Strategies for enhancing CAR T cell expansion and persistence in HIV infection

Chimeric Antigen Receptor (CAR) T cell therapies are tremendously successful in hematological malignancies and show great promise as treatment and curative strategy for HIV. A major determinant for effective CAR T cell therapy is the persistence of CAR T cells. Particularly, antigen density and targ...

Full description

Bibliographic Details
Main Authors: Frederik Holm Rothemejer, Nanna Pi Lauritsen, Ole Schmeltz Søgaard, Martin Tolstrup
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2023.1253395/full
_version_ 1797740314395410432
author Frederik Holm Rothemejer
Frederik Holm Rothemejer
Nanna Pi Lauritsen
Nanna Pi Lauritsen
Ole Schmeltz Søgaard
Ole Schmeltz Søgaard
Martin Tolstrup
Martin Tolstrup
author_facet Frederik Holm Rothemejer
Frederik Holm Rothemejer
Nanna Pi Lauritsen
Nanna Pi Lauritsen
Ole Schmeltz Søgaard
Ole Schmeltz Søgaard
Martin Tolstrup
Martin Tolstrup
author_sort Frederik Holm Rothemejer
collection DOAJ
description Chimeric Antigen Receptor (CAR) T cell therapies are tremendously successful in hematological malignancies and show great promise as treatment and curative strategy for HIV. A major determinant for effective CAR T cell therapy is the persistence of CAR T cells. Particularly, antigen density and target cell abundance are crucial for the engagement, engraftment, and persistence of CAR T cells. The success of HIV-specific CAR T cells is challenged by limited antigen due to low cell surface expression of viral proteins and the scarcity of chronically infected cells during antiretroviral therapy. Several strategies have been explored to increase the efficacy of CAR T cells by enhancing expansion and persistence of the engineered cells. This review highlights the challenges of designing CAR T cells against HIV and other chronic viral infections. We also discuss potential strategies to enhance CAR T cell expansion and persistence in the setting of low antigen exposure.
first_indexed 2024-03-12T14:10:40Z
format Article
id doaj.art-6390eac607594b96aea5c7a8dbf2e689
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-03-12T14:10:40Z
publishDate 2023-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-6390eac607594b96aea5c7a8dbf2e6892023-08-21T08:45:49ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-08-011410.3389/fimmu.2023.12533951253395Strategies for enhancing CAR T cell expansion and persistence in HIV infectionFrederik Holm Rothemejer0Frederik Holm Rothemejer1Nanna Pi Lauritsen2Nanna Pi Lauritsen3Ole Schmeltz Søgaard4Ole Schmeltz Søgaard5Martin Tolstrup6Martin Tolstrup7Department of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, DenmarkDepartment of Clinical Medicine, Aarhus University, Aarhus, DenmarkDepartment of Infectious Diseases, Aarhus University Hospital, Aarhus, DenmarkChimeric Antigen Receptor (CAR) T cell therapies are tremendously successful in hematological malignancies and show great promise as treatment and curative strategy for HIV. A major determinant for effective CAR T cell therapy is the persistence of CAR T cells. Particularly, antigen density and target cell abundance are crucial for the engagement, engraftment, and persistence of CAR T cells. The success of HIV-specific CAR T cells is challenged by limited antigen due to low cell surface expression of viral proteins and the scarcity of chronically infected cells during antiretroviral therapy. Several strategies have been explored to increase the efficacy of CAR T cells by enhancing expansion and persistence of the engineered cells. This review highlights the challenges of designing CAR T cells against HIV and other chronic viral infections. We also discuss potential strategies to enhance CAR T cell expansion and persistence in the setting of low antigen exposure.https://www.frontiersin.org/articles/10.3389/fimmu.2023.1253395/fullchimeric antigen receptorHIVpersistenceexpansionTCR-engagementCAR T cell persistence
spellingShingle Frederik Holm Rothemejer
Frederik Holm Rothemejer
Nanna Pi Lauritsen
Nanna Pi Lauritsen
Ole Schmeltz Søgaard
Ole Schmeltz Søgaard
Martin Tolstrup
Martin Tolstrup
Strategies for enhancing CAR T cell expansion and persistence in HIV infection
Frontiers in Immunology
chimeric antigen receptor
HIV
persistence
expansion
TCR-engagement
CAR T cell persistence
title Strategies for enhancing CAR T cell expansion and persistence in HIV infection
title_full Strategies for enhancing CAR T cell expansion and persistence in HIV infection
title_fullStr Strategies for enhancing CAR T cell expansion and persistence in HIV infection
title_full_unstemmed Strategies for enhancing CAR T cell expansion and persistence in HIV infection
title_short Strategies for enhancing CAR T cell expansion and persistence in HIV infection
title_sort strategies for enhancing car t cell expansion and persistence in hiv infection
topic chimeric antigen receptor
HIV
persistence
expansion
TCR-engagement
CAR T cell persistence
url https://www.frontiersin.org/articles/10.3389/fimmu.2023.1253395/full
work_keys_str_mv AT frederikholmrothemejer strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT frederikholmrothemejer strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT nannapilauritsen strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT nannapilauritsen strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT oleschmeltzsøgaard strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT oleschmeltzsøgaard strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT martintolstrup strategiesforenhancingcartcellexpansionandpersistenceinhivinfection
AT martintolstrup strategiesforenhancingcartcellexpansionandpersistenceinhivinfection