Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment

Abstract The past decade has witnessed ongoing progress in immune therapy to ameliorate human health. As an emerging technique, chimeric antigen receptor (CAR) T-cell therapy has the advantages of specific killing of cancer cells, a high remission rate of cancer-induced symptoms, rapid tumor eradica...

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Main Authors: Ting Yan, Lingfeng Zhu, Jin Chen
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Experimental Hematology & Oncology
Subjects:
Online Access:https://doi.org/10.1186/s40164-023-00373-7
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author Ting Yan
Lingfeng Zhu
Jin Chen
author_facet Ting Yan
Lingfeng Zhu
Jin Chen
author_sort Ting Yan
collection DOAJ
description Abstract The past decade has witnessed ongoing progress in immune therapy to ameliorate human health. As an emerging technique, chimeric antigen receptor (CAR) T-cell therapy has the advantages of specific killing of cancer cells, a high remission rate of cancer-induced symptoms, rapid tumor eradication, and long-lasting tumor immunity, opening a new window for tumor treatment. However, challenges remain in CAR T-cell therapy for solid tumors due to target diversity, tumor heterogeneity, and the complex microenvironment. In this review, we have outlined the development of the CAR T-cell technique, summarized the current advances in tumor-associated antigens (TAAs), and highlighted the importance of tumor-specific antigens (TSAs) or neoantigens for solid tumors. We also addressed the challenge of the TAA binding domain in CARs to overcome off-tumor toxicity. Moreover, we illustrated the dominant tumor microenvironment (TME)-induced challenges and new strategies based on TME-associated antigens (TMAs) for solid tumor CAR T-cell therapy.
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spelling doaj.art-b8204c76fa554bb2a5d495b36830bf272023-01-29T12:06:13ZengBMCExperimental Hematology & Oncology2162-36192023-01-0112111810.1186/s40164-023-00373-7Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironmentTing Yan0Lingfeng Zhu1Jin Chen2Institute of Clinical Medicine, The Second Affiliated Hospital of Hainan Medical UniversityDepartment of Urology, The Second Affiliated Hospital of Hainan Medical UniversityInstitute of Clinical Medicine, The Second Affiliated Hospital of Hainan Medical UniversityAbstract The past decade has witnessed ongoing progress in immune therapy to ameliorate human health. As an emerging technique, chimeric antigen receptor (CAR) T-cell therapy has the advantages of specific killing of cancer cells, a high remission rate of cancer-induced symptoms, rapid tumor eradication, and long-lasting tumor immunity, opening a new window for tumor treatment. However, challenges remain in CAR T-cell therapy for solid tumors due to target diversity, tumor heterogeneity, and the complex microenvironment. In this review, we have outlined the development of the CAR T-cell technique, summarized the current advances in tumor-associated antigens (TAAs), and highlighted the importance of tumor-specific antigens (TSAs) or neoantigens for solid tumors. We also addressed the challenge of the TAA binding domain in CARs to overcome off-tumor toxicity. Moreover, we illustrated the dominant tumor microenvironment (TME)-induced challenges and new strategies based on TME-associated antigens (TMAs) for solid tumor CAR T-cell therapy.https://doi.org/10.1186/s40164-023-00373-7CAR T cellsSolid tumorTAAsTSAsTMAs
spellingShingle Ting Yan
Lingfeng Zhu
Jin Chen
Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
Experimental Hematology & Oncology
CAR T cells
Solid tumor
TAAs
TSAs
TMAs
title Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
title_full Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
title_fullStr Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
title_full_unstemmed Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
title_short Current advances and challenges in CAR T-Cell therapy for solid tumors: tumor-associated antigens and the tumor microenvironment
title_sort current advances and challenges in car t cell therapy for solid tumors tumor associated antigens and the tumor microenvironment
topic CAR T cells
Solid tumor
TAAs
TSAs
TMAs
url https://doi.org/10.1186/s40164-023-00373-7
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