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Table 1

Application of antigen recognition, triggering and signal output mechanisms in immunotherapies

Immuno-therapies Applied mechanisms Strategy of design References
CAR-T TCR clustering Introducing dimeric CD3ζ, CD28 and CD8 transmembrane domain. [104,109111]
TCR clustering Designing the transmembrane region to form multimerization (including trimerization and tetramerization). [112]
TCR clustering Introducing a 4-1BB-derived hinge region containing 11 cysteines to form a larger diameter of CAR clusters. [113]
Lck recruitment Introducing CD28 intracellular region to recruit Lck. [115,116]
Lck recruitment Introducing CD28, CD8 and ICOS transmembrane domain to recruit Lck. [105,112,118,119]
CD45 segregation Controlling the size of extracellular domain of CAR. [120]
Signal output mechanism Engineering number and location of CD3ζ ITAMs. [92]
Signal output mechanism Mutating all lysine residues in the cytoplasmic domain. [121]
Signal output mechanism Introducing CD3ε, γ and δ cytoplasmic domain. [66,77,93,122124]
Signal output mechanism Building CAR on TCR to retain total CD3 diversity. [125131]
TCR-T Antigen recognition
mechanism
Grouping TCR clusters and predicting reactive TCR clones. [132143]
Mechano-sensing mechanism Engineering catch bonds between TCR and pMHC to improve sensitivity but reduce cross-reactions. [145]
Signal output mechanism Co-transduction of ATAM to enhance proliferation and persistence. [146,147]

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