Engineering stem cells for cancer immunotherapy

Trends Cancer. 2021 Dec;7(12):1059-1073. doi: 10.1016/j.trecan.2021.08.004. Epub 2021 Sep 1.

Abstract

Engineering stem cells presents an attractive paradigm for cancer immunotherapy. Stem cells engineered to stably express various chimeric antigen receptors (CARs) or T-cell receptors (TCRs) against tumor-associated antigens are showing increasing promise in the treatment of solid tumors and hematologic malignancies. Stem cells engraft for long-term immune cell generation and serve as a sustained source of tumor-specific effector cells to maintain remissions. Furthermore, engineering stem cells provides 'off-the-shelf' cellular products, obviating the need for a personalized and patient-specific product that plagues current autologous cell therapies. Herein, we summarize recent progress of stem cell-engineered cancer therapies, and discuss the utility, impact, opportunities, and challenges of cellular engineering that may facilitate the translational and clinical research.

Keywords: T lymphocytes; cancer immunotherapy; chimeric antigen receptor; genetic engineering; natural killer cells; stem cells.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Genetic Engineering
  • Humans
  • Immunotherapy
  • Immunotherapy, Adoptive*
  • Killer Cells, Natural
  • Neoplasms* / therapy
  • Stem Cells