Clinical & Translational Immunology (Jan 2019)

Switching on the green light for chimeric antigen receptor T‐cell therapy

  • Sherly Mardiana,
  • Junyun Lai,
  • Imran Geoffrey House,
  • Paul Andrew Beavis,
  • Phillip Kevin Darcy

DOI
https://doi.org/10.1002/cti2.1046
Journal volume & issue
Vol. 8, no. 5
pp. n/a – n/a

Abstract

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Abstract Adoptive cellular therapy involving genetic modification of T cells with chimeric antigen receptor (CAR) transgene offers a promising strategy to broaden the efficacy of this approach for the effective treatment of cancer. Although remarkable antitumor responses have been observed following CAR T‐cell therapy in a subset of B‐cell malignancies, this has yet to be extended in the context of solid cancers. A number of promising strategies involving reprogramming the tumor microenvironment, increasing the specificity and safety of gene‐modified T cells and harnessing the endogenous immune response have been tested in preclinical models that may have a significant impact in patients with solid cancers. This review will discuss these exciting new developments and the challenges that must be overcome to deliver a more sustained and potent therapeutic response.

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