IJPMBS 2026 Vol.15(2): 34-37
doi: 10.18178/ijpmbs.15.2.34-37
doi: 10.18178/ijpmbs.15.2.34-37
Engineering CAR-T Cells Based on PRIME Editing Technology: A New Strategy to Overcome T Cell Exhaustion through PD-1 Promoter Modification
Yifan Li
Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Email: u202415610@hust.edu.cn
Email: u202415610@hust.edu.cn
Manuscript received May 8, 2026; accepted June 8, 2026; published June 19, 2026.
Abstract—Chimeric Antigen Receptor (CAR)-T cell therapy has achieved remarkable success in the treatment of hematological malignancies, but its efficacy in solid tumors is still severely limited by T cell exhaustion. As one of the core regulators of T cell exhaustion, Programmed Cell Death Protein 1 (PD-1) plays a key role in this process. However, current targeting strategies for PD-1 still have inherent limitations, making it difficult to strike a balance between effective anti-tumor and maintenance of immune homeostasis. This article proposes a new regulatory strategy that uses PRIME editing technology to precisely modify the PD-1 promoter. As a new generation of gene editing tools, PRIME can achieve precise replacement at the single nucleotide level without inducing DNA double-strand breaks. By precisely modifying key regulatory elements in the PD-1 promoter region, this strategy can moderately downregulate PD-1 expression and effectively alleviate T cell exhaustion while retaining partial PD-1 function to maintain immune homeostasis. This regulatory idea provides a new technical path and theoretical support for the future construction of universal CAR-T cells with low exhaustion and high persistence.
Keywords—Chimeric Antigen Receptor (CAR)-T, PRIME, Programmed Cell Death Protein 1 (PD-1) promoter, T cell exhaustion, gene editing
Cite: Yifan Li, "Engineering CAR-T Cells Based on PRIME Editing Technology: A New Strategy to Overcome T Cell Exhaustion through PD-1 Promoter Modification," International Journal of Pharma Medicine and Biological Sciences, Vol. 15, No. 2, pp. 34-37, 2026.
Copyright © 2026 by the authors. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
Cite: Yifan Li, "Engineering CAR-T Cells Based on PRIME Editing Technology: A New Strategy to Overcome T Cell Exhaustion through PD-1 Promoter Modification," International Journal of Pharma Medicine and Biological Sciences, Vol. 15, No. 2, pp. 34-37, 2026.
Copyright © 2026 by the authors. This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
Previous paper:Research Progress and Future Directions of CRISPR Gene Editing Technology in β-thalassemia
Next paper:Last page
Next paper:Last page
