Evidence map›Paper›PMID 42455247›Full record

ArticleMolecular and cellular biochemistry2026

EF-1α-driven nanobody-based CD19-redirected CAR-T cells retain the antitumor efficacy, antigen-driven expansion, and cytokine secretion of CMV-driven counterparts.

Marzieh Mazinani, Pooria Safarzadeh Kozani, Fatemeh Rahbarizadeh

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Article in Molecular and cellular biochemistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Marzieh Mazinani *Department of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.ORCID http://orcid.org/0000-0001-8815-7499
Pooria Safarzadeh Kozani *Department of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.ORCID http://orcid.org/0000-0002-9901-7851
Fatemeh RahbarizadehDepartment of Medical Biotechnology, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. rahbarif@modares.ac.ir.ORCID http://orcid.org/0000-0003-0890-8366

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell efficacy requires sustained transgene expression. Cytomegalovirus (CMV) promoters drive strong initial expression but undergo silencing, while elongation factor-1α (EF-1α) promoters resist inactivation. This study evaluated whether transitioning a previously established VHH-based CD19-redirected CAR construct to EF-1α promoter control compromises antitumor functionality. Lentiviral particles encoding identical second-generation CAR constructs (CD19-specific VHH, CD8α transmembrane, 4-1BB costimulatory, CD3ζ signaling domains) under CMV (HCAR-T) or EF-1α (ECAR-T) promoters transduced primary human T cells. Cytotoxicity (effector-to-target ratios 1:1-10:1), antigen-driven proliferation, and cytokine secretion against CD19⁺/CD19⁻ targets were quantified. Promoter substitution from CMV to EF-1α in the matched VHH-based CAR construct did not alter CAR-T cell functionality. ECAR-T and HCAR-T cells exhibited statistically comparable cytotoxicity against CD19⁺ Raji (81.6% ± 2.4 versus 81.8% ± 2.5 at 10:1, respectively) and NALM6 cells (82.2% ± 2.3 versus 80.7% ± 3.5 at 10:1, respectively). Proliferation against Raji (ECAR-T: 94.2% ± 7.54 versus HCAR-T: 91.1% ± 6.03) and NALM6 (ECAR-T: 94.9% ± 4.35 versus HCAR-T: 92.5% ± 6.34) was comparable. IFN-γ, IL-2, and TNF-α secretion against CD19⁺ targets was statistically comparable between ECAR-T and HCAR-T groups and strictly CD19-dependent. EF-1α preserved the antitumor potency of nanobody-based CD19-redirected CAR-T cells, supporting its use as a clinically relevant promoter for further development of this VHH-based CAR-T cell platform.

Indexed as

Antigens, CD19CytokinesCytomegalovirusImmunotherapy, AdoptivePeptide Elongation Factor 1Receptors, Chimeric AntigenSingle-Domain AntibodiesT-LymphocytesCell Line, TumorCell ProliferationHumansPromoter Regions, GeneticAntigens, CD19CD19 molecule, humanCytokinesPeptide Elongation Factor 1Receptors, Chimeric AntigenSingle-Domain AntibodiesCancer immunotherapyCD19Chimeric antigen receptorCMVEF-1αNanobody

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.