RT Journal Article SR Electronic T1 Functional effects of chimeric antigen receptor co-receptor signaling domains in human Tregs JF bioRxiv FD Cold Spring Harbor Laboratory SP 749721 DO 10.1101/749721 A1 Nicholas A.J. Dawson A1 Isaac Rosado-Sánchez A1 German E. Novakovsky A1 Vivian C.W. Fung A1 Qing Huang A1 Emma McIver A1 Grace Sun A1 Jana Gillies A1 Madeleine Speck A1 Paul C. Orban A1 Majid Mojibian A1 Megan K Levings YR 2019 UL http://biorxiv.org/content/early/2019/08/29/749721.abstract AB Antigen-specific regulatory T cells (Tregs) engineered with chimeric antigen receptor (CARs) are a potent immunosuppressive cellular therapy in multiple disease models. To date the majority of CAR Treg studies employed second generation CARs, encoding a CD28 or 4-1BB co-receptor signaling domain and CD3ζ, but it was not known if this CAR design was optimal for Tregs. Using an HLA-A2-specific CAR platform and human Tregs, we compared ten CARs with different co-receptor signaling domains and systematically tested their function. Tregs expressing a CAR encoding wild-type CD28 were markedly superior to all other CARs tested in an in vivo model of graft-versus-host disease. In vitro assays revealed stable expression of Helios and ability to suppress CD80 expression on DCs as key in vitro predictors of in vivo function. This comprehensive study of CAR signaling-domain variants in Tregs can be leveraged to optimize CAR design for use in antigen-specific Treg therapy.