Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer

The present treatments for lung cancer include surgical resection, radiation, chemotherapy, targeted therapy, and immunotherapy. Despite advances in therapies, the prognosis of lung cancer has not been substantially improved in recent years. Chimeric antigen receptor (CAR)-T cell immunotherapy has a...

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Main Authors: Prameela Kandra, Rajender Nandigama, Bastian Eul, Magdalena Huber, Sebastian Kobold, Werner Seeger, Friedrich Grimminger, Rajkumar Savai
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.903562/full
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author Prameela Kandra
Rajender Nandigama
Bastian Eul
Magdalena Huber
Sebastian Kobold
Sebastian Kobold
Werner Seeger
Werner Seeger
Werner Seeger
Friedrich Grimminger
Friedrich Grimminger
Rajkumar Savai
Rajkumar Savai
Rajkumar Savai
author_facet Prameela Kandra
Rajender Nandigama
Bastian Eul
Magdalena Huber
Sebastian Kobold
Sebastian Kobold
Werner Seeger
Werner Seeger
Werner Seeger
Friedrich Grimminger
Friedrich Grimminger
Rajkumar Savai
Rajkumar Savai
Rajkumar Savai
author_sort Prameela Kandra
collection DOAJ
description The present treatments for lung cancer include surgical resection, radiation, chemotherapy, targeted therapy, and immunotherapy. Despite advances in therapies, the prognosis of lung cancer has not been substantially improved in recent years. Chimeric antigen receptor (CAR)-T cell immunotherapy has attracted growing interest in the treatment of various malignancies. Despite CAR-T cell therapy emerging as a novel potential therapeutic option with promising results in refractory and relapsed leukemia, many challenges limit its therapeutic efficacy in solid tumors including lung cancer. In this landscape, studies have identified several obstacles to the effective use of CAR-T cell therapy including antigen heterogeneity, the immunosuppressive tumor microenvironment, and tumor penetration by CAR-T cells. Here, we review CAR-T cell design; present the results of CAR-T cell therapies in preclinical and clinical studies in lung cancer; describe existing challenges and toxicities; and discuss strategies to improve therapeutic efficacy of CAR-T cells.
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spelling doaj.art-0cf61627a2184e12bada2c09c02cbad42022-12-22T00:28:48ZengFrontiers Media S.A.Frontiers in Immunology1664-32242022-06-011310.3389/fimmu.2022.903562903562Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung CancerPrameela Kandra0Rajender Nandigama1Bastian Eul2Magdalena Huber3Sebastian Kobold4Sebastian Kobold5Werner Seeger6Werner Seeger7Werner Seeger8Friedrich Grimminger9Friedrich Grimminger10Rajkumar Savai11Rajkumar Savai12Rajkumar Savai13Department of Biotechnology, Gandhi Institute of Technology and Management (GITAM) Institute of Technology, Gandhi Institute of Technology and Management (GITAM) Deemed to be University, Visakhapatnam, IndiaMax Planck Institute for Heart and Lung Research, Member of the German Center for Lung Research Deutsches Zentrum für Lungenforschung (DZL), Member of the Cardio-Pulmonary Institute (CPI), Bad Nauheim, GermanyDepartment of Internal Medicine, Member of the Deutsches Zentrum für Lungenforschung (DZL), Member of Cardio-Pulmonary Institute (CPI), Justus Liebig University, Giessen, GermanyInstitute for Medical Microbiology and Hygiene, Philipps-University Marburg, Marburg, GermanyDivision of Clinical Pharmacology, Department of Medicine IV, Member of the Deutsches Zentrum für Lungenforschung (DZL), University Hospital Munich, Munich, GermanyGerman Cancer Consortium Deutsches Konsortium für Translationale Krebsforschung (DKTK), Partner site Munich, Munich, GermanyMax Planck Institute for Heart and Lung Research, Member of the German Center for Lung Research Deutsches Zentrum für Lungenforschung (DZL), Member of the Cardio-Pulmonary Institute (CPI), Bad Nauheim, GermanyDepartment of Internal Medicine, Member of the Deutsches Zentrum für Lungenforschung (DZL), Member of Cardio-Pulmonary Institute (CPI), Justus Liebig University, Giessen, GermanyInstitute for Lung Health (ILH), Justus Liebig University, Giessen, GermanyDepartment of Internal Medicine, Member of the Deutsches Zentrum für Lungenforschung (DZL), Member of Cardio-Pulmonary Institute (CPI), Justus Liebig University, Giessen, GermanyInstitute for Lung Health (ILH), Justus Liebig University, Giessen, GermanyMax Planck Institute for Heart and Lung Research, Member of the German Center for Lung Research Deutsches Zentrum für Lungenforschung (DZL), Member of the Cardio-Pulmonary Institute (CPI), Bad Nauheim, GermanyDepartment of Internal Medicine, Member of the Deutsches Zentrum für Lungenforschung (DZL), Member of Cardio-Pulmonary Institute (CPI), Justus Liebig University, Giessen, GermanyInstitute for Lung Health (ILH), Justus Liebig University, Giessen, GermanyThe present treatments for lung cancer include surgical resection, radiation, chemotherapy, targeted therapy, and immunotherapy. Despite advances in therapies, the prognosis of lung cancer has not been substantially improved in recent years. Chimeric antigen receptor (CAR)-T cell immunotherapy has attracted growing interest in the treatment of various malignancies. Despite CAR-T cell therapy emerging as a novel potential therapeutic option with promising results in refractory and relapsed leukemia, many challenges limit its therapeutic efficacy in solid tumors including lung cancer. In this landscape, studies have identified several obstacles to the effective use of CAR-T cell therapy including antigen heterogeneity, the immunosuppressive tumor microenvironment, and tumor penetration by CAR-T cells. Here, we review CAR-T cell design; present the results of CAR-T cell therapies in preclinical and clinical studies in lung cancer; describe existing challenges and toxicities; and discuss strategies to improve therapeutic efficacy of CAR-T cells.https://www.frontiersin.org/articles/10.3389/fimmu.2022.903562/fulladaptive therapyCAR-T cellslung cancertumor-associated target antigenstoxicities
spellingShingle Prameela Kandra
Rajender Nandigama
Bastian Eul
Magdalena Huber
Sebastian Kobold
Sebastian Kobold
Werner Seeger
Werner Seeger
Werner Seeger
Friedrich Grimminger
Friedrich Grimminger
Rajkumar Savai
Rajkumar Savai
Rajkumar Savai
Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
Frontiers in Immunology
adaptive therapy
CAR-T cells
lung cancer
tumor-associated target antigens
toxicities
title Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
title_full Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
title_fullStr Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
title_full_unstemmed Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
title_short Utility and Drawbacks of Chimeric Antigen Receptor T Cell (CAR-T) Therapy in Lung Cancer
title_sort utility and drawbacks of chimeric antigen receptor t cell car t therapy in lung cancer
topic adaptive therapy
CAR-T cells
lung cancer
tumor-associated target antigens
toxicities
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.903562/full
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