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Adoptive T-cell therapy for cancer: The era of engineered T cells
1Experimental Hematology Unit, Division of Immunology, Transplantation and Infectious Diseases, San Raffaele Scientific Institute, Milan, Italy.
Abstract:
Tumors originate from a number of genetic events that deregulate homeostatic mechanisms controlling normal cell behavior. The immune system, devoted to patrol the organism against pathogenic events, can identify transformed cells, and in several cases cause their elimination. It is however clear that several mechanisms encompassing both central and peripheral tolerance limit antitumor immunity, often resulting into progressive diseases. Adoptive T-cell therapy with either allogeneic or autologous T cells can transfer therapeutic immunity. To date, genetic engineering of T cells appears to be a powerful tool for shaping tumor immunity. In this review, we discuss the most recent achievements in the areas of suicide gene therapy, and TCR-modified T cells and chimeric antigen receptor gene-modified T cells. We provide an overview of current strategies aimed at improving the safety and efficacy of these approaches, with an outlook on prospective developments.
Insights
Tumor immunity can be enhanced through adoptive T-cell therapy. Genetic engineering of T cells, including suicide gene therapy and CAR T-cells, shows promise for improving cancer treatment safety and efficacy.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Tumors arise from genetic alterations disrupting normal cell regulation.
- The immune system can detect and eliminate cancer cells, but tolerance mechanisms often impede this process.
- Adoptive T-cell therapy offers a way to transfer anti-tumor immunity.
Purpose of the Study:
- To review recent advancements in genetically engineered T-cell therapies for cancer.
- To discuss strategies for enhancing the safety and efficacy of these immunotherapies.
- To provide an outlook on future developments in T-cell-based cancer treatment.
Main Methods:
- Review of current literature on suicide gene therapy.
- Analysis of T-cell receptor (TCR)-engineered T cells.
- Examination of chimeric antigen receptor (CAR) T-cell therapies.
Main Results:
- Genetic engineering is a powerful method for modulating anti-tumor immunity.
- Suicide gene therapy, TCR-modified T cells, and CAR T-cells are key areas of progress.
- Ongoing strategies focus on improving the safety and effectiveness of these engineered T-cell therapies.
Conclusions:
- Genetically engineered T-cell therapies represent a significant frontier in cancer immunotherapy.
- Further research is crucial for optimizing safety and efficacy, leading to improved patient outcomes.
- Prospective developments hold promise for more potent and targeted cancer treatments.
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