Abstract Anti-CD19 chimeric antigen receptor T cells (CART) have transformed cancer therapy by inducing durable remissions of B cell cancers, although incomplete responses are common, highlighting a need for improved therapy. Immune competent dogs develop B cell lymphomas with similar pathophysiology as humans, offering a compelling opportunity for CART preclinical assessment. In a first-in-canine trial, anti-CD20 CART with canine 41BB and CD3ζ (caBBζ) domains exerted selective pressure on B cell lymphomas but did not persist or induce remission. We hypothesize canine CART signaling defects impair cytolytic activity and persistence. To optimize CAR design, we incorporated canine CD28 and CD3ζ (ca28ζ) or human (hu) BBζ and evaluated CART function and immunophenotype, using caBBζ as a reference control. In both an in vitro rechallenge and canine leukemia xenograft model, huBBζ CART elicited greater cytolysis and CD8 T cell outgrowth than caBBζ, and ca28ζ CART did not persist. Mutagenesis studies indicate T235 in the conserved PxQxT TRAF binding motif is required for CD8 outgrowth in huBBζ CART. Dogs and other mammals express A235, but introduction of A235T is not sufficient to confer CD8 outgrowth in caBBζ CART. Ongoing studies are profiling pathways downstream of ca/hu41BB that drive cytolytic activity and CD8 outgrowth. These studies reveal fundamental differences in T cell biology between humans and other mammals that hold promise for enabling clinical efficacy of canine CART.
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