Chimeric antigen receptor T cells are T cells given a synthetic receptor so they can recognise a surface protein without MHC. The hard problem in solid tumours is choosing a protein the cancer has and healthy adult tissue does not.
Claudin-6 is an oncofetal tight-junction protein: present in development, mostly off in adult organs, and re-expressed on subsets of testicular, ovarian, and other solid tumours. The CAR is directed at that protein.
Some protocols add a CLDN6-encoding mRNA vaccine after infusion. The idea is to present the same antigen in the lymph node and keep the engineered cells expanded — a CAR plus a boost, rather than a CAR alone.
Triangle