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Immunotherapy of Neuroendocrine Neoplasms: Any Role for the Chimeric Antigen Receptor T Cells?
Giuseppe Fanciulli1, Roberta Modica2, Anna La Salvia3
1Neuroendocrine Tumour Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari-Endocrine Unit, AOU Sassari, 07100 Sassari, Italy.
Abstract:
Neuroendocrine neoplasms (NENs) are a heterogeneous group of tumors with variable clinical presentation and prognosis. Surgery, when feasible, is the most effective and often curative treatment. However, NENs are frequently locally advanced or already metastatic at diagnosis. Consequently, additional local or systemic therapeutic approaches are required. Immunotherapy, based on chimeric antigen receptor T cells (CAR-T), is showing impressive results in several cancer treatments. The aim of this narrative review is to analyze the available data about the use of CAR-T in NENs, including studies in both preclinical and clinical settings. We performed an extensive search for relevant data sources, comprising full-published articles, abstracts from international meetings, and worldwide registered clinical trials. Preclinical studies performed on both cell lines and animal models indicate a significant therapeutic effect of CAR-T cells in NENs. Ongoing and future clinical trials will clarify the possible role of these drugs in patients with highly aggressive NENs.
Insights
Chimeric antigen receptor T cell (CAR-T) therapy shows promise for neuroendocrine neoplasms (NENs). Preclinical data suggest significant therapeutic effects, with ongoing trials to confirm its role in treating advanced NENs.
Area of Science:
- Oncology
- Immunotherapy
- Cellular Therapy
Background:
- Neuroendocrine neoplasms (NENs) are diverse tumors with varied prognoses.
- Surgery is curative but often not feasible due to advanced or metastatic disease at diagnosis.
- Alternative local or systemic treatments are crucial for managing NENs.
Purpose of the Study:
- To review current data on chimeric antigen receptor T cell (CAR-T) therapy for NENs.
- To analyze findings from both preclinical and clinical research.
- To assess the potential of CAR-T therapy in NEN treatment.
Main Methods:
- Conducted a narrative review of relevant scientific literature.
- Searched for published articles, conference abstracts, and registered clinical trials.
- Synthesized data from preclinical models (cell lines, animal models) and clinical studies.
Main Results:
- Preclinical studies demonstrate substantial therapeutic efficacy of CAR-T cells against NENs.
- Early research indicates a significant positive impact in laboratory and animal settings.
- Clinical trials are underway to further evaluate CAR-T therapy's effectiveness.
Conclusions:
- CAR-T therapy presents a potential novel treatment strategy for neuroendocrine neoplasms.
- Preclinical evidence supports its efficacy, warranting further clinical investigation.
- Future clinical trials are essential to establish CAR-T's role in managing aggressive NENs.
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