Unleashing the Therapeutic Potential of CAR-T Cell Therapy Using Gene-Editing Technologies

In-Young Jung1, Jungmin Lee1

  • 1ToolGen, Inc., Seoul 08501, Korea.

Molecules and Cells
|August 16, 2018
PubMed

Insights

Chimeric antigen receptor (CAR) T-cell therapy shows promise but faces accessibility and efficacy challenges. Gene-editing technologies offer new strategies to enhance CAR-T cell therapies for both blood cancers and solid tumors.

Area of Science:

  • Immunotherapy
  • Oncology
  • Biotechnology

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy is a promising immunotherapy for hematological malignancies.
  • Current limitations include manufacturing complexity, limited target antigens, and poor efficacy against solid tumors.

Purpose of the Study:

  • To summarize unmet needs in current CAR T-cell therapies.
  • To explore gene-editing strategies for next-generation CAR-T cells.
  • To discuss safety concerns of gene-edited CAR-T therapies.

Main Methods:

  • Review of current CAR T-cell therapy limitations.
  • Analysis of gene-editing technologies (ZFNs, TALENs, CRISPR/Cas9) for CAR-T cell engineering.
  • Discussion of safety considerations for enhanced CAR-T therapies.

Main Results:

  • Gene-editing technologies provide novel strategies to overcome CAR T-cell therapy limitations.
  • Next-generation CAR-T cells engineered with gene editing show enhanced therapeutic potential.
  • Addressing safety concerns is crucial for clinical translation.

Conclusions:

  • Gene editing offers a pathway to improve CAR T-cell therapy accessibility and efficacy.
  • Enhanced CAR-T cell therapies hold potential for treating both hematologic and solid tumors.
  • Further research is needed to ensure the safety and effectiveness of gene-edited CAR-T therapies.

Related Concept Videos

Gene Therapy00:59

Gene Therapy

Gene therapy is a technique where a gene is inserted into a person’s cells to prevent or treat a serious disease. The added gene may be a healthy version of the gene that is mutated in the patient, or it could be a different gene that inactivates or compensates for the patient’s disease-causing gene. For example, in patients with severe combined immunodeficiency (SCID) due to a mutation in the gene for the enzyme adenosine deaminase, a functioning version of the gene can be...
27.6K
RNA Editing02:23

RNA Editing

RNA editing is a post-transcriptional modification where a precursor mRNA (pre-mRNA) nucleotide sequence is changed by base insertion, deletion, or modification. The extent of RNA editing varies from a few hundred bases, in mitochondrial DNA of trypanosomes, to a just single base, in nuclear genes of mammals. Even a single base change in the pre-mRNA can convert a codon for one amino acid into the codon for another amino acid or a stop codon. This type of re-coding can significantly affect the...
9.9K
Cell Potential and Free Energy02:58

Cell Potential and Free Energy

Thermodynamics of a Redox Reaction
Thermodynamics is the branch of physics dealing with the relationship between heat and other forms of energy. In an electrochemical cell, chemical energy is converted into electrical energy.
Thus, a link can be predicted between cell potential, free energy change, and the equilibrium constant for the reaction. Cell potential can also be measured as the oxidant or the reducing strength, and similar acid-base strength measures are reflected in equilibrium...
46.6K
Cell Specific Gene Expression01:58

Cell Specific Gene Expression

Multicellular organisms contain a variety of structurally and functionally distinct cell types, but the DNA in all the cells originated from the same parent cells. The differences in the cells can be attributed to the differential gene expression. Liver cells, whose functions include detoxification of blood, production of bile to metabolize fats, and synthesis of proteins essential for metabolism, must express a specific set of genes to perform their functions. Gene expression also varies with...
16.6K
Therapeutic Index01:13

Therapeutic Index

The therapeutic index of a drug is a key parameter in pharmacology that quantifies the relative safety of a drug by calculating the ratio between the dose that causes toxicity in half the population (50%) to the dose that proves to be effective for half the population (50%). It provides a spectrum of doses for a particular drug ranging from effective to potentially toxic. To illustrate, consider an anticoagulant agent like warfarin. It possesses a narrow window within its therapeutic index to...
6.9K
Potential Energy00:52

Potential Energy

The energy stored by a structure and location of matter in space is called potential energy. For instance, raising a kettlebell changes its spatial location and increases its potential energy. Similarly, a stretched rubber band contains potential energy which, under certain conditions, can be converted into other forms of energy, such as kinetic energy.
Chemical bonds that form attractive forces between atoms also contain potential energy, called chemical energy. When a chemical reaction...
42.7K