Gene-engineered T cells for cancer therapy

被引:384
作者
Kershaw, Michael H. [1 ,2 ]
Westwood, Jennifer A. [1 ]
Darcy, Phillip K. [1 ,2 ]
机构
[1] Univ Melbourne, Sir Peter MacCallum Dept Oncol, Cancer Immunol Res Program, Parkville, Vic 3010, Australia
[2] Monash Univ, Dept Immunol, Prahran, Vic 3181, Australia
基金
英国医学研究理事会;
关键词
CHIMERIC-ANTIGEN-RECEPTOR; GROWTH-FACTOR-BETA; PERIPHERAL-BLOOD LYMPHOCYTES; ENHANCED ANTITUMOR-ACTIVITY; TUMOR-INITIATING CELLS; IN-VIVO PERSISTENCE; ADOPTIVE IMMUNOTHERAPY; SINGLE-CHAIN; CD28; COSTIMULATION; MULTIPLE EPITOPES;
D O I
10.1038/nrc3565
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
T cells have the capacity to eradicate diseased cells, but tumours present considerable challenges that render T cells ineffectual. Cancer cells often make themselves almost 'invisible' to the immune system, and they sculpt a microenvironment that suppresses T cell activity, survival and migration. Genetic engineering of T cells can be used therapeutically to overcome these challenges. T cells can be taken from the blood of cancer patients and then modified with genes encoding receptors that recognize cancer-specific antigens. Additional genes can be used to enable resistance to immunosuppression, to extend survival and to facilitate the penetration of engineered T cells into tumours. Using genetic modification, highly active, self-propagating 'slayers' of cancer cells can be generated.
引用
收藏
页码:525 / 541
页数:17
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