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Updated: Jan 21, 2026

Generation of Human Chimeric Antigen Receptor Regulatory T Cells
Published on: January 3, 2025
T-cell receptor and chimeric antigen receptor in solid cancers: current landscape, preclinical data and insight into
Alexander A Azizi1, Manon Pillai1, Fiona C Thistlethwaite1,2
1Department of Medical Oncology, The Christie NHS Foundation Trust.
Purpose Of Review:
The remarkable and durable clinical responses seen in certain solid tumours using checkpoint inhibitors and in haematological malignancies using chimeric antigen receptor (CAR) T therapy have led to great interest in the possibility of using engineered T-cell receptor (TCR) and CAR T therapies to treat solid tumours.
Recent Findings:
In this article, we focus on the published clinical data for engineered TCR and CAR T therapy in solid tumours and recent preclinical work to explore how these therapies may develop and improve. We discuss recent approaches in target selection, encouraging epitope spreading and replicative capacity, CAR activation, T-cell trafficking, survival in the immunosuppressive microenvironment, universal T-cell therapies, manufacturing processes and managing toxicity.
Summary:
In haematological malignancies, CAR T treatments have shown remarkable clinical responses. Engineered TCR and CAR therapies demonstrate responses in numerous preclinical models of solid tumours and have shown objective clinical responses in select solid tumour types. It is anticipated that the integration of efficacious changes to the T-cell products from disparate preclinical experiments will increase the ability of T-cell therapies to overcome the challenges of treating solid tumours and note that healthcare facilities will need to adapt to deliver these treatments.
Insights
Engineered T-cell receptor (TCR) and chimeric antigen receptor (CAR) T-cell therapies show promise for solid tumors, building on successes in blood cancers. Ongoing research aims to overcome challenges for broader clinical application in solid tumor treatment.
Area of Science:
- Immunotherapy
- Oncology
- Cellular Therapy
Background:
- Chimeric antigen receptor (CAR) T-cell therapy has shown significant success in hematological malignancies.
- Checkpoint inhibitors have demonstrated durable clinical responses in certain solid tumors.
- These successes fuel interest in engineered T-cell therapies for solid tumors.
Purpose of the Study:
- To review clinical data and preclinical advancements in engineered T-cell receptor (TCR) and CAR T-cell therapies for solid tumors.
- To explore strategies for improving T-cell therapy efficacy in the context of solid tumors.
Main Methods:
- Review of published clinical data for TCR and CAR T-cell therapy in solid tumors.
- Analysis of recent preclinical research in T-cell engineering for solid tumors.
- Discussion of key challenges and potential solutions in T-cell therapy development.
Main Results:
- Engineered TCR and CAR T-cell therapies have shown objective clinical responses in select solid tumor types.
- Preclinical models demonstrate promising responses for these advanced T-cell therapies.
- Significant challenges remain, including target selection, T-cell trafficking, and the immunosuppressive tumor microenvironment.
Conclusions:
- Engineered T-cell therapies hold potential for treating solid tumors, building on existing successes.
- Further integration of preclinical findings is crucial to enhance T-cell therapy efficacy against solid tumors.
- Healthcare systems must adapt to facilitate the delivery of these complex treatments.
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