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Dynamic Imaging of Chimeric Antigen Receptor T Cells with [18F]Tetrafluoroborate Positron Emission Tomography/Computed Tomography
Published on: February 17, 2022
How does TCR-T cell therapy exhibit a superior anti-tumor efficacy
Dandan Yang1, Zhihui Duan1, Ping Yuan1
1Laboratory of Structural Immunology, Department of Hepatopancreatobiliary Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan, 421001, China.
Abstract:
TCR-engineered T cells have achieved great progress in solid tumor therapy, some of which have been applicated in clinical trials. Deep knowledge about the current progress of TCR-T in tumor therapy would be beneficial to understand the direction. Here, we classify tumor antigens into tumor-associated antigens, tumor-specific antigens, tumor antigens expressed by oncogenic viruses, and tumor antigens caused by abnormal protein modification; Then we detail the TCR-T cell therapy effects targeting those tumor antigens in clinical or preclinical trials, and propose that neoantigen specific TCR-T cell therapy is expected to be a promising approach for solid tumors; Furthermore, we summarize the optimization strategies, such as tumor microenvironment, TCR pairing and affinity, to improve the therapeutic effect of TCR-T. Overall, this review provides inspiration for the antigen selection and therapy strategies of TCR-T in the future.
Insights
T-cell receptor (TCR)-engineered T cell therapy shows promise for solid tumors. Neoantigen-specific TCR-T cell therapy, alongside optimizing the tumor microenvironment and TCRs, offers a promising future direction for cancer treatment.
Area of Science:
- Oncology
- Immunotherapy
- Cell Therapy
Background:
- T-cell receptor (TCR)-engineered T cell therapy has advanced significantly in treating solid tumors, with some approaches entering clinical trials.
- Understanding the current landscape of TCR-T cell therapy is crucial for guiding future research and clinical applications.
Purpose of the Study:
- To review the progress of TCR-T cell therapy in solid tumor treatment.
- To classify tumor antigens and analyze TCR-T cell therapy targeting these antigens.
- To explore strategies for enhancing TCR-T cell therapy efficacy.
Main Methods:
- Classification of tumor antigens into four categories: tumor-associated, tumor-specific, oncogenic virus-expressed, and abnormal protein modification-related.
- Detailed review of TCR-T cell therapy effects in clinical and preclinical trials targeting these antigens.
- Summary of optimization strategies for improving TCR-T cell therapy.
Main Results:
- Neoantigen-specific TCR-T cell therapy is identified as a highly promising approach for solid tumors.
- Various TCR-T cell therapies targeting different antigen types have shown efficacy in trials.
- Optimization strategies including modulating the tumor microenvironment and enhancing TCR pairing and affinity are crucial for therapeutic success.
Conclusions:
- TCR-T cell therapy represents a significant advancement in solid tumor treatment.
- Targeting neoantigens with TCR-engineered T cells holds substantial potential for future cancer therapies.
- Further research into antigen selection and therapeutic optimization is essential for maximizing the impact of TCR-T cell therapy.
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