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Abstract
Adenosine is an immunosuppressive factor that limits anti-tumor immunity through the suppression of multiple immune subsets including T cells via activation of the adenosine A
2A
receptor (A
2A
R). Using both murine and human chimeric antigen receptor (CAR) T cells, here we show that targeting A
2A
R with a clinically relevant CRISPR/Cas9 strategy significantly enhances their in vivo efficacy, leading to improved survival of mice. Effects evoked by CRISPR/Cas9 mediated gene deletion of A
2A
R are superior to shRNA mediated knockdown or pharmacological blockade of A
2A
R. Mechanistically, human A
2A
R-edited CAR T cells are significantly resistant to adenosine-mediated transcriptional changes, resulting in enhanced production of cytokines including IFNγ and TNF, and increased expression of JAK-STAT signaling pathway associated genes. A
2A
R deficient CAR T cells are well tolerated and do not induce overt pathologies in mice, supporting the use of CRISPR/Cas9 to target A
2A
R for the improvement of CAR T cell function in the clinic.