Coengineering specificity, safety, and function into T cells for cancer immunotherapy.

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State: Public
Version: Final published version
License: CC BY-NC-ND 4.0
Serval ID
serval:BIB_777D795B1683
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Coengineering specificity, safety, and function into T cells for cancer immunotherapy.
Journal
Immunological reviews
Author(s)
Giordano Attianese GMP, Ash S., Irving M.
ISSN
1600-065X (Electronic)
ISSN-L
0105-2896
Publication state
Published
Issued date
11/2023
Peer-reviewed
Oui
Volume
320
Number
1
Pages
166-198
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Adoptive T-cell transfer (ACT) therapies, including of tumor infiltrating lymphocytes (TILs) and T cells gene-modified to express either a T cell receptor (TCR) or a chimeric antigen receptor (CAR), have demonstrated clinical efficacy for a proportion of patients and cancer-types. The field of ACT has been driven forward by the clinical success of CD19-CAR therapy against various advanced B-cell malignancies, including curative responses for some leukemia patients. However, relapse remains problematic, in particular for lymphoma. Moreover, for a variety of reasons, relative limited efficacy has been demonstrated for ACT of non-hematological solid tumors. Indeed, in addition to pre-infusion challenges including lymphocyte collection and manufacturing, ACT failure can be attributed to several biological processes post-transfer including, (i) inefficient tumor trafficking, infiltration, expansion and retention, (ii) chronic antigen exposure coupled with insufficient costimulation resulting in T-cell exhaustion, (iii) a range of barriers in the tumor microenvironment (TME) mediated by both tumor cells and suppressive immune infiltrate, (iv) tumor antigen heterogeneity and loss, or down-regulation of antigen presentation machinery, (v) gain of tumor intrinsic mechanisms of resistance such as to apoptosis, and (vi) various forms of toxicity and other adverse events in patients. Affinity-optimized TCRs can improve T-cell function and innovative CAR designs as well as gene-modification strategies can be used to coengineer specificity, safety, and function into T cells. Coengineering strategies can be designed not only to directly support the transferred T cells, but also to block suppressive barriers in the TME and harness endogenous innate and adaptive immunity. Here, we review a selection of the remarkable T-cell coengineering strategies, including of tools, receptors, and gene-cargo, that have been developed in recent years to augment tumor control by ACT, more and more of which are advancing to the clinic.
Keywords
Humans, T-Lymphocytes, Immunotherapy, Adoptive/adverse effects, Immunotherapy, Adoptive/methods, Immunotherapy, Receptors, Antigen, T-Cell/genetics, Receptors, Chimeric Antigen/genetics, Neoplasms, Antigens, Neoplasm, Tumor Microenvironment, T cell receptor (TCR), T cells, cancer, cell activation, chimeric antigen receptor (CAR), cytotoxic, gene-engineering, immunotherapies, tumor immunity
Pubmed
Web of science
Open Access
Yes
Create date
10/08/2023 14:06
Last modification date
10/02/2024 8:23
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