bioRxiv · 10.64898/2026.09.25.754490
Engineering CAR-T cells to remodel the mucin-rich cancer cell glycocalyx
Abstract
The dense glycocalyx of cancer cells can restrict immune-cell access to surface antigens and limit CAR-T cell activity. Here, we show that mucin density and epitope position determine how glycocalyx remodeling affects CAR-T cell recognition and killing. We identify KLK5 as a human protease that cleaves tumor-associated mucins, increases access to membrane-proximal antigens, and enhances CAR-T cell function. We then engineer CAR-T cells to display or secrete KLK5, enabling remodeling of the tumor glycocalyx during antigen recognition. KLK5-engineered CAR-T cells improved tumor control across multiple xenograft models, and KLK5-secreting MUC17 CAR-T cells produced the strongest in vivo benefit, prolonging survival compared with conventional MUC17 CAR-T cells. These findings show that CAR-T cells can be engineered to breach the mucin-rich glycocalyx while preserving accessible target epitopes.
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Park, S., Ho, C., Wolff, A. N., Fan, Y., Bouffard, A. A., Paek, J., Mucci, A., Berger, T. R., Paszek, M. J., Maus, M. V.. 2026-09-27. Engineering CAR-T cells to remodel the mucin-rich cancer cell glycocalyx. https://doi.org/10.64898/2026.09.25.754490
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