Steering CAR T cells to distinguish friend from foe

被引:22
作者
Caruso, Hillary G. [1 ]
Heimberger, Amy B. [1 ]
Cooper, Laurence J. N. [1 ,2 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, 1515 Holcombe Blvd Unit 907, Houston, TX 77030 USA
[2] Ziopharm Oncol, Boston, MA USA
关键词
Bioengineering; chimeric antigen receptor; on-target toxicity; T cell; CHIMERIC ANTIGEN RECEPTOR; MESSENGER-RNA; ANTITUMOR-ACTIVITY; SUICIDE GENE; TUMOR; THERAPY; IMMUNOTHERAPY; LYMPHOCYTES; EXPRESSION; EXHIBIT;
D O I
10.1080/2162402X.2016.1271857
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
CD19-specific chimeric antigen receptor (CAR)(+) T cells have demonstrated clinical efficacy and long-lasting remissions, concomitant with tolerable normal B-cell aplasia. However, many tumor-associated antigens (TAAs) are expressed on normal tissues, the destruction of which would lead to intolerable toxicity. Thus, there is a need to engineer CAR(+) T cells with improved safety profiles to restrict toxicity against TAA-expressing normal tissues. Bioengineering approaches include: (i) targeting CAR(+) T cells to the tumor site, (ii) limiting CAR(+) T-cell persistence, and (iii) restricting CAR activation. We review and evaluate strategies to engineer CAR(+) T cells to reduce the potential of on-target, off-tissue toxicity.
引用
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页数:10
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