Toward the clinical development of synthetic immunity to cancer

Julie M Garcia1,2,3,4,5,6,7, Cassandra E Burnett1,2,3,4,5,6,7, Kole T Roybal1,2,3,4,5,6,7

  • 1Department of Microbiology and Immunology, University of California, San Francisco, San Francisco, California, USA.

Immunological Reviews
|July 26, 2023
PubMed

Insights

Synthetic biology (synbio) tools like chimeric antigen receptors (CARs) show promise for blood cancers but face challenges in treating solid tumors. Future cell therapies need improved design, preclinical testing, and multifaceted strategies for greater clinical success.

Area of Science:

  • Synthetic biology applications in immunology and cell therapy.
  • Cancer immunotherapy and next-generation cell engineering.

Background:

  • Synthetic biology (synbio) tools, including chimeric antigen receptors (CARs), are engineered to enhance immune cell responses against tumors.
  • Current CAR-based cell therapies have shown success in treating hematologic malignancies but face significant hurdles in solid tumor treatment.

Purpose of the Study:

  • To address challenges in translating synthetic biology cell therapies for solid tumors.
  • To propose five guiding principles for engineering future cell therapies to enhance clinical impact.

Main Methods:

  • Reviewing the current state of synthetic biology cell therapy design for cancer.
  • Outlining principles for future cell therapy development rooted in immunology and preclinical modeling.
  • Discussing strategies for balancing potency and safety in engineered immune cells.

Main Results:

  • Identified challenges in the design, testing, and translation of cell therapies for immune-refractory solid tumors.
  • Proposed five principles to guide the development of next-generation cell therapies.
  • Highlighted the need for multi-faceted approaches to overcome tumor suppressive mechanisms.

Conclusions:

  • Synthetic biology offers powerful tools for cancer immunotherapy, but translational success requires a refined development process.
  • The proposed principles aim to increase the clinical impact of engineered immune cell therapies.
  • These principles may also guide translational synthetic biology research for other diseases with unmet needs.

Related Concept Videos

Cancer Vaccines01:30

Cancer Vaccines

Cancer treatment vaccines are a rapidly evolving field that offers a promising approach to immunotherapy. Unlike traditional vaccines that prevent diseases, cancer treatment vaccines are designed to treat existing cancers by stimulating the immune system to recognize and attack cancer cells.
Cancer vaccines come in two categories: preventive (prophylactic) and treatment (active). Preventive vaccines, such as the Human Papillomavirus (HPV) vaccine, protect against viruses that cause certain...
405
Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
558
Preclinical Development: Overview01:28

Preclinical Development: Overview

Preclinical development consists of a series of tests that ensure the safety and efficacy of a new therapeutic compound before it is tested in humans. There are four main phases to this process. First, safety pharmacology tests are conducted to ensure the drug does not produce any acutely harmful effects. These tests examine parameters such as bronchoconstriction, cardiac dysrhythmias, blood pressure changes, and ataxia. Next, preliminary toxicological testing is performed to determine the...
4.5K
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
347
Mouse Models of Cancer Study02:43

Mouse Models of Cancer Study

Mice have long served as models for studying human biology and pathology because of their phylogenetic and physiological similarity with humans. They are also easy to maintain and breed in the laboratory, and hence, many inbred strains are now available for research. Studies on mice have contributed immeasurably to our understanding of cancer biology.
The development of transgenic, knockout, and knock-in mice has led to an exponential increase in their use as model organisms in research,...
5.6K