Targeting T cell malignancies using CAR-based immunotherapy: challenges and potential solutions

Autor: Lauren C. Fleischer, H. Trent Spencer, Sunil S. Raikar
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Hematology & Oncology, Vol 12, Iss 1, Pp 1-21 (2019)
Druh dokumentu: article
ISSN: 1756-8722
DOI: 10.1186/s13045-019-0801-y
Popis: Abstract Chimeric antigen receptor (CAR) T cell therapy has been successful in treating B cell malignancies in clinical trials; however, fewer studies have evaluated CAR T cell therapy for the treatment of T cell malignancies. There are many challenges in translating this therapy for T cell disease, including fratricide, T cell aplasia, and product contamination. To the best of our knowledge, no tumor-specific antigen has been identified with universal expression on cancerous T cells, hindering CAR T cell therapy for these malignancies. Numerous approaches have been assessed to address each of these challenges, such as (i) disrupting target antigen expression on CAR-modified T cells, (ii) targeting antigens with limited expression on T cells, and (iii) using third party donor cells that are either non-alloreactive or have been genome edited at the T cell receptor α constant (TRAC) locus. In this review, we discuss CAR approaches that have been explored both in preclinical and clinical studies targeting T cell antigens, as well as examine other potential strategies that can be used to successfully translate this therapy for T cell disease.
Databáze: Directory of Open Access Journals
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