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CRISPR Strategy Creates CAR T Cells In Vivo, Clearing Detectable Cancer in Mice

The in‑body approach aims to bypass the costly, time‑consuming manufacturing that limits access to CAR‑T treatments.

Overview

  • Nyberg et al. report in Nature that a UCSF‑led team reprogrammed T cells inside mice to express cancer‑targeting CARs using site‑specific gene editing.
  • A dual‑particle system delivered CRISPR‑Cas9 to circulating T cells via anti‑CD3 targeting and inserted CAR DNA at a defined genomic activation site.
  • In aggressive leukemia models, a single injection generated CAR‑T cells comprising up to 40% of immune cells and cleared all detectable disease in nearly all mice within two weeks.
  • The approach also showed activity against multiple myeloma and a solid sarcoma, and the in vivo–engineered cells appeared more stem‑like than lab‑manufactured counterparts, according to the authors.
  • The work remains preclinical and will require human testing; the team has filed patents and founded Azalea Therapeutics, and a related News & Views article discloses an author’s ties to NanoVation Therapeutics.