Driving cars to the clinic for solid tumors

FDA approval of chimeric antigen receptor T cells (CART cells) is the culmination of several decades of technology development and interrogation of the properties of these gene therapies. CART cells exist as personalized “living drugs” and have demonstrated astounding anti-tumor efficacy in patients...

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Veröffentlicht in:Gene therapy 2018-06, Vol.25 (3), p.165-175
Hauptverfasser: Castellarin, Mauro, Watanabe, Keisuke, June, Carl H., Kloss, Christopher C., Posey, Avery D.
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container_end_page 175
container_issue 3
container_start_page 165
container_title Gene therapy
container_volume 25
creator Castellarin, Mauro
Watanabe, Keisuke
June, Carl H.
Kloss, Christopher C.
Posey, Avery D.
description FDA approval of chimeric antigen receptor T cells (CART cells) is the culmination of several decades of technology development and interrogation of the properties of these gene therapies. CART cells exist as personalized “living drugs” and have demonstrated astounding anti-tumor efficacy in patients with leukemia and lymphoma. However, the future promise of CART efficacy for solid tumors, the greatest unmet burden, is met with a number of challenges that must be surmounted for effective immune responses. In this review, we discuss the next-generation developments of CARs to target solid tumors, including fine-tuned and combinational-targeting receptors. We consider the structural intricacies of the CAR molecules that influence optimal signaling and CART survival, and review pre-clinical cell-intrinsic and cell-extrinsic combinational therapy approaches.
doi_str_mv 10.1038/s41434-018-0007-x
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subjects 631/250/251
631/67/580
Biomedical and Life Sciences
Biomedicine
Cell Biology
Chimeric antigen receptors
Comment
FDA approval
Gene Expression
Gene Therapy
Human Genetics
Immunosuppressive agents
Lymphocytes T
Lymphoma
Nanotechnology
Solid tumors
Tumors
title Driving cars to the clinic for solid tumors
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