CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge

Adoptive transfer of chimeric antigen receptor (CAR)-modified T cells has resulted in unprecedented rates of long-lasting complete responses in patients with leukemia and lymphoma. However, despite the impressive results in patients with hematologic malignancies, CAR-T cells have showed limited effe...

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Main Authors: Sonia Guedan, Ramon Alemany
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-10-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fimmu.2018.02460/full
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author Sonia Guedan
Ramon Alemany
author_facet Sonia Guedan
Ramon Alemany
author_sort Sonia Guedan
collection DOAJ
description Adoptive transfer of chimeric antigen receptor (CAR)-modified T cells has resulted in unprecedented rates of long-lasting complete responses in patients with leukemia and lymphoma. However, despite the impressive results in patients with hematologic malignancies, CAR-T cells have showed limited effect against solid cancers. New approaches will need to simultaneously overcome the multiple challenges that CAR-T cells encounter in solid tumors, including the immunosuppressive tumor microenvironment and heterogeneity of antigen expression. Oncolytic viruses are lytic and immunogenic anti-cancer agents with the potential to synergize with CAR-T cells for the treatment of solid tumors. In addition, viruses can be further modified to deliver therapeutic transgenes selectively to the tumor microenvironment, which could enhance the effector functions of tumor-specific T cells. This review summarizes the major limitations of CAR-T cells in solid tumors and discusses the potential role for oncolytic viruses as partners for CAR-T cells in the fight against cancer.
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spelling doaj.art-c4d3959e5bc342c5930ad59215513c7d2022-12-22T01:04:37ZengFrontiers Media S.A.Frontiers in Immunology1664-32242018-10-01910.3389/fimmu.2018.02460417287CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor ChallengeSonia Guedan0Ramon Alemany1Department of Hematology and Oncology, Hospital Clinic, Institut d'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, SpainProCure Program, IDIBELL-Institut Catala d'Oncologia, L'Hospitalet de Llobregat, SpainAdoptive transfer of chimeric antigen receptor (CAR)-modified T cells has resulted in unprecedented rates of long-lasting complete responses in patients with leukemia and lymphoma. However, despite the impressive results in patients with hematologic malignancies, CAR-T cells have showed limited effect against solid cancers. New approaches will need to simultaneously overcome the multiple challenges that CAR-T cells encounter in solid tumors, including the immunosuppressive tumor microenvironment and heterogeneity of antigen expression. Oncolytic viruses are lytic and immunogenic anti-cancer agents with the potential to synergize with CAR-T cells for the treatment of solid tumors. In addition, viruses can be further modified to deliver therapeutic transgenes selectively to the tumor microenvironment, which could enhance the effector functions of tumor-specific T cells. This review summarizes the major limitations of CAR-T cells in solid tumors and discusses the potential role for oncolytic viruses as partners for CAR-T cells in the fight against cancer.https://www.frontiersin.org/article/10.3389/fimmu.2018.02460/fullchimeric antigen receptors (CAR)oncolytic virusessolid tumorsimmunotherapyimmunosuppressive tumor microenvironmentadoptive cell transfer (ACT)
spellingShingle Sonia Guedan
Ramon Alemany
CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
Frontiers in Immunology
chimeric antigen receptors (CAR)
oncolytic viruses
solid tumors
immunotherapy
immunosuppressive tumor microenvironment
adoptive cell transfer (ACT)
title CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
title_full CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
title_fullStr CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
title_full_unstemmed CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
title_short CAR-T Cells and Oncolytic Viruses: Joining Forces to Overcome the Solid Tumor Challenge
title_sort car t cells and oncolytic viruses joining forces to overcome the solid tumor challenge
topic chimeric antigen receptors (CAR)
oncolytic viruses
solid tumors
immunotherapy
immunosuppressive tumor microenvironment
adoptive cell transfer (ACT)
url https://www.frontiersin.org/article/10.3389/fimmu.2018.02460/full
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AT ramonalemany cartcellsandoncolyticvirusesjoiningforcestoovercomethesolidtumorchallenge