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Updated: Sep 18, 2025

Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
Published on: June 14, 2024
[CAR T cells in solid tumors: resistance mechanisms]
Markus Barden1, Astrid Holzinger1, Hinrich Abken2
1Abt. Gen-Immuntherapie, Leibniz Institut für Immuntherapie (LIT), Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland.
Chimeric antigen receptor (CAR) T-cell therapy shows promise for solid tumors. New strategies, like CAR T-cells as "biopharmaceutical factories," are emerging to overcome treatment challenges and improve efficacy.
Area of Science:
- Immunotherapy
- Oncology
- Cellular Therapy
Context:
- Chimeric antigen receptor (CAR) T-cell therapy has revolutionized hematological cancer treatment.
- Significant challenges hinder CAR T-cell efficacy in solid tumors, despite its success in blood cancers.
Purpose:
- To outline the primary mechanisms impeding CAR T-cell activity in solid tumors.
- To present strategies aimed at overcoming these obstacles for improved therapeutic outcomes.
Summary:
- Solid tumors suppress CAR T-cell function through impaired infiltration, active immune suppression, and unfavorable metabolic environments.
- Strategies include tumor pretreatment, enhancing T-cell resilience, and utilizing CAR T-cells to release cytokines (TRUCKs) for local immune activation.
Impact:
- CAR T-cell therapy holds substantial potential for treating solid tumors.
- Emerging TRUCK strategies, activating NK cells and macrophages within tumors, are entering clinical trials, offering new therapeutic avenues.
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