Therapeutic potential of CAR T cell in malignancies: A scoping review

被引:74
作者
Mehrabadi, Ali Zarezadeh [1 ]
Ranjbar, Reza [2 ]
Farzanehpour, Mahdieh [1 ]
Shahriary, Alireza [3 ]
Dorostkar, Ruhollah [1 ]
Hamidinejad, Mohammad Ali [4 ]
Ghaleh, Hadi Esmaeili Gouvarchin [1 ]
机构
[1] Baqiyatallah Univ Med Sci, Appl Virol Res Ctr, Tehran, Iran
[2] Baqiyatallah Univ Med Sci, Mol Biol Res Ctr, Syst Biol & Poisonings Inst, Tehran, Iran
[3] Baqiyatallah Univ Med Sci, Chem Injuries Res Ctr, Syst Biol & Poisonings Inst, Tehran, Iran
[4] Iran Univ Med Sci, Fac Allied Med, Dept Med Biotechnol, Tehran, Iran
关键词
Chimeric antigen receptor T cells (CAR-T cells); Toxicities; Oncolytic viruses; Clinical trial; Combinational therapies; CHIMERIC-ANTIGEN-RECEPTOR; CYTOKINE RELEASE SYNDROME; PHASE-I; CLINICAL-TRIAL; ADOPTIVE IMMUNOTHERAPY; FUNCTIONAL RECEPTORS; CHECKPOINT BLOCKADE; ANTITUMOR-ACTIVITY; KILLER-CELLS; CANCER;
D O I
10.1016/j.biopha.2021.112512
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Although tremendous advancements in cancer therapy over the last several years, cancer still is a complex illness to cure. Traditional cancer treatments, including chemotherapy, radiotherapy, and surgery, have a poor therapeutic effect, emphasizing the significance of employing innovative treatments like activated cell therapy. Chimeric antigen receptor T cell is one of the most prevalent types of activated cell therapy have been developed to direct T lymphocytes toward cancers (CAR-T cells). CAR-T cells therapy has illustrated poor impact versus solid tumors despite the remarkable success in patients suffering from hematological malignancies. CAR-T cells must overcome various hurdles to obtain full responses to solid tumors, including growth, stability, trafficking, and destiny inside tumors. As a result, novel treatment methods will entail overcoming the challenges that CAR-T cells face in solid tumors. The use of CAR-T cells in combination with other therapeutic approaches such as chemotherapy, radiotherapy, immuno-checkpoint inhibitors, and oncolytic viruses can promote the effectiveness of CAR-T cell therapy for the treatment of solid tumors. However, more research is needed to determine the safety and effectiveness of these therapies. CAR-T cell treatment success rates vary by type of disease, but are predicted to reach up to 90% in patients with leukemia. However, since this kind of immunotherapy is still in its infancy, there is much to learn about its efficacy. This review provided an in-depth examination of CAR-T cell therapy and its success and failure as a cancer treatment approach. We also discuss combination therapies with CAR-T Cell.
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页数:11
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