Intelligent tunable CAR-T cell therapy leads the new trend

Synth Syst Biotechnol. 2023 Sep 14;8(4):606-609. doi: 10.1016/j.synbio.2023.09.001. eCollection 2023 Dec.

Abstract

Adoptive transfer of T cells engineered with chimeric antigen receptor (CAR) has been proved to have robust anti-tumor effects against hematological malignancies. However, problems about safety and efficacy, such as cytokine release syndrome (CRS), T cell exhaustion and antigen escape are still raised when patients are treated with CAR-T cells. Moreover, CAR-T therapy has limited applications in treating solid tumors, owing to inefficient infiltration and poor functional persistence of CAR-T cells and diverse immunosuppression in tumor microenvironment. In order to overcome these limitations and broad its applications, multiple controllable CAR-T technologies were exploited. In this article, we review the designs of intelligent controlled CAR-T technologies and the innovations that they bring about in recent years.

Keywords: Autologous universal system; Chimeric antigen receptor T; On and off systems; Safety and efficacy; Synthetic notch system; Tumor.

Publication types

  • Review