Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy

Abstract Adoptive immunotherapy, in which tumor-reactive T cells are prepared in vitro for adoptive transfer to the patient, can induce an objective clinical response in specific types of cancer. In particular, chimeric antigen receptor (CAR)-redirected T-cell therapy has shown robust responses in h...

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Main Authors: Yusuke Ito, Satoshi Inoue, Yuki Kagoya
Format: Article
Language:English
Published: BMC 2024-03-01
Series:Inflammation and Regeneration
Subjects:
Online Access:https://doi.org/10.1186/s41232-024-00324-7
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author Yusuke Ito
Satoshi Inoue
Yuki Kagoya
author_facet Yusuke Ito
Satoshi Inoue
Yuki Kagoya
author_sort Yusuke Ito
collection DOAJ
description Abstract Adoptive immunotherapy, in which tumor-reactive T cells are prepared in vitro for adoptive transfer to the patient, can induce an objective clinical response in specific types of cancer. In particular, chimeric antigen receptor (CAR)-redirected T-cell therapy has shown robust responses in hematologic malignancies. However, its efficacy against most of the other tumors is still insufficient, which remains an unmet medical need. Accumulating evidence suggests that modifying specific genes can enhance antitumor T-cell properties. Epigenetic factors have been particularly implicated in the remodeling of T-cell functions, including changes to dysfunctional states such as terminal differentiation and exhaustion. Genetic ablation of key epigenetic molecules prevents the dysfunctional reprogramming of T cells and preserves their functional properties. Clustered, regularly interspaced, short palindromic repeats (CRISPR)/CRISPR-associated protein (Cas)-based gene editing is a valuable tool to enable efficient and specific gene editing in cultured T cells. A number of studies have already identified promising targets to improve the therapeutic efficacy of CAR-T cells using genome-wide or focused CRISPR screening. In this review, we will present recent representative findings on molecular insights into T-cell dysfunction and how genetic modification contributes to overcoming it. We will also discuss several technical advances to achieve efficient gene modification using the CRISPR and other novel platforms.
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spelling doaj.art-a76d4c3cc4c54db79d1df4db972e596e2024-03-17T12:18:24ZengBMCInflammation and Regeneration1880-81902024-03-0144111010.1186/s41232-024-00324-7Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapyYusuke Ito0Satoshi Inoue1Yuki Kagoya2Division of Tumor Immunology, Institute for Advanced Medical Research, Keio University School of MedicineDivision of Tumor Immunology, Institute for Advanced Medical Research, Keio University School of MedicineDivision of Tumor Immunology, Institute for Advanced Medical Research, Keio University School of MedicineAbstract Adoptive immunotherapy, in which tumor-reactive T cells are prepared in vitro for adoptive transfer to the patient, can induce an objective clinical response in specific types of cancer. In particular, chimeric antigen receptor (CAR)-redirected T-cell therapy has shown robust responses in hematologic malignancies. However, its efficacy against most of the other tumors is still insufficient, which remains an unmet medical need. Accumulating evidence suggests that modifying specific genes can enhance antitumor T-cell properties. Epigenetic factors have been particularly implicated in the remodeling of T-cell functions, including changes to dysfunctional states such as terminal differentiation and exhaustion. Genetic ablation of key epigenetic molecules prevents the dysfunctional reprogramming of T cells and preserves their functional properties. Clustered, regularly interspaced, short palindromic repeats (CRISPR)/CRISPR-associated protein (Cas)-based gene editing is a valuable tool to enable efficient and specific gene editing in cultured T cells. A number of studies have already identified promising targets to improve the therapeutic efficacy of CAR-T cells using genome-wide or focused CRISPR screening. In this review, we will present recent representative findings on molecular insights into T-cell dysfunction and how genetic modification contributes to overcoming it. We will also discuss several technical advances to achieve efficient gene modification using the CRISPR and other novel platforms.https://doi.org/10.1186/s41232-024-00324-7Adoptive immunotherapyChimeric antigen receptorEpigeneticsDNA methylationPRDM1Memory T cell
spellingShingle Yusuke Ito
Satoshi Inoue
Yuki Kagoya
Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
Inflammation and Regeneration
Adoptive immunotherapy
Chimeric antigen receptor
Epigenetics
DNA methylation
PRDM1
Memory T cell
title Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
title_full Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
title_fullStr Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
title_full_unstemmed Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
title_short Gene editing technology to improve antitumor T-cell functions in adoptive immunotherapy
title_sort gene editing technology to improve antitumor t cell functions in adoptive immunotherapy
topic Adoptive immunotherapy
Chimeric antigen receptor
Epigenetics
DNA methylation
PRDM1
Memory T cell
url https://doi.org/10.1186/s41232-024-00324-7
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