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000265939 1001_ $$0P:(DE-2719)2812526$$aReincke, Momsen$$b0$$eFirst author$$udzne
000265939 245__ $$aChimeric autoantibody receptor T cells deplete NMDA receptor-specific B cells.
000265939 260__ $$aNew York, NY$$bElsevier$$c2023
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000265939 520__ $$aAnti-NMDA receptor (NMDAR) autoantibodies cause NMDAR encephalitis, the most common autoimmune encephalitis, leading to psychosis, seizures, and autonomic dysfunction. Current treatments comprise broad immunosuppression or non-selective antibody removal. We developed NMDAR-specific chimeric autoantibody receptor (NMDAR-CAAR) T cells to selectively eliminate anti-NMDAR B cells and disease-causing autoantibodies. NMDAR-CAARs consist of an extracellular multi-subunit NMDAR autoantigen fused to intracellular 4-1BB/CD3ζ domains. NMDAR-CAAR T cells recognize a large panel of human patient-derived autoantibodies, release effector molecules, proliferate, and selectively kill antigen-specific target cell lines even in the presence of high autoantibody concentrations. In a passive transfer mouse model, NMDAR-CAAR T cells led to depletion of an anti-NMDAR B cell line and sustained reduction of autoantibody levels without notable off-target toxicity. Treatment of patients may reduce side effects, prevent relapses, and improve long-term prognosis. Our preclinical work paves the way for CAAR T cell phase I/II trials in NMDAR encephalitis and further autoantibody-mediated diseases.
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000265939 650_2 $$2MeSH$$aAnimals
000265939 650_2 $$2MeSH$$aHumans
000265939 650_2 $$2MeSH$$aMice
000265939 650_2 $$2MeSH$$aAutoantibodies: metabolism
000265939 650_2 $$2MeSH$$aEncephalitis: metabolism
000265939 650_2 $$2MeSH$$aEncephalitis: therapy
000265939 650_2 $$2MeSH$$aReceptors, N-Methyl-D-Aspartate
000265939 650_2 $$2MeSH$$aT-Lymphocytes
000265939 650_2 $$2MeSH$$aAutoimmune Diseases
000265939 650_2 $$2MeSH$$aDisease Models, Animal
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aCAAR T cell
000265939 650_7 $$2Other$$aNMDA receptor encephalitis
000265939 650_7 $$2Other$$aT cells
000265939 650_7 $$2Other$$aautoimmune encephalitis
000265939 650_7 $$2Other$$aautoimmunity
000265939 650_7 $$2Other$$acell therapy
000265939 650_7 $$2Other$$achimeric autoantibody receptor
000265939 650_7 $$2NLM Chemicals$$aAutoantibodies
000265939 650_7 $$2NLM Chemicals$$aReceptors, N-Methyl-D-Aspartate
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000265939 7001_ $$0P:(DE-2719)9000805$$avon-Wardenburg, Niels-Oliver$$b1$$udzne
000265939 7001_ $$0P:(DE-2719)9001962$$aHomeyer, Marie Alice$$b2
000265939 7001_ $$0P:(DE-2719)2811900$$aKornau, Hans-Christian$$b3$$udzne
000265939 7001_ $$0P:(DE-2719)9002395$$aSpagni, Gregorio$$b4$$udzne
000265939 7001_ $$0P:(DE-HGF)0$$aLi, Lucie Y$$b5
000265939 7001_ $$0P:(DE-2719)2811468$$aKreye, Jakob$$b6$$udzne
000265939 7001_ $$0P:(DE-2719)2812653$$aSánchez-Sendín, Elisa$$b7$$udzne
000265939 7001_ $$0P:(DE-2719)9002227$$aBlumenau, Sonja$$b8$$udzne
000265939 7001_ $$0P:(DE-2719)2812160$$aStappert, Dominik$$b9$$udzne
000265939 7001_ $$aRadbruch, Helena$$b10
000265939 7001_ $$aHauser, Anja E$$b11
000265939 7001_ $$aKünkele, Annette$$b12
000265939 7001_ $$aEdes, Inan$$b13
000265939 7001_ $$0P:(DE-2719)2810725$$aSchmitz, Dietmar$$b14$$udzne
000265939 7001_ $$0P:(DE-2719)2810931$$aPrüss, Harald$$b15$$eLast author$$udzne
000265939 773__ $$0PERI:(DE-600)2001951-8$$a10.1016/j.cell.2023.10.001$$gVol. 186, no. 23, p. 5084 - 5097.e18$$n23$$p5084 - 5097.e18$$tCell$$v186$$x0092-8674$$y2023
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