RT journal article T1 Intein-based modular chimeric antigen receptor platform for specific CD19/CD20 co-targeting A1 González García, Pablo A1 Moares Fernández, Noelia del Carmen A1 Yi-He, Wenjie A1 Luna-Espejo, Rosa A1 Fernandez-Cisnal, Ricardo A1 Ocaña-Cuesta, Javier A1 Muñoz Miranda, Juan Pedro A1 Gabucio López, Antonio A1 Fernández Ponce, Cecilia Matilde A1 García Cózar, Francisco José A2 BiomedicinaBiotecnología y Salud Pública K1 acute lymphoblastic leukemia (ALL) K1 chimeric antigen receptor (CAR) K1 immunotherapy K1 intein K1 modular CAR K1 non-Hodgkin's lymphoma (NHL) AB Development of chimeric antigen receptor T-cell therapy has revolutionized the treatment of B-cell malignancies, although challenges such as antigen escape and tumor heterogeneity often decrease treatment success. Modular CARs targeting multiple antigens have been proposed as an interesting solution to address these challenges by reducing the likelihood of tumor cells evading treatment through the loss of a single antigen. In this study, we present a new modular CAR platform, termed CARtein, which takes advantage of intein interactions to jointly target CD19 and CD20 antigens. We demonstrate that the CARtein system, which features a universal CAR signaling backbone that covalently binds to specific scFv-intein recognition partners, generates fully active CARs. Functionality was validated using Raji cells and K562 cells expressing CD19 and/or CD20, observing significant T cell activation through NFAT and NFκB promoter activity and CD69 upregulation. Overall, our study lays the foundation for the establishment of a new way to target multiple antigens through a universal and inert CAR backbone with highly specific activation. © 2025 The Author(s). Molecular Oncology published by John Wiley & Sons Ltd on behalf of Federation of European Biochemical Societies. SN 1878-0261 YR 2026 FD 2026 LK http://hdl.handle.net/10498/39277 UL http://hdl.handle.net/10498/39277 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 05-nov-2026