CAR Immunotherapy for the treatment of infectious diseases: a systematic review

Front Immunol. 2024 Jan 30:15:1289303. doi: 10.3389/fimmu.2024.1289303. eCollection 2024.

Abstract

Immunotherapy treatments aim to modulate the host's immune response to either mitigate it in inflammatory/autoimmune disease or enhance it against infection or cancer. Among different immunotherapies reaching clinical application during the last years, chimeric antigen receptor (CAR) immunotherapy has emerged as an effective treatment for cancer where different CAR T cells have already been approved. Yet their use against infectious diseases is an area still relatively poorly explored, albeit with tremendous potential for research and clinical application. Infectious diseases represent a global health challenge, with the escalating threat of antimicrobial resistance underscoring the need for alternative therapeutic approaches. This review aims to systematically evaluate the current applications of CAR immunotherapy in infectious diseases and discuss its potential for future applications. Notably, CAR cell therapies, initially developed for cancer treatment, are gaining recognition as potential remedies for infectious diseases. The review sheds light on significant progress in CAR T cell therapy directed at viral and opportunistic fungal infections.

Keywords: CAR; CAR cells; immunotherapy; infectious diseases; viral infections.

Publication types

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

MeSH terms

  • Communicable Diseases* / therapy
  • Humans
  • Immunotherapy
  • Immunotherapy, Adoptive
  • Neoplasms* / therapy
  • Receptors, Chimeric Antigen*

Substances

  • Receptors, Chimeric Antigen

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Work in the JP laboratory is funded by CIBER -Consorcio Centro de Investigación Biomédica en Red-(CB21/13/00087), Instituto de Salud Carlos III, FEDER (Fondo Europeo de Desarrollo Regional), Gobierno de Aragón (Group B29_23R, and LMP139_21), Grant PID2020-113963RBI00 by MCIN/AEI/10.13039/501100011033, ASPANOA, and Carrera de la Mujer de Monzón. Contrato Ramon y Cajal RYC2022-036627-I (AR-L), Postdoctoral Juan de la Cierva Contract (MA and LS), Predoctoral Grant for Ibero-Americas in Doctoral studies University of Zaragoza-Santander University (ACP), and Predoctoral Grant from AECC (CP). Fundación Científica Asociación Española Contra el Cáncer (AECC) (CP), Río Hortega contrat, Instituto de Salud Carlos III, Post physician specialization, Instituto de Investigación Sanitaria IIS Aragón.