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. 2025 Aug 8;16:1601670. doi: 10.3389/fimmu.2025.1601670

Table 1.

Molecular initiating events of five different therapies with their description and examples of the corresponding drugs.

Therapy Event Description Examples
CAR-T cells MIE1 Binding of CAR to antigen Abecma (idecabtagene vicleucel; target: BCMA), Kymriah (tisagenlecleucel; target: CD19), Yescarta (axicabtagene ciloleucel; target: CD19); Tecartus (brexucabtagene autoleucel; target: CD19), Carvykti (ciltacabtagene autoleucel; target: BCMA), Breyanzi (lisocabtagene maraleucel; target: CD19)
Checkpoint inhibitors (CPIs) MIE2 Binding of CPI to target T cell and formation of immune synapse Nivolumab (PD-1), Pembrolizumab (PD-1), Avelumab (PDL-1), Ipilimumab (CTLA-4),
T-cell engagers (TCEs) MIE3 Binding of TCE to both target T cell and antigen expressing cells, and formation of immune synapse Blinatumomab (CD19), Teclistamab (BCMA), Mosunetuzumab (CD20), Epcoritamab (CD20), Glofitamab (CD20), Elranatamab (BCMA), Talquetamab (GPRC5D)
Crosslinking and activation of T cells MIE4 Binding of T cell agonist mAb to T cell Muromonab (OKT3, target: CD3), TGN1412 (CD28)
Activation of FcγR-expressing effector cells MIE5 Binding of mAb to antigen-expressing cell, interaction of the Fc part of the mAb with FcγR expressing cells, activation of effector functions by FcγR expressing cells Rituximab (CD20), Alemtuzumab (CD52)

CAR-T cells, chimeric antigen receptor T cellsl MIE, molecular initiating event; CPIs, checkpoint inhibitors; PD-1, programmed cell death protein 1; PDL-1, programmed death-ligand 1; CTLA-4, cytotoxic T-lymphocyte-associated protein 4; TCEs, T-cell engagers; mAb, monoclonal antibody; FcγR, Fc gamma receptor.