Related Experiment Video
Updated: Jun 2, 2026

08:46
A Real-time Potency Assay for Chimeric Antigen Receptor T Cells Targeting Solid and Hematological Cancer Cells
Published on: November 12, 2019
Adoptive cell therapies in solid tumors: current clinical landscape, challenges, and future directions
Joe Rizkallah1, Bahaa El Deen Wehbeh2, Waseem Wassouf2
1Department of Diagnostic Radiology, American University of Beirut, Beirut, Lebanon.
Frontiers in Immunology
|June 1, 2026
Summary
Adoptive cell therapy (ACT) shows promise for solid tumors, but faces challenges like immune evasion and toxicity. New strategies and biomarkers are advancing this cancer immunotherapy approach.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- Adoptive cell therapy (ACT) is a powerful cancer immunotherapy, effective in blood cancers but facing hurdles in solid tumors.
- Key ACT types include chimeric antigen receptor T cell (CAR-T), tumor-infiltrating lymphocyte (TIL), and T cell receptor-engineered T cell (TCR-T) therapies.
Purpose of the Study:
- To review the current clinical landscape of ACT in solid tumors.
- To identify challenges and evolving strategies for enhancing ACT efficacy and safety in solid malignancies.
Main Methods:
- Narrative review of clinical trial outcomes and scientific literature.
- Analysis of tumor-specific targets, efficacy determinants, and resistance mechanisms.
- Evaluation of emerging strategies and biomarkers for patient stratification.
Main Results:
- ACT faces significant barriers in solid tumors, including antigen heterogeneity, immune evasion, and T cell dysfunction.
- Toxicity, such as cytokine release syndrome and neurotoxicity, requires careful management.
- Novel strategies like multi-antigen targeting, engineered CAR designs, and advanced manufacturing show potential.
Conclusions:
- Overcoming ACT limitations in solid tumors requires innovative approaches addressing the tumor microenvironment and immune resistance.
- Biomarkers and personalized medicine are crucial for optimizing patient selection and treatment outcomes.
- Continued advances in translational research and combination therapies will drive future ACT development for solid cancers.
Related Concept Videos
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.
Targeted Cancer Therapies
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
There are several types of targeted therapies against specific...
Treatment Resistant Cancers
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Treatment Resistent Cancers
Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Cancer Therapies
Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...

