CAR T-cell therapy: Reprogramming patient's immune cell to treat cancer

Cell Signal. 2023 May:105:110638. doi: 10.1016/j.cellsig.2023.110638. Epub 2023 Feb 22.

Abstract

Chimeric antigen receptor (CAR)-T cell therapy is a game changer in cancer treatment. Although CAR-T cell therapy has achieved significant clinical responses in specific subgroups of B cell leukaemia or lymphoma, various difficulties restrict CAR-T cell therapy's therapeutic effectiveness in solid tumours and haematological malignancies. Severe life-threatening toxicities, poor anti-tumour effectiveness, antigen escape, restricted trafficking, and limited tumour penetration are all barriers to successful CAR-T cell treatment. Furthermore, CAR-T cell interactions with the host and tumour microenvironment have a significant impact on their activity. Furthermore, developing and implementing these therapies necessitates a complicated staff. Innovative methodologies and tactics to engineering more potent CAR-T cells with greater anti-tumour activity and less toxicity are required to address these important difficulties.

Keywords: Chimeric antigen receptor; T-cell therapy; Tumour.

MeSH terms

  • Humans
  • Immunotherapy, Adoptive / methods
  • Leukemia, Lymphocytic, Chronic, B-Cell*
  • Receptors, Antigen, T-Cell
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes
  • Tumor Microenvironment

Substances

  • Receptors, Chimeric Antigen
  • Receptors, Antigen, T-Cell