2020
DOI: 10.1186/s13045-020-00890-6
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Gene modification strategies for next-generation CAR T cells against solid cancers

Abstract: Immunotherapies have become the backbone of cancer treatment. Among them, chimeric antigen receptor (CAR) T cells have demonstrated great success in the treatment of hematological malignancies. However, CAR T therapy against solid tumors is less effective. Antigen targeting; an immunosuppressive tumor microenvironment (TME); and the infiltration, proliferation, and persistence of CAR T cells are the predominant barriers preventing the extension of CAR T therapy to solid tumors. To circumvent these obstacles, t… Show more

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Cited by 105 publications
(83 citation statements)
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References 158 publications
(170 reference statements)
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“…Adoptive transfer therapy with chimeric antigen receptor T (CAR-T) cells has made great progresses in malignant diseases ( Minn et al, 2019 ; Tian et al, 2020 ). CAR-T cells targeting CD19, CD20, and CD22 have shown promises in treating hematological malignancies in clinical trials ( Grupp et al, 2013 ; Zhang et al, 2016 ; Fry et al, 2018 ; Li D. et al, 2019 ; Li Y. et al, 2019 ).…”
Section: Introductionmentioning
confidence: 99%
“…Adoptive transfer therapy with chimeric antigen receptor T (CAR-T) cells has made great progresses in malignant diseases ( Minn et al, 2019 ; Tian et al, 2020 ). CAR-T cells targeting CD19, CD20, and CD22 have shown promises in treating hematological malignancies in clinical trials ( Grupp et al, 2013 ; Zhang et al, 2016 ; Fry et al, 2018 ; Li D. et al, 2019 ; Li Y. et al, 2019 ).…”
Section: Introductionmentioning
confidence: 99%
“…Instead of decreasing T-cell inhibitory signals, another approach would be to trigger stimulatory receptors on T cells, which could be induced by administering agonistic antibodies for these receptors on T cells, such as CD28 and 4-1BB. This approach parallels the addition of a costimulatory intracellular signaling domain to improve efficacy for second generation CAR T cells [ 201 ]. The combination of CD3-BsAbs with costimulatory antibodies has been successfully used in many different tumor models in mice [ 202 , 203 ].…”
Section: Main Textmentioning
confidence: 99%
“…In addition, 4-1BB can ameliorate T cell exhaustion and prolong CAR-T cell survival [ 49 ]. Not only CD28 and 4-1BB but other costimulatory domains including OX40, CD27, and ICOS also regulate persistence and effector function of CAR-T cells [ 53 ]. Compared with CD28 domain, CAR-T cells harbored CD27 domain show elevated persistence in vivo while ICOS promotes Th17/Th1 cell differentiation [ 54 , 55 ].…”
Section: Development Of Car-t Cell Exhaustionmentioning
confidence: 99%