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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

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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.
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Author Spotlight: Advancements in Hypoxia-Sensitive CAR-T Therapy for Enhanced Cancer Immunotherapy
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Optimizing CAR T cell therapy for solid tumours: a clinical perspective.

Jiarui Li1, Chang Liu2, Panpan Zhang2

  • 1Beijing Key Laboratory of Cell and Gene Therapy for Solid Tumors, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Gastrointestinal Oncology, Peking University Cancer Hospital & Institute, Beijing, China.

Nature Reviews. Clinical Oncology
|October 2, 2025
PubMed
Summary
This summary is machine-generated.

Chimeric antigen receptor (CAR) T cell therapy shows promise for solid tumors. This review details strategies to improve CAR T cell efficacy and safety, addressing key challenges for clinical application.

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Area of Science:

  • Oncology
  • Immunotherapy
  • Cellular Therapy

Background:

  • Chimeric antigen receptor (CAR) T cell therapy has transformed hematological cancer treatment.
  • Significant challenges remain for its application in solid tumors.

Purpose of the Study:

  • To review key advances in refining CAR T cell therapy for solid tumors.
  • To provide practical clinical insights for optimizing efficacy and safety.

Main Methods:

  • Discussion of target antigen selection for efficacy and toxicity.
  • Review of strategies including apheresis, manufacturing, lymphodepletion, and delivery methods.
  • Examination of response evaluation and toxicity management frameworks.

Main Results:

  • Optimized antigen selection can enhance efficacy while minimizing off-tumor toxicities.
  • Early intervention and specific delivery methods improve T cell fitness and therapeutic concentration.
  • Repeat infusions and robust toxicity management are crucial for prolonged effects and safety.

Conclusions:

  • Systematic optimization of CAR T cell therapy is essential for solid tumors.
  • Addressing challenges in antigen selection, delivery, and toxicity management will improve patient outcomes.
  • This review offers a comprehensive guide for advancing CAR T cell therapy in solid malignancies.