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Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
Published on: June 14, 2024
B7-H3-targeted CAR-T cell therapy for solid tumors
Guangfei Li1, Haopeng Wang2, Haitao Wu1
1ENT institute and Department of Otorhinolaryngology, Eye & ENT Hospital, Fudan University, Shanghai, China.
Abstract:
Since B7-H3 is overexpressed or amplified in many types of solid tumors with a restricted expression in the normal tissues, it has been an emerging immunotherapeutic target for solid tumors. This review will focus on the structural designs of developing chimeric antigen receptors (CARs) targeting B7-H3. The expression, receptor, and function of the B7-H3, as well as a short overview of B7-H3-targeted monoclonal antibody therapy, are discussed. Finally, a detailed summary of B7-H3 redirected CAR-T and CAR-NK cell approaches utilized in preclinical models and currently ongoing or completed clinical trials are presented. It has been demonstrated that B7-H3-targeted CAR-based cell therapies were safe in initial trials, but their efficacy was limited. Employing the local delivery routes, the introduction of novel modifications promoting CAR-T persistence, and combined treatment with other standard therapies could improve the efficacy of B7-H3-targeted CAR-T cell therapy against solid tumors.
Insights
Chimeric antigen receptor (CAR) T-cell and CAR-NK cell therapies targeting B7-H3 show initial safety but limited efficacy in solid tumors. Strategies like local delivery and combination therapies may enhance treatment effectiveness.
Area of Science:
- Immunology
- Oncology
Background:
- B7-H3 is overexpressed in various solid tumors, making it a promising target for immunotherapy.
- Restricted expression in normal tissues enhances B7-H3's potential as a specific therapeutic target.
Approach:
- This review focuses on the structural design of chimeric antigen receptors (CARs) targeting B7-H3.
- It discusses B7-H3 expression, receptor function, and monoclonal antibody therapies.
- Summarizes preclinical and clinical data on B7-H3-targeted CAR-T and CAR-NK cell therapies.
Key Points:
- B7-H3-targeted CAR-based cell therapies have demonstrated safety in early trials.
- Initial clinical trials indicate limited efficacy for B7-H3-targeted CAR cell therapies in solid tumors.
- Current research explores enhancing CAR T-cell persistence and combining therapies.
Conclusions:
- B7-H3 is a viable immunotherapeutic target for solid tumors.
- Improving CAR T-cell therapy efficacy requires strategies such as local delivery and combination treatments.
- Further research into CAR-T and CAR-NK cell modifications is crucial for advancing B7-H3-targeted cancer treatments.
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