major histocompatibility complex (MHC) molecules (correct)
  • Single-chain variable fragments (scFvs)

What is the significance of CD19 in the context of CAR T cell therapy?

  • It is exclusively found on solid tumors.
  • It is unrelated to cancer cell recognition.
  • It is a target for CAR T cells in treating certain blood cancers. (correct)
  • It is a marker specific to healthy T cells.

In what way have newer generations of CAR T cells improved upon earlier versions?

<p>By incorporating co-stimulatory signaling domains to enhance T cell persistence. (B)</p> Signup and view all the answers

What process is involved in modifying T cells for CAR T cell therapy?

<p>Genetically altering the T cells to express CARs. (D)</p> Signup and view all the answers

Which of the following is a characteristic of CAR T cell therapy?

<p>It allows T cells to attack both cancerous and normal cells. (D)</p> Signup and view all the answers

What type of cancer is particularly targeted by CAR T cell therapy, as mentioned?

<p>Chronic lymphocytic leukemia (D)</p> Signup and view all the answers

The process of obtaining T cells for CAR T cell therapy involves what initial step?

<p>Collecting T cells from the patient's blood. (C)</p> Signup and view all the answers

Study Notes

CAR T-cell Therapy

  • A type of treatment in which a patient’s T cells are altered in a lab to target cancer cells.
  • T cells are collected from a patient, modified in a lab, and re-infused to kill cancer cells.
  • CAR T-cell therapy is currently being used to treat certain blood cancers, and clinical trials are underway for other cancer types.

Chimeric Antigen Receptors (CARs)

  • CARs are engineered receptors designed to redirect T cells to attack specific target cells.
  • Composed of multiple immune protein domains.
  • These domains include:
    • Single-chain variable fragments (scFvs): Recognize and bind to specific antigens on target cells.
    • Transmembrane portion: Anchors the CAR to the T cell membrane.
    • CD3 zeta proteins with ITAMs: Signal the T cell to activate and destroy the target cell.
  • The CARs in the case study target CD19 on B cells.

CD19

  • A protein found on both normal and cancerous B cells.
  • A crucial part of the B cell co-receptor complex.
  • Involved in regulating B cell signaling activities.
  • Targeted by CAR T-cell therapy for chronic lymphocytic leukemias, a type of cancer arising from malignant B cells.

Memory CAR T Cells

  • CAR T cells have demonstrated the potential to create memory responses, which are crucial for long-term protection against specific pathogens.
  • This suggests that CAR T cell therapy could provide sustained anti-cancer effects.

Co-stimulatory Signaling Domains

  • Newer generations of CAR T cells incorporate co-stimulatory signaling domains to improve their effectiveness.
  • Enhance the T cells' ability to proliferate (make more T cells) after infusion.
  • Increase longevity of the CAR T cells in circulation.

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Description

Explore the innovative CAR T-cell therapy, a groundbreaking treatment that modifies a patient’s T cells to target and attack cancer cells. This quiz delves into the mechanisms of chimeric antigen receptors (CARs) and their role in treating specific blood cancers. Learn about the components and functioning of CARs, particularly their targeting of the CD19 protein on B cells.

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