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. 2023 Aug 30;621(7978):404–414. doi: 10.1038/s41586-023-06496-5

Fig. 2. Epitope-engineered variants are resistant to CAR T cells.

Fig. 2

a, FLT3N399D or FLT3N399G cells avoid 4G8-CAR-mediated killing. K562 cells expressing FLT3 variants were cultured with 4G8-CAR at different effector:target ratios (E:T). Left, FACS analysis of K562 cells expressing either FLT3 WT, N399D or N399G, after 48 h of co-culture. T cells and targets are identified by CD3 and FLT3, respectively. From left to right, the fraction of live target cells (absolute (abs.) counts of annexin V7-AAD cells) relative to E:T = 0; T cell activation by CD69+ (%) and surface expression of FLT3 by BV10A4 staining on residual live targets, normalized (norm.) to E:T = 0. The E:T ratio is reported on the x axis. Data are mean ± s.d. n = 4. Statistical analysis was performed using two-way analysis of variance (ANOVA); P values of the comparisons between each condition are reported. b, KITH378R cells avoid Fab-79D-CAR killing. Left, plots of K562 cells expressing wild-type (WT) KIT, H378R or unmodified (KIT) (K562 WT) after 48 h of co-culture with Fab-79D CAR T cells. T cells and targets are identified by CD3 and KIT, respectively. From left to right, the fraction of live target cells; T cell activation on the basis of CD69 staining; and surface expression of KIT by 104D2 on residual live targets, normalized to E:T = 0. The E:T ratio is reported on the x axis. Data are mean ± s.d. n = 4. Statistical analysis was performed using two-way ANOVA. c, CD123S59 base-edited cells are resistant to CSL362 CAR T cells. Left, representative plots of CD123-reporter cells, either unmodified (K562 WT) or base-edited, or CD123 K562 cells after 48 h of co-culture with CSL362-CAR. T cells and targets are identified by CD3, CD4 and CD8, and CD123, respectively. From left to right, the fraction of live target cells; T cell activation on the basis of CD69 staining; and surface expression of CD123 on the basis of staining with the 6H6 control antibodies on residual target cells. The E:T ratio is reported on the x axis. Data are mean ± s.d. n = 6. Statistical analysis was performed using two-way ANOVA.

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