CAR-T cells: the long and winding road to solid tumors

被引:329
作者
D'Aloia, Maria Michela [1 ]
Zizzari, Ilaria Grazia [2 ]
Sacchetti, Benedetto [3 ]
Pierelli, Luca [2 ]
Alimandi, Maurizio [1 ]
机构
[1] Sapienza Univ Rome, Dept Clin & Mol Med, Rome, Italy
[2] Sapienza Univ Rome, Dept Expt Med, Rome, Italy
[3] Univ Roma Tre, Dept Sci, Rome, Italy
关键词
CHIMERIC ANTIGEN RECEPTOR; MONOCLONAL-ANTIBODY THERAPY; I CLINICAL-TRIAL; SLEEPING-BEAUTY; INFILTRATING LYMPHOCYTES; ANTITUMOR-ACTIVITY; IMPROVED SURVIVAL; ADOPTIVE TRANSFER; OXIDATIVE STRESS; EFFECTOR-CELLS;
D O I
10.1038/s41419-018-0278-6
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Adoptive cell therapy of solid tumors with reprogrammed T cells can be considered the "next generation" of cancer hallmarks. CAR-T cells fail to be as effective as in liquid tumors for the inability to reach and survive in the microenvironment surrounding the neoplastic foci. The intricate net of cross-interactions occurring between tumor components, stromal and immune cells leads to an ineffective anergic status favoring the evasion from the host's defenses. Our goal is hereby to trace the road imposed by solid tumors to CAR-T cells, highlighting pitfalls and strategies to be developed and refined to possibly overcome these hurdles.
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页数:12
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