Maria Caterina Rotiroti; Aidan M Tousley; Hoyin Chu; Marco Herrera-Barrera; Antigoni Manousopoulou; Won-Ju Kim; Yajie Yin; Thomas Spencer Parish; Aniela Mitchell; Malcolm Holterhus; Lea Wenting Rysavy; Guillermo Nicolas Dalton; Katherine Ann Freitas; Gernot Kaber; Korbinian N Kropp; Christopher A Klebanoff; Ansuman T Satpathy; Leo D Wang; Caleb A Lareau; Robbie G Majzner
Nature Cancer, 23 October 2025


Chimeric antigen receptor (CAR) T cells can mediate durable complete responses in individuals with certain hematologic malignancies, but antigen downregulation is a common mechanism of resistance. Although the native T cell receptor can respond to very low levels of antigen, engineered CARs cannot, likely due to inefficient recruitment of downstream proximal signaling molecules. We developed a platform that endows CAR T cells with the ability to kill antigen-low cancer cells consisting of a membrane-tethered version of the cytosolic signaling adaptor molecule SLP-76 (MT-SLP-76). MT-SLP-76 can be expressed alongside any CAR to lower its activation threshold, overcoming antigen-low escape in multiple xenograft models. Mechanistically, MT-SLP-76 amplifies CAR signaling through recruitment of ITK and PLCγ1. MT-SLP-76 was designed based on biologic principles to render CAR T cell therapies less susceptible to antigen downregulation and is poised for clinical development to overcome this common mechanism of resistance.