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To affinity and beyond: harnessing the T cell receptor for cancer immunotherapy
1a Department of Microbiology and Immunology; Hollings Cancer Center ; Medical University of South Carolina ; Charleston , SC USA.
Abstract:
T cell adoptive therapies for immune-mediated regression of cancers have attracted a great deal of recent attention. Clinical results are glamorous, yet much remains to be uncovered behind the basic science that allows us to engineer T cells and T cell receptors (TCRs) for clinical use. We discuss the development of TCRs for therapeutic use in the context of thymic selection toward central tolerance and we review therapies based on tumor infiltrating lymphocytes (TILs), endogenous antigen specific TCRs, and engineered TCRs. Further we discuss the development of low and high affinity TCRs and the extent to which each challenges central tolerance. Current results suggest that adaptation of TCR engineering of moderate affinity TCRs coupled with co-regulatory and stimulatory molecules may be the safest and most efficacious road for TCR development aimed at tumor abolition.
Insights
T cell adoptive therapies show promise for cancer treatment. Engineering T cell receptors (TCRs) with moderate affinity, alongside regulatory molecules, offers a safe and effective strategy for tumor eradication.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- T cell adoptive therapies are gaining traction for cancer treatment.
- Clinical successes highlight the need for deeper understanding of T cell engineering.
- Tumor-infiltrating lymphocytes (TILs) and engineered T cell receptors (TCRs) are key components.
Purpose of the Study:
- To explore the development of TCRs for therapeutic applications.
- To analyze TCRs in the context of thymic selection and central tolerance.
- To review current T cell-based cancer therapies.
Main Methods:
- Discussion of TCR development strategies.
- Review of therapies utilizing TILs, endogenous TCRs, and engineered TCRs.
- Analysis of TCR affinity and its impact on central tolerance.
Main Results:
- TCR engineering presents challenges related to central tolerance.
- Both low and high affinity TCRs pose distinct challenges.
- Moderate affinity TCRs may offer a balanced approach.
Conclusions:
- Engineering moderate affinity TCRs combined with co-regulatory molecules is a promising strategy.
- This approach may enhance safety and efficacy in tumor abolition.
- Further research into TCR affinity and tolerance is crucial for therapeutic advancement.
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