2018
DOI: 10.3389/fimmu.2018.02486
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Expanding the Therapeutic Window for CAR T Cell Therapy in Solid Tumors: The Knowns and Unknowns of CAR T Cell Biology

Abstract: A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition, expression of TAAs in solid tumors is particularly heterogeneous. In this regard, it is critical to deeply understand the sensitivity of CAR T cells, especially against low-density targets and the possible therapeut… Show more

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Cited by 190 publications
(212 citation statements)
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References 101 publications
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“…Armoured CAR T cells that constitutively secrete pro-inflammatory cytokines as a mechanism to overcome local immunosuppression are a novel concept. Similarly, incorporation of immune-checkpoint inhibition into CAR T cell-based strategies, by various combinatorial or built-in approaches, might improve responses 98 ; the findings of several preclinical studies support the effectiveness of this approach, warranting further clinical translation 98,152,159,160 .…”
Section: Car T Cell Strategies Beyond B Cell Targeting Cd19mentioning
confidence: 99%
See 1 more Smart Citation
“…Armoured CAR T cells that constitutively secrete pro-inflammatory cytokines as a mechanism to overcome local immunosuppression are a novel concept. Similarly, incorporation of immune-checkpoint inhibition into CAR T cell-based strategies, by various combinatorial or built-in approaches, might improve responses 98 ; the findings of several preclinical studies support the effectiveness of this approach, warranting further clinical translation 98,152,159,160 .…”
Section: Car T Cell Strategies Beyond B Cell Targeting Cd19mentioning
confidence: 99%
“…Going beyond haematological tumours, solid tumours present a new set of unique challenges to the development effective CAR T cell therapies, as reviewed elsewhere [150][151][152][153] . One key issue with solid tumours is that the inherent tumour heterogeneity is likely to be a substantial barrier to identifying an optimal target, and relatedly, antigen loss will probably be a key factor precluding curative remissions.…”
Section: Car T Cell Strategies Beyond B Cell Targeting Cd19mentioning
confidence: 99%
“…However, while CAR T cell therapy has yielded remarkable efficacy for haematological malignancies, its effect against solid tumours is unsatisfactory. It is mostly due to the fact that solid tumours lack unique surface tumour-specific antigens (TSAs) and that tumour-associated antigens (TAAs) overexpressed on tumours are also shared with normal tissues [22]. Additional problems include T cell homing to the site of the disease, penetration of T cells into solid masses, overcoming immunosuppressive tumour microenvironment (TME) and limited CAR T cell persistence after infusion [23].…”
Section: Challenges For Car T Cell Therapies Of Solid Tumoursmentioning
confidence: 99%
“…Taken together, our results indicate eIF3 controls TCRA and TCRB mRNA translation during the first critical hours after TCR stimulation that lead to subsequent T cell commitment to proliferation and differentiation. These results also suggest that eIF3-responsive mRNA 3’-UTR elements could be used to improve chimeric antigen receptor (CAR) expression and CAR-T cell responsiveness 32, 33 .…”
mentioning
confidence: 91%