Adoptive cell transfer immunotherapy for patients with solid epithelial cancers

Steven A Rosenberg1, Maria R Parkhurst1, Paul F Robbins1

  • 1Surgery Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD, USA.

Cancer Cell
|April 10, 2023
PubMed

Insights

Adoptive cell transfer (ACT) immunotherapy shows promise for common epithelial cancers. Researchers are targeting cancer-specific mutations with patient lymphocytes, yielding encouraging early results.

Area of Science:

  • Oncology
  • Immunology
  • Cancer Genomics

Background:

  • Common epithelial cancers often express unique mutation-specific antigens.
  • Tumor-infiltrating lymphocytes (TILs) reactive to these antigens are present in most patients.
  • Adoptive cell transfer (ACT) is an emerging immunotherapy strategy.

Purpose of the Study:

  • To investigate the potential of ACT immunotherapy for common epithelial cancers.
  • To leverage patient-specific lymphocytes targeting cancer neoantigens.
  • To evaluate early clinical responses to this targeted approach.

Main Methods:

  • Identification of tumor mutation-specific antigens in common epithelial cancers.
  • Isolation and expansion of autologous lymphocytes reactive to these antigens.
  • Administration of expanded lymphocytes as ACT immunotherapy.

Main Results:

  • Demonstration of lymphocyte reactivity against cancer mutation products in the majority of patients.
  • Promising early outcomes from initial ACT immunotherapy trials targeting these specific antigens.

Conclusions:

  • ACT immunotherapy holds significant potential for treating common epithelial cancers.
  • Targeting patient-specific neoantigens with autologous lymphocytes is a viable strategy.
  • Further clinical investigation is warranted to optimize ACT for broader application.

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