Chimeric antigen receptor-modified T cells for the treatment of solid tumors: Defining the challenges and next steps

被引:117
作者
Beatty, Gregory L.
O'Hara, Mark
机构
[1] Univ Penn, Abramson Canc Ctr, Philadelphia, PA 19104 USA
[2] Univ Penn, Dept Med, Div Hematol Oncol, Perelman Sch Med, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
CART cells; Chimeric antigen receptor; Solid malignancies; Tumor microenvironment; Cellular immunity; ANTITUMOR-ACTIVITY; IN-VIVO; PHASE-I; INDOLEAMINE 2,3-DIOXYGENASE; IMMUNE PRIVILEGE; CLINICAL-TRIAL; SAFETY SWITCH; GENE-THERAPY; IFN-GAMMA; CANCER;
D O I
10.1016/j.pharmthera.2016.06.010
中图分类号
R9 [药学];
学科分类号
100702 [药剂学];
摘要
Chimeric antigen receptor (CAR) T cell therapy has shown promise in CD19 expressing hematologic malignancies, but how to translate this success to solid malignancies remains elusive. Effective translation of CART cells to solid tumors will require an understanding of potential therapeutic barriers, including factors that regulate CART cells expansion, persistence, trafficking, and fate within tumors. Herein, we describe the current state of CART cells in solid tumors; define key barriers to CART cell efficacy and mechanisms underlying these barriers, outline potential avenues for overcoming these therapeutic obstacles, and discuss the future of translating CART cells for the treatment of patients with solid malignancies. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:30 / 39
页数:10
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