RT Journal Article SR Electronic T1 CART cells are prone to Fas- and DR5-mediated cell death JF Journal for ImmunoTherapy of Cancer JO J Immunother Cancer FD BMJ Publishing Group Ltd SP 71 DO 10.1186/s40425-018-0385-z VO 6 IS 1 A1 Tschumi, Benjamin O. A1 Dumauthioz, Nina A1 Marti, Bastien A1 Zhang, Lianjun A1 Schneider, Pascal A1 Mach, Jean-Pierre A1 Romero, Pedro A1 Donda, Alena YR 2018 UL http://jitc.bmj.com/content/6/1/71.abstract AB Adoptive transfer of T cells transduced with Chimeric Antigen Receptors (CAR) are now FDA-approved for the treatment of B-cell malignancies. Yet, the functionality of the endogenous TCR in CART cells has not been fully assessed. Here, we demonstrate that CART cells progressively upregulate Fas, FasL, DR5 and TRAIL, which result in their programmed cell death, independently of antigen-mediated TCR or CAR activation. CART cell apoptosis occurs even when the CAR contains a single (co-)activatory domain such as CD3ζ, CD28 or 4-1BB. Importantly, the dominant role of the Fas and DR5 pathways in CART cell apoptosis is demonstrated by the significant rescue of CART cells upon in vivo blockade by combined Fas-Fc and DR5-Fc recombinant proteins. These observations are of crucial importance for the long-term persistence of CART cells and for the development of new applications including the combined TCR and CAR activation against solid tumors.A correction to this article is available online at https://doi.org/10.1186/s40425-018-0410-2.Abbreviations:ACTAdoptive Cell TransferAICDActivation Induced Cell DeathBFPBlue Fluorescent ProteinCARTChimeric antigen receptor-transduced T cellsCEACarcinoembryonic antigen 2GvHDGraft-versus-host diseaseHER2Human epidermal growth factor receptorPCDProgrammed Cell DeathrLm-OVArecombinant Listeria monocytogenes expressing OVA134–387TCRT cell-receptor