BRIGHT FUTURE OR BLIND ALLEY? CAR-T CELL THERAPY FOR SOLID TUMORS

Bright future or blind alley? CAR-T cell therapy for solid tumors

Bright future or blind alley? CAR-T cell therapy for solid tumors

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Chimeric antigen receptor (CAR) T cells therapy has emerged as a significant breakthrough in adoptive immunotherapy for hematological malignancies with FDA approval.However, the application of CAR-T cell therapy in solid tumors remains challenging, mostly due to lack of suitable CAR-T target antigens, insufficient trafficking and extravasation to tumor sites, and limited CAR-T survival in the hostile tumor microenvironment (TME).Herein, we reviewed the development of CARs and the clinical trials in solid tumors.Meanwhile, a “key-and-lock” relationship was welding sweater used to describe the recognition of tumor antigen via CAR T cells.

Some strategies, including dual-targets and bolia outlet gent receptor system switches or filter, have been explored to help CAR T cells matching targets specifically and to minimize on-target/off-tumor toxicities in normal tissues.Furthermore, the complex TME restricts CAT T cells activity through dense extracellular matrix, suppressive immune cells and cytokines.Recent innovations in engineered CARs to shield the inhibitory signaling molecules were also discussed, which efficiently promote CAR T functions in terms of expansion and survival to overcome the hurdles in the TME of solid tumors.

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