Recent advances in T-cell immunotherapy for haematological malignancies

Br J Haematol. 2017 Mar;176(5):688-704. doi: 10.1111/bjh.14470. Epub 2016 Nov 29.

Abstract

In vitro discoveries have paved the way for bench-to-bedside translation in adoptive T cell immunotherapy, resulting in remarkable clinical responses in a variety of haematological malignancies. Adoptively transferred T cells genetically modified to express CD19 CARs have shown great promise, although many unanswered questions regarding how to optimize T-cell therapies for both safety and efficacy remain. Similarly, T cells that recognize viral or tumour antigens though their native receptors have produced encouraging clinical responses. Honing manufacturing processes will increase the availability of T-cell products, while combining T-cell therapies has the ability to increase complete response rates. Lastly, innovative mechanisms to control these therapies may improve safety profiles while genome editing offers the prospect of modulating T-cell function. This review will focus on recent advances in T-cell immunotherapy, highlighting both clinical and pre-clinical advances, as well as exploring what the future holds.

Keywords: T cells; immunotherapy; lymphoma.

Publication types

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

MeSH terms

  • Antigens, CD19 / immunology
  • Hematologic Neoplasms / therapy*
  • Humans
  • Immunotherapy / methods*
  • Immunotherapy / trends
  • Immunotherapy, Adoptive / methods
  • Immunotherapy, Adoptive / trends
  • T-Lymphocytes / immunology
  • T-Lymphocytes / transplantation

Substances

  • Antigens, CD19