2018
DOI: 10.1136/jmedgenet-2018-105422
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Applications and advances of CRISPR-Cas9 in cancer immunotherapy

Abstract: Immunotherapy has emerged as one of the most promising therapeutic strategies in cancer. The clustered regularly interspaced short palindromic repeat (CRISPR)-associated protein 9 (CRISPR-Cas9) system, as an RNA-guided genome editing technology, is triggering a revolutionary change in cancer immunotherapy. With its versatility and ease of use, CRISPR-Cas9 can be implemented to fuel the production of therapeutic immune cells, such as construction of chimeric antigen receptor T (CAR-T) cells and programmed cell … Show more

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Cited by 42 publications
(27 citation statements)
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“…Even though adverse events caused by neoreactivities linked to TCR mispairing have not been reported so far, it is an underlying issue that can be solved by disruption of the endogenous TCR using multiple techniques ( Figure 2 ), some of which have already been tested in the clinic with positive results [ 117 , 132 , 133 ]. In particular, the CRISPR-Cas9 system has revolutionized the way cells are genetically engineered for the treatment of cancer due to its simplicity, fidelity, and versatility [ 134 ]. Very recently, this method has been employed in refractory cancer patients to modify T cells with a cancer-specific TCR while suppressing the endogenous TCR chains and the negative immune checkpoint programmed cell death protein 1 (PD-1) genes in a multiplex system [ 132 ].…”
Section: Clinical Impact Of Tcr Affinity and Avidity In Cancer-spementioning
confidence: 99%
“…Even though adverse events caused by neoreactivities linked to TCR mispairing have not been reported so far, it is an underlying issue that can be solved by disruption of the endogenous TCR using multiple techniques ( Figure 2 ), some of which have already been tested in the clinic with positive results [ 117 , 132 , 133 ]. In particular, the CRISPR-Cas9 system has revolutionized the way cells are genetically engineered for the treatment of cancer due to its simplicity, fidelity, and versatility [ 134 ]. Very recently, this method has been employed in refractory cancer patients to modify T cells with a cancer-specific TCR while suppressing the endogenous TCR chains and the negative immune checkpoint programmed cell death protein 1 (PD-1) genes in a multiplex system [ 132 ].…”
Section: Clinical Impact Of Tcr Affinity and Avidity In Cancer-spementioning
confidence: 99%
“…64 The CRISPR/Cas9 system has also be applied to eliminate other genes that encode inhibitory T-cell surface receptors, such as programmed cell death protein 1 (PD1), to improve the efficiency of T-cell-based immunotherapy. 65 To exploit CAR-T-cell therapy beyond the autologous setting, allogeneic universal T cells derived from healthy donors could be engineered by CRISPR/Cas9 upon disruption of TCR to prevent graft- versus -host disease, or beta-2-microglobulin, to eliminate major histocompatibility complex I (MHC I) expression, or by integrating a CAR precisely at the disrupted T-cell receptor α constant ( TRAC ) locus to improve safety and potency. 6668 Thus, CRISPR/Cas9 technology holds enormous promise to advance the field of cancer immunotherapy and several clinical trials are running to assess the efficacy of CRISPR/Cas9-edited CAR-T cells (Table 6).…”
Section: Immunodeficienciesmentioning
confidence: 99%
“…The RNA-guided Cas9 nuclease has been developed into a powerful genome editing tool in recent years [1][2][3]. The Clustered Regularly Interspersed Short Palindromic Repeats CRISPR/Cas9 system is able to recognize and make double-strand breaks at target sequences based solely on a guide RNA [4,5]. More recently, the invention of deactivated Cas9 further expanded the scope of this technique, allowing the protein to specifically bind to designed DNA sequences without inducing strand breaks.…”
Section: Introductionmentioning
confidence: 99%
“…More recently, the invention of deactivated Cas9 further expanded the scope of this technique, allowing the protein to specifically bind to designed DNA sequences without inducing strand breaks. A variety of functional components were fused to dCas9 to form molecular devices, which implemented novel biological functions aimed at the target DNA, such as transcriptional blockage, epigenetic modification and gene expression regulation [4][5][6]. For example, the ω group of RNA polymerase was fused to dCas9 to form a complex which was guided to promoter regions of E. coli genes to activate transcription initiation [6,7].…”
Section: Introductionmentioning
confidence: 99%