Metabolic challenges and interventions in CAR T cell therapy.
Details
Serval ID
serval:BIB_AC84BA282FC0
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Metabolic challenges and interventions in CAR T cell therapy.
Journal
Science immunology
ISSN
2470-9468 (Electronic)
ISSN-L
2470-9468
Publication state
Published
Issued date
14/04/2023
Peer-reviewed
Oui
Volume
8
Number
82
Pages
eabq3016
Language
english
Notes
Publication types: Journal Article ; Review ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Abstract
Chimeric antigen receptor (CAR) T cells have achieved true clinical success in treating hematological malignancy patients, laying the foundation of CAR T cells as a new pillar of cancer therapy. Although these promising effects have generated strong interest in expanding the treatment of CAR T cells to solid tumors, reproducible demonstration of clinical efficacy in the setting of solid tumors has remained challenging to date. Here, we review how metabolic stress and signaling in the tumor microenvironment, including intrinsic determinants of response to CAR T cell therapy and extrinsic obstacles, restrict the efficacy of CAR T cell therapy in cancer treatment. In addition, we discuss the use of novel approaches to target and rewire metabolic programming for CAR T cell manufacturing. Last, we summarize strategies that aim to improve the metabolic adaptability of CAR T cells to enhance their potency in mounting antitumor responses and survival within the tumor microenvironment.
Keywords
Humans, Immunotherapy, Adoptive, Neoplasms, T-Lymphocytes, Hematologic Neoplasms, Treatment Outcome, Tumor Microenvironment
Pubmed
Web of science
Create date
01/05/2023 16:30
Last modification date
13/10/2023 6:01