Application of adoptive cell therapy in hepatocellular carcinoma

Immunology. 2023 Dec;170(4):453-469. doi: 10.1111/imm.13677. Epub 2023 Jul 12.

Abstract

Hepatocellular carcinoma (HCC) remains a global health challenge. Novel treatment modalities are urgently needed to extend the overall survival of patients. The liver plays an immunomodulatory function due to its unique physiological structural characteristics. Therefore, following surgical resection and radiotherapy, immunotherapy regimens have shown great potential in the treatment of hepatocellular carcinoma. Adoptive cell immunotherapy is rapidly developing in the treatment of hepatocellular carcinoma. In this review, we summarize the latest research on adoptive immunotherapy for hepatocellular carcinoma. The focus is on chimeric antigen receptor (CAR)-T cells and T cell receptor (TCR) engineered T cells. Then tumour-infiltrating lymphocytes (TILs), natural killer (NK) cells, cytokine-induced killer (CIK) cells, and macrophages are briefly discussed. The main overview of the application and challenges of adoptive immunotherapy in hepatocellular carcinoma. It aims to provide the reader with a comprehensive understanding of the current status of HCC adoptive immunotherapy and offers some strategies. We hope to provide new ideas for the clinical treatment of hepatocellular carcinoma.

Keywords: T cell receptor (TCR)-T cells; adoptive cell therapy (ACT); cancer immunotherapy; chimeric antigen receptor (CAR)-T cells; hepatocellular carcinoma.

Publication types

  • Review

MeSH terms

  • Carcinoma, Hepatocellular* / pathology
  • Carcinoma, Hepatocellular* / therapy
  • Humans
  • Immunotherapy, Adoptive
  • Liver Neoplasms* / pathology
  • Liver Neoplasms* / therapy
  • Receptors, Antigen, T-Cell / genetics
  • T-Lymphocytes

Substances

  • Receptors, Antigen, T-Cell