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AI-guided CAR designs and targeted pathway modulation to enhance multi-antigen CAR T cell durability and overcome antigen escape.

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Nature communications 📖 저널 OA 96.8% 2021: 2/2 OA 2022: 3/3 OA 2023: 3/3 OA 2024: 21/21 OA 2025: 202/202 OA 2026: 196/210 OA 2021~2026 2026 Vol.17(1) p. 1549 OA
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Ansari MS, Chauhan V, Singh A, Akhtar A, Chaudhary N, Tyagi R

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The persistence of CAR T cells and antigen escape remain major barriers to durable therapeutic success in hematologic malignancies.

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APA Ansari MS, Chauhan V, et al. (2026). AI-guided CAR designs and targeted pathway modulation to enhance multi-antigen CAR T cell durability and overcome antigen escape.. Nature communications, 17(1), 1549. https://doi.org/10.1038/s41467-025-68272-5
MLA Ansari MS, et al.. "AI-guided CAR designs and targeted pathway modulation to enhance multi-antigen CAR T cell durability and overcome antigen escape.." Nature communications, vol. 17, no. 1, 2026, pp. 1549.
PMID 41547950 ↗

Abstract

The persistence of CAR T cells and antigen escape remain major barriers to durable therapeutic success in hematologic malignancies. Our study integrates AI-guided design with targeted protein degradation to overcome these challenges. Utilizing an in-silico library of CAR constructs followed by an in vitro screening, we developed a predictive model, CARMSeD, which forecasts constructs prone to self-activation and dysfunction. Optimized bispecific CD20/CD19 CAR T cells demonstrate superior persistence and anti-tumor efficacy. To further improve durability, the platform incorporates a PROTAC-based module that selectively degrades AKT3, promoting FOXO4-driven mitochondrial fitness, central memory differentiation, and reduced mTOR signaling. We extended this strategy to develop a trispecific CAR T platform co-expressing a secretable CD3/CD22 bispecific engager, achieving potent tumor eradication even in CD19/CD20-negative malignancies demonstrates efficacy across patient-derived leukemia samples and solid tumor models. Together, our study introduces a next-generation AI-guided CAR T strategy that integrates structure-based optimization and intracellular modulation to improve persistence, broaden antigen coverage, and ensure durable therapeutic efficacy.

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