Discriminatory Power of Combinatorial Antigen Recognition in Cancer T Cell Therapies. Author Ruth Dannenfelser, Gregory Allen, Benjamin VanderSluis, Ashley Koegel, Sarah Levinson, Sierra Stark, Vicky Yao, Alicja Tadych, Olga Troyanskaya, Wendell Lim Publication Year 2020 Type Journal Article Abstract Precise discrimination of tumor from normal tissues remains a major roadblock for therapeutic efficacy of chimeric antigen receptor (CAR) T cells. Here, we perform a comprehensive in silico screen to identify multi-antigen signatures that improve tumor discrimination by CAR T cells engineered to integrate multiple antigen inputs via Boolean logic, e.g., AND and NOT. We screen >2.5 million dual antigens and ∼60 million triple antigens across 33 tumor types and 34 normal tissues. We find that dual antigens significantly outperform the best single clinically investigated CAR targets and confirm key predictions experimentally. Further, we identify antigen triplets that are predicted to show close to ideal tumor-versus-normal tissue discrimination for several tumor types. This work demonstrates the potential of 2- to 3-antigen Boolean logic gates for improving tumor discrimination by CAR T cell therapies. Our predictions are available on an interactive web server resource (antigen.princeton.edu). Keywords Humans, Immunotherapy, Adoptive, Antigens, Neoplasm Journal Cell Syst Volume 11 Issue 3 Pages 215-228.e5 Date Published 2020 Sep 23 ISSN Number 2405-4720 DOI 10.1016/j.cels.2020.08.002 Alternate Journal Cell Syst PMCID PMC7814417 PMID 32916097 PubMedPubMed CentralGoogle ScholarBibTeXEndNote X3 XML