Scientific article
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Preclinical efficacy of multi-targeting mRNA-based CAR T cell therapy in resection models of glioblastoma

Published inMolecular therapy. Nucleic acids, vol. 36, no. 3, 102676
Publication date2025-09-09
First online date2025-08-11
Abstract

Traditional viral-based chimeric antigen receptor (CAR) T cell therapies have vanquished multiple blood malignancies with decade-long remissions yet struggle against solid tumors. Nonviral engineering of CAR T cells via electroporation or lipid nanoparticle (LNP) delivery of CAR-encoding mRNA results in highly efficient yet transient CAR expression, challenging the adequacy of available preclinical models for mRNA-based CAR T cell evaluation. This study presents a unique three-pronged approach that combines mRNA-based CAR T cells, multi-targeting of glioblastoma (GBM)-associated receptors, and maximal surgical resection as a novel and readily translatable platform for preclinical evaluation of mRNA-based CAR T cells against solid tumors. We performed head-to-head in vitro and in vivo analyses of mRNA-based CAR T cells generated using different expansion conditions, mRNA delivery methods, or combination approaches. Besides potent in vitro cytotoxicity, our findings unveil a therapeutic window of anti-tumor efficacy, as well as robust and durable complete remissions in xenograft mouse models of GBM receiving maximal surgical resection and locoregional injections of multivalent CAR T cells (MVCAR). Such efficacies were significantly better in 5-day expanded versus quiescent T cells. Interestingly, MVCAR T cells were superior to pooled CAR T cells (CARPool) expressing the same CAR scFv combinations in an orthotopic resection model of GBM.

Keywords
  • MT: Delivery Strategies
  • Chimeric antigen receptor T cells
  • Electroporation
  • Glioblastoma
  • Immunotherapy
  • Lipid nanoparticles
  • Messenger RNA
  • Multiple targeting
  • Surgical resection
  • Tumor-associated antigens
Funding
  • BLRD VA [I01 BX006247]
  • NCI NIH HHS [U54 CA244711]
  • National Institutes of Health [P30 AI045008]
  • Office of Research and Development [I01BX006247]
Citation (ISO format)
DAGHER, Oula K et al. Preclinical efficacy of multi-targeting mRNA-based CAR T cell therapy in resection models of glioblastoma. In: Molecular therapy. Nucleic acids, 2025, vol. 36, n° 3, p. 102676. doi: 10.1016/j.omtn.2025.102676
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Identifiers
Journal ISSN2162-2531
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Creation31/07/2026 13:45:19
First validation19/08/2026 08:31:37
Update19/08/2026 08:31:37
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