2014
DOI: 10.1146/annurev-immunol-032713-120136
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Adoptive Immunotherapy for Cancer or Viruses

Abstract: Adoptive immunotherapy, or the infusion of lymphocytes, is a promising approach for the treatment of cancer and certain chronic viral infections. The application of the principles of synthetic biology to enhance T cell function has resulted in substantial increases in clinical efficacy. The primary challenge to the field is to identify tumor-specific targets to avoid off-tissue, on-target toxicity. Given recent advances in efficacy in numerous pilot trials, the next steps in clinical development will require m… Show more

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Cited by 250 publications
(238 citation statements)
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“…Thus, cancer cells can fool T-cells in two ways corresponding respectively to (a) or/ and (b) above, namely, stop producing MHC on their surfaces or display a form of co-stimulatory ligands that act as off-switches. To overcome these two eventualities, the CAR technology (see [8][9][10][11][12] has made it possible to genetically modify ("engineer") the T-cells in either of two ways so that, (a) instead of the D-(dendritic cells), the T-cells could home-in directly on antigens that may be abundant on cancer cells without necessarily being presented by the MHC molecules, or else (b) obviating altogether the need for the two-step process described earlier for attacking the cancer cells.…”
Section: Systemic Immunotherapymentioning
confidence: 99%
See 1 more Smart Citation
“…Thus, cancer cells can fool T-cells in two ways corresponding respectively to (a) or/ and (b) above, namely, stop producing MHC on their surfaces or display a form of co-stimulatory ligands that act as off-switches. To overcome these two eventualities, the CAR technology (see [8][9][10][11][12] has made it possible to genetically modify ("engineer") the T-cells in either of two ways so that, (a) instead of the D-(dendritic cells), the T-cells could home-in directly on antigens that may be abundant on cancer cells without necessarily being presented by the MHC molecules, or else (b) obviating altogether the need for the two-step process described earlier for attacking the cancer cells.…”
Section: Systemic Immunotherapymentioning
confidence: 99%
“…It has been tested in dozens of studies (~ 1,000 patients) in certain types of cancers (leukemia and lymphoma). Half or more of these patients are now living longer than expected and hundreds appear to be cancer-free [10].…”
Section: On the Chimeric Antigen Receptor T-therapymentioning
confidence: 99%
“…In vitro T-cell expansion is achieved with signals mimicking normal T-cell activation [1]. Signaling through CD3 and CD28 in vivo provokes autonomous IL-2 production by the activated T cells, which is central to clonal expansion.…”
Section: Introductionmentioning
confidence: 99%
“…This nascent field is often referred to as immunoengineering, and we will focus this review on the major challenges and opportunities that exist in facilitating and enabling the translation of promising new immunotherapeutic strategies into the clinic. This perspective will not attempt to exhaustively review the field of cancer immunotherapy (1,(5)(6)(7)(8)(9)(10) or the field of nanomaterial vaccines (11)(12)(13)(14)(15)(16), topics that are well covered in recent reviews. Instead we will focus on the technical challenges that exist in translating the principles of cancer immunotherapy into clinical reality: what approaches are being used, and where opportunities exist for new ideas and development.…”
mentioning
confidence: 99%