CAR-T Cell Therapy in Cancer: Tribulations and Road Ahead

J Immunol Res. 2020 Jan 17:2020:1924379. doi: 10.1155/2020/1924379. eCollection 2020.

Abstract

Chimeric antigen receptor- (CAR-) T cell therapy is one of the most recent innovative immunotherapies and is rapidly evolving. Like other technologies, CAR-T cell therapy has undergone a long development process, and persistent explorations of the actions of the intracellular signaling domain and make several improvements have led to the superior efficacy when anti-CD19 CAR-T cell treatments in B cell cancers. At present, CAR-T cell therapy is developing rapidly, and many clinical trials have been established on a global scale, which has great commercial potential. This review mainly describes the toxicity of CAR-T cell therapy and the challenges of CAR-T cells in the treatment of solid tumors, and looks forward to future development and opportunities for immunotherapy and reviews major breakthroughs in CAR-T cell therapy.

Publication types

  • Review

MeSH terms

  • Antigens, CD19 / immunology
  • Antigens, CD19 / metabolism
  • Cytokine Release Syndrome / immunology*
  • Cytokine Release Syndrome / prevention & control
  • Humans
  • Immunotherapy, Adoptive / adverse effects*
  • Immunotherapy, Adoptive / methods
  • Immunotherapy, Adoptive / trends
  • Neoplasms / immunology
  • Neoplasms / therapy*
  • Neurotoxicity Syndromes / immunology*
  • Neurotoxicity Syndromes / prevention & control
  • Receptors, Chimeric Antigen / immunology*
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / transplantation
  • Treatment Outcome
  • Tumor Escape
  • Tumor Microenvironment / immunology

Substances

  • Antigens, CD19
  • Receptors, Chimeric Antigen