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CAR trafficking does matter: prospects of ‘Chimeric antigen receptor designed to prevent ubiquitination and downregulation showed durable antitumor efficacy’
Wentao Li1,2,3,† , Han Yang1,† , Li Li1,† , Haopeng Wang1,*
1School of Life Science and Technology, ShanghaiTech University, Shanghai 201210, China
2Shanghai Institute of Biochemistry and Cell Biology, Center for Excellence in Molecular Cell Science, Chinese Academy of Sciences, Shanghai 200031, China
3University of Chinese Academy of Sciences, Beijing 100049, China
These authors contributed equally to this work.
*Correspondence to:Haopeng Wang , Email:wanghp@shanghaitech.edu.cn
J Mol Cell Biol, Volume 12, Issue 9, September 2020, 745-746,  https://doi.org/10.1093/jmcb/mjaa045

Chimeric antigen receptor (CAR) is a synthetic antigen receptor containing a specific antigen-recognition ectodomain to make T cells selectively attack cancer cells, a hinge-transmembrane region to confer stable surface expression, and one or more intracellular signaling domains to regulate T-cell activation. CAR T-cell therapy has produced unprecedented clinical outcomes for treating cancers, particularly B-cell malignancies. However, increasing clinic data reveal some limitations of current CAR T therapies. For example, >30% of B-cell malignancy patients who initially achieved complete remission encountered relapses after 1-year infusion of CAR T cells. In case of solid tumors, most of the patients did not benefit from CAR T treatment (Park et al., 2018; Schmidts and Maus, 2018). CAR T-cell persistence, defined as how long CAR T cells could survive in vivo after infusion into patients, is one of the major factors affecting the clinical outcomes of CAR T therapy (Porter et al., 2015). Therefore, it is important to understand the molecular mechanism(s) controlling the persistence of CAR T cells.