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.

Abstract

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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