Challenges to chimeric antigen receptor (CAR)-T cell therapy for cancer

Chimeric antigen receptor (CAR)-expressing T cells have demonstrated potent clinical efficacy in patients with B cell malignancies. However, the use of CAR-T cell therapy targeting other cancers has, in part, been limited by both the induction of antigen-specific toxicities targeting normal tissues...

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Veröffentlicht in:Discovery medicine 2014-11, Vol.18 (100), p.265-271
Hauptverfasser: Magee, Michael S, Snook, Adam E
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creator Magee, Michael S
Snook, Adam E
description Chimeric antigen receptor (CAR)-expressing T cells have demonstrated potent clinical efficacy in patients with B cell malignancies. However, the use of CAR-T cell therapy targeting other cancers has, in part, been limited by both the induction of antigen-specific toxicities targeting normal tissues expressing the target-antigen, and the extreme potency of CAR-T cell treatments resulting in life-threatening cytokine-release syndromes. Herein, we discuss toxicities associated with CAR-T cell therapy in the clinic. Further, we discuss potential clinical interventions to ameliorate these toxicities and the application of preclinical animal models to predict the clinical utility of CAR-T cell therapy.
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subjects Animals
Clinical Trials as Topic
Humans
Immunotherapy, Adoptive
Models, Immunological
Neoplasms - immunology
Neoplasms - therapy
Receptors, Antigen, T-Cell - immunology
T-Lymphocytes - immunology
title Challenges to chimeric antigen receptor (CAR)-T cell therapy for cancer
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