{Reference Type}: Preprint {Title}: IDR-induced CAR condensation improves the cytotoxicity of CAR-Ts against low-antigen cancers. {Author}: Zhang X;Xiao Q;Zeng L;Hashmi F;Su X; {Journal}: bioRxiv {Volume}: 0 {Issue}: 0 {Year}: 2023 Oct 28 暂无{DOI}: 10.1101/2023.10.02.560460 {Abstract}: Chimeric antigen receptor (CAR)-T cell-based therapies demonstrate remarkable efficacy for the treatment of otherwise intractable cancers, particularly B-cell malignancies. However, existing FDA-approved CAR-Ts are limited by low antigen sensitivity, rendering their insufficient targeting to low antigen-expressing cancers. To improve the antigen sensitivity of CAR-Ts, we engineered CARs targeting CD19, CD22, and HER2 by including intrinsically disordered regions (IDRs) that promote signaling condensation. The "IDR CARs" triggered enhanced membrane-proximal signaling in the CAR-T synapse, which led to an increased release of cytotoxic factors, a higher killing activity towards low antigen-expressing cancer cells in vitro, and an improved anti-tumor efficacy in vivo. No elevated tonic signaling was observed in IDR CAR-Ts. Together, we demonstrated IDRs as a new tool set to enhance CAR-T cytotoxicity and to broaden CAR-T's application to low antigen-expressing cancers.