Switching on the green light for chimeric antigen receptor T-cell therapy

被引:13
作者
Mardiana, Sherly [1 ,2 ]
Lai, Junyun [1 ,2 ]
House, Imran Geoffrey [1 ,2 ]
Beavis, Paul Andrew [1 ,2 ]
Darcy, Phillip Kevin [1 ,2 ,3 ,4 ]
机构
[1] Peter MacCallum Canc Ctr, Canc Immunol Program, Melbourne, Vic 3000, Australia
[2] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Parkville, Vic, Australia
[3] Univ Melbourne, Dept Pathol, Parkville, Vic, Australia
[4] Monash Univ, Dept Immunol, Clayton, Vic, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
CAR; adoptive cell therapy; solid tumors; T cells; PD-1; BLOCKADE; ANTITUMOR-ACTIVITY; IN-VITRO; COMBINATION IMMUNOTHERAPY; SOLID TUMORS; CD19; CAR; B-CELL; ADOPTIVE IMMUNOTHERAPY; 4-1BB COSTIMULATION; DENDRITIC CELLS;
D O I
10.1002/cti2.1046
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Adoptive cellular therapy involving genetic modification of T cells with chimeric antigen receptor (CAR) transgene offers a promising strategy to broaden the efficacy of this approach for the effective treatment of cancer. Although remarkable antitumor responses have been observed following CAR T-cell therapy in a subset of B-cell malignancies, this has yet to be extended in the context of solid cancers. A number of promising strategies involving reprogramming the tumor microenvironment, increasing the specificity and safety of gene-modified T cells and harnessing the endogenous immune response have been tested in preclinical models that may have a significant impact in patients with solid cancers. This review will discuss these exciting new developments and the challenges that must be overcome to deliver a more sustained and potent therapeutic response.
引用
收藏
页数:16
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