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. 2019 Mar 14;20(6):1283. doi: 10.3390/ijms20061283

Table 1.

Summary of the various approaches employed to regulate CAR T cell activity, and to enhance their selectivity and killing potential.

Aim Modulation Approaches
Enhancing selectivity Simultaneous targeting of multiple antigens Tandem CAR [130]
iCAR (inhibitory CAR) [129]
scFv modulation Fine-tune scFv affinities [113]
Inducible CARs synNotch CAR [124]
Enhancing killing potential Co-stimulatory domains JAK-STAT CAR [82]
3rd generation ICOS CAR [128]
Cytokine production TRUCK system [86]
Checkpoint Blockade Secretion of PD-1 scFv [125]
Targeted delivery of CAR cDNA to disrupt a locus CRIPSR guided to Fas, endogenous TCR, PD-1, and LAG-3 [131,132,133]
TALEN-mediated multi-drug resistant CARs [134]
Immune cell recruitment 7 × 19 CAR (co-expressing IL-7 and CCL 19) [126]
Regulating activity Suicide Gene Inducible Caspase9 [135]
Antibody-mediated depletion via marker antigen [43]
Switchable CAR Tumor targeting anti- or nanobody (UniCAR, SUPRA CAR) [85,136]
Dimerization through small molecules [137]