CAR T Cells: A Snapshot on the Growing Options to Design a CAR

Abstract. Adoptive cell therapy of malignant diseases with chimeric antigen receptor (CAR) modified T cells rapidly advanced from pre-clinical models to commercial approvals within 2 decades. CARs redirect patient's T cells towards cancer cells and activate the engineered cells for a cytolytic...

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Main Authors: Astrid Holzinger, Hinrich Abken
Format: Article
Language:English
Published: Wiley 2019-02-01
Series:HemaSphere
Online Access:http://journals.lww.com/10.1097/HS9.0000000000000172
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author Astrid Holzinger
Hinrich Abken
author_facet Astrid Holzinger
Hinrich Abken
author_sort Astrid Holzinger
collection DOAJ
description Abstract. Adoptive cell therapy of malignant diseases with chimeric antigen receptor (CAR) modified T cells rapidly advanced from pre-clinical models to commercial approvals within 2 decades. CARs redirect patient's T cells towards cancer cells and activate the engineered cells for a cytolytic attack resulting in the destruction of the cognate target cell. CAR T cells have demonstrated their powerful capacities in inducing complete and lasting remissions of leukemia/lymphoma in an increasing number of trials worldwide. Since the early 90's, the design of CARs went through various steps of optimization until the very recent developments which include CARs with logic gating in the recognition of antigen patterns on target cells and TRUCKs with a target recognition induced delivery of immune modulating agents. Here we review the generations in CAR design, the impact of specific modifications, the strategies to improve the safety of CAR T cell therapy, and the challenges to adapt the CAR design for broader applications.
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spelling doaj.art-d74bfcac54544b5a977a5c58cebf042f2024-03-02T06:43:19ZengWileyHemaSphere2572-92412019-02-013110.1097/HS9.0000000000000172201902000-00005CAR T Cells: A Snapshot on the Growing Options to Design a CARAstrid Holzinger0Hinrich Abken1RCI, Regensburg Center for Interventional Immunology, Chair for Gene-Immune Therapy, University Hospital Regensburg, Regensburg, Germany.RCI, Regensburg Center for Interventional Immunology, Chair for Gene-Immune Therapy, University Hospital Regensburg, Regensburg, Germany.Abstract. Adoptive cell therapy of malignant diseases with chimeric antigen receptor (CAR) modified T cells rapidly advanced from pre-clinical models to commercial approvals within 2 decades. CARs redirect patient's T cells towards cancer cells and activate the engineered cells for a cytolytic attack resulting in the destruction of the cognate target cell. CAR T cells have demonstrated their powerful capacities in inducing complete and lasting remissions of leukemia/lymphoma in an increasing number of trials worldwide. Since the early 90's, the design of CARs went through various steps of optimization until the very recent developments which include CARs with logic gating in the recognition of antigen patterns on target cells and TRUCKs with a target recognition induced delivery of immune modulating agents. Here we review the generations in CAR design, the impact of specific modifications, the strategies to improve the safety of CAR T cell therapy, and the challenges to adapt the CAR design for broader applications.http://journals.lww.com/10.1097/HS9.0000000000000172
spellingShingle Astrid Holzinger
Hinrich Abken
CAR T Cells: A Snapshot on the Growing Options to Design a CAR
HemaSphere
title CAR T Cells: A Snapshot on the Growing Options to Design a CAR
title_full CAR T Cells: A Snapshot on the Growing Options to Design a CAR
title_fullStr CAR T Cells: A Snapshot on the Growing Options to Design a CAR
title_full_unstemmed CAR T Cells: A Snapshot on the Growing Options to Design a CAR
title_short CAR T Cells: A Snapshot on the Growing Options to Design a CAR
title_sort car t cells a snapshot on the growing options to design a car
url http://journals.lww.com/10.1097/HS9.0000000000000172
work_keys_str_mv AT astridholzinger cartcellsasnapshotonthegrowingoptionstodesignacar
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