CAR-T cells and BiTEs in solid tumors: challenges and perspectives

被引:71
作者
Edeline, Julien [1 ]
Houot, Roch [2 ]
Marabelle, Aurelien [3 ]
Alcantara, Marion [4 ]
机构
[1] Univ Rennes 1, Ctr Eugene Marquis, Med Oncol, Rennes, France
[2] Univ Rennes, CHU Rennes, INSERM, U1236,Dept Hematol, Rennes, France
[3] Univ Paris Saclay, Dept Innovat Therapeut & Essais Precoces DITEP, INSERM, U1015,CIC1428, Gustave Roussy, France
[4] PSL Res Univ, Inst Curie, Ctr Canc Immunotherapy, INSERM,U932, Paris, France
关键词
CAR-T cells; BiTEs; Bispecific antibodies; Solid tumors; CHIMERIC ANTIGEN RECEPTORS; PHASE-I; INFILTRATING LYMPHOCYTES; CARCINOEMBRYONIC ANTIGEN; ADOPTIVE TRANSFER; ON-TARGET; THERAPY; SAFETY; IMMUNOTHERAPY; EFFICACY;
D O I
10.1186/s13045-021-01067-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Chimeric antigen receptor (CAR)-modified T cells and BiTEs are both immunotherapies which redirect T cell specificity against a tumor-specific antigen through the use of antibody fragments. They demonstrated remarkable efficacy in B cell hematologic malignancies, thus paving the way for their development in solid tumors. Nonetheless, the use of such new drugs to treat solid tumors is not straightforward. So far, the results from early phase clinical trials are not as impressive as expected but many improvements are under way. In this review we present an overview of the clinical development of CAR-T cells and BiTEs targeting the main antigens expressed by solid tumors. We emphasize the most frequent hurdles encountered by either CAR-T cells or BiTEs, or both, and summarize the strategies that have been proposed to overcome these obstacles.
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页数:12
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