Chimeric antigen receptor T cell and regulatory T cell therapy in non-oncology diseases: A narrative review of studies from 2017 to 2023

Hum Vaccin Immunother. 2023 Aug;19(2):2251839. doi: 10.1080/21645515.2023.2251839. Epub 2023 Oct 9.

Abstract

Recently, the remarkable success of chimeric antigen receptor T cell (CAR-T) therapy in treating certain tumors has led to numerous studies exploring its potential application to treat non-oncology diseases. This review discusses the progress and evolution of CAR-T cell therapies for treating non-oncology diseases over the past 5 years. Additionally, we summarize the advantages and disadvantages of CAR-T cell therapy in treating non-oncological diseases and identify any difficulties that should be overcome. After conducting an in-depth analysis of the most recent studies on CAR-T technology, we discuss the key elements of CAR-T therapy, such as developing an effective CAR design for non-oncological diseases, controlling the rate and duration of response, and implementing safety measures to reduce toxicity. These studies provide new insights into different delivery strategies, the discovery of new target molecules, and improvements in the safety of CAR-T therapy for non-oncological diseases.

Keywords: CAR-T cell therapy; Chimeric antigen receptor; chimeric T cell receptors; immunotherapy; non-oncology diseases.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell- and Tissue-Based Therapy
  • Humans
  • Immunotherapy, Adoptive / adverse effects
  • Neoplasms* / therapy
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes, Regulatory

Substances

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

Grants and funding

This work was funded by the National High Level Hospital Clinical Research Funding [Grant. No: 2022-PUMCH-B-054] and Whole People Nutrition Research Fund [CNS-NNSRG2022-227].