RT Journal Article SR Electronic T1 Activation-inducible CAR expression enables precise control over engineered CAR T cell function JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.11.08.515608 DO 10.1101/2022.11.08.515608 A1 Fraessle, Simon P. A1 Tschulik, Claudia A1 Effenberger, Manuel A1 Cletiu, Vlad A1 Gerget, Maria A1 Schober, Kilian A1 Busch, Dirk H. A1 Germeroth, Lothar A1 Stemberger, Christian A1 Poltorak, Mateusz P. YR 2022 UL http://biorxiv.org/content/early/2022/11/08/2022.11.08.515608.abstract AB CAR T cell therapy is a rapidly growing area of oncological treatments having a potential of becoming standard care for multiple indications. Coincidently, CRISPR/Cas gene-editing technology is entering next-generation CAR T cell product manufacturing with the promise of more precise and more controllable cell modification methodology. The intersection of these medical and molecular advancements creates an opportunity for completely new ways of designing engineered cells to help overcome current limitations of cell therapy. In this manuscript we present proof-of-concept data for a novel engineered feedback loop. We manufactured activation-inducible CAR T cells with the help of CRISPR-mediated targeted integration. This new type of engineered T cells expresses the CAR gene dependent on their activation status. This artifice opens new possibilities to regulate CAR T cell function both in vitro and in vivo. We believe that such a physiological control system can be a powerful addition to the currently available toolbox of next-generation CAR constructs.Competing Interest StatementS.P.F., C.T., M.E., V.C., M.G., D.H.B., C.S., L.G. and M.P.P. are currently employed by Juno Therapeutics GmbH, A Bristol-Myers Squibb Company and own stocks of Bristol-Myers Squibb. L.G., C.S., and M.P.P. are listed as inventors on previously filed related patent applications.