Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies

Natural adaptive immunity co-evolved with pathogens over millions of years, and adoptive transfer of non-engineered T cells to fight infections or cancer so far exhibits an exceptionally safe and functional therapeutic profile in clinical trials. However, the personalized nature of therapies using v...

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Main Authors: Kilian Schober, Thomas R. Müller, Dirk H. Busch
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/9/6/1367
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author Kilian Schober
Thomas R. Müller
Dirk H. Busch
author_facet Kilian Schober
Thomas R. Müller
Dirk H. Busch
author_sort Kilian Schober
collection DOAJ
description Natural adaptive immunity co-evolved with pathogens over millions of years, and adoptive transfer of non-engineered T cells to fight infections or cancer so far exhibits an exceptionally safe and functional therapeutic profile in clinical trials. However, the personalized nature of therapies using virus-specific T cells, donor lymphocyte infusion, or tumor-infiltrating lymphocytes makes implementation in routine clinical care difficult. In principle, genetic engineering can be used to make T-cell therapies more broadly applicable, but so far it significantly alters the physiology of cells. We recently demonstrated that orthotopic T-cell receptor (TCR) replacement (OTR) by clustered regularly interspaced short palindromic repeats (CRISPR)/ CRISPR-associated protein 9 (Cas9) can be used to generate engineered T cells with preservation of near-physiological function. In this review, we present the current status of OTR technology development and discuss its potential for TCR-based therapies. By providing the means to combine the therapeutic efficacy and safety profile of physiological T cells with the versatility of cell engineering, OTR can serve as an “enabler” for TCR-based therapies.
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spelling doaj.art-fc1505a8836d4a05a25c00bf46f19c322023-11-20T02:28:55ZengMDPI AGCells2073-44092020-06-0196136710.3390/cells9061367Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based TherapiesKilian Schober0Thomas R. Müller1Dirk H. Busch2Institute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), 81675 Munich, GermanyInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), 81675 Munich, GermanyInstitute for Medical Microbiology, Immunology and Hygiene, Technische Universität München (TUM), 81675 Munich, GermanyNatural adaptive immunity co-evolved with pathogens over millions of years, and adoptive transfer of non-engineered T cells to fight infections or cancer so far exhibits an exceptionally safe and functional therapeutic profile in clinical trials. However, the personalized nature of therapies using virus-specific T cells, donor lymphocyte infusion, or tumor-infiltrating lymphocytes makes implementation in routine clinical care difficult. In principle, genetic engineering can be used to make T-cell therapies more broadly applicable, but so far it significantly alters the physiology of cells. We recently demonstrated that orthotopic T-cell receptor (TCR) replacement (OTR) by clustered regularly interspaced short palindromic repeats (CRISPR)/ CRISPR-associated protein 9 (Cas9) can be used to generate engineered T cells with preservation of near-physiological function. In this review, we present the current status of OTR technology development and discuss its potential for TCR-based therapies. By providing the means to combine the therapeutic efficacy and safety profile of physiological T cells with the versatility of cell engineering, OTR can serve as an “enabler” for TCR-based therapies.https://www.mdpi.com/2073-4409/9/6/1367TCR engineeringCRISPR/Cas9orthotopic TCR replacementOTRgene editingadoptive cell therapy
spellingShingle Kilian Schober
Thomas R. Müller
Dirk H. Busch
Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
Cells
TCR engineering
CRISPR/Cas9
orthotopic TCR replacement
OTR
gene editing
adoptive cell therapy
title Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
title_full Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
title_fullStr Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
title_full_unstemmed Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
title_short Orthotopic T-Cell Receptor Replacement—An “Enabler” for TCR-Based Therapies
title_sort orthotopic t cell receptor replacement an enabler for tcr based therapies
topic TCR engineering
CRISPR/Cas9
orthotopic TCR replacement
OTR
gene editing
adoptive cell therapy
url https://www.mdpi.com/2073-4409/9/6/1367
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