2022
DOI: 10.1080/2162402x.2022.2033528
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Comparing CAR and TCR engineered T cell performance as a function of tumor cell exposure

Abstract: Chimeric antigen receptor (CAR) T cell therapies have resulted in profound clinical responses in the treatment of CD19-positive hematological malignancies, but a significant proportion of patients do not respond or relapse eventually. As an alternative to CAR T cells, T cells can be engineered to express a tumor-targeting T cell receptor (TCR). Due to HLA restriction of TCRs, CARs have emerged as a preferred treatment moiety when targeting surface antigens, despite the fact that functional differences between … Show more

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Cited by 27 publications
(22 citation statements)
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“…Clinically, TCR-T-cells have been less extensively studied than CAR-T-cells. Whereas CAR-T-cells are redirected to surface antigens via an antibody-based targeting fraction, TCR-T-cells express a heterodimeric receptor that recognizes antigen-derived peptides presented in the HLA context [ 60 ]. TCR cell therapy was first used for the treatment of metastatic melanoma, in which lymphocytes engineered to express TCR capable of recognizing melanocyte differentiation antigen (MART-1) demonstrated beneficial effects in the treatment of the disease [ 61 ].…”
Section: Immunotherapeutic Approach To Control Primary Brain Cancersmentioning
confidence: 99%
“…Clinically, TCR-T-cells have been less extensively studied than CAR-T-cells. Whereas CAR-T-cells are redirected to surface antigens via an antibody-based targeting fraction, TCR-T-cells express a heterodimeric receptor that recognizes antigen-derived peptides presented in the HLA context [ 60 ]. TCR cell therapy was first used for the treatment of metastatic melanoma, in which lymphocytes engineered to express TCR capable of recognizing melanocyte differentiation antigen (MART-1) demonstrated beneficial effects in the treatment of the disease [ 61 ].…”
Section: Immunotherapeutic Approach To Control Primary Brain Cancersmentioning
confidence: 99%
“…When sparse intracellular antigens become the target, the use of artificial TCR-T lymphocytes is more preferable and has a number of advantages that result from the high specificity and sensitivity of natural TCRs [ 119 ]. At the same time, the use of artificial TCRs with high affinity for the target antigen, similar to CAR-T, can lead to a decrease in recognition efficiency, nonspecific activation, and early depletion of T cells [ 120 , 121 ].…”
Section: Practical Valuementioning
confidence: 99%
“…However, an increase in the antigen exposure significantly disrupts the expansion of CAR-T cells, a phenotype characterized by the increased expression of coinhibitory molecules. On the contrary, TCR-T cells proved to be better at high antigenic pressure, maintaining stable expansion rates with a lower expression of coinhibitory molecules and a comparable clearance of tumor cells [ 107 ]. Research is still ongoing, but up until this moment, there is still no approved TCR-T-cell therapy for HER2-positive tumors.…”
Section: Her2 As a Target For Therapymentioning
confidence: 99%