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Chimeric Antigen Receptor Cell Therapy: Overcoming Obstacles to Battle Cancer

期刊

CANCERS
卷 12, 期 4, 页码 -

出版社

MDPI
DOI: 10.3390/cancers12040842

关键词

CAR-T cells; CAR-NK cells; CAR-NKT cells; cancer immunotherapy; solid tumors; hematologic malignancies; genetic engineering; novel approaches

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资金

  1. National Institutes of Health [CA136934, CA193167, CA213799]

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Chimeric antigen receptors (CAR) are fusion proteins engineered from antigen recognition, signaling, and costimulatory domains that can be used to reprogram T cells to specifically target tumor cells expressing specific antigens. Current CAR-T cell technology utilizes the patient's own T cells to stably express CARs and has achieved exciting clinical success in the past few years. However, current CAR-T cell therapy still faces several challenges, including suboptimal persistence and potency, impaired trafficking to solid tumors, local immunosuppression within the tumor microenvironment and intrinsic toxicity associated with CAR-T cells. This review focuses on recent strategies to improve the clinical efficacy of CAR-T cell therapy and other exciting CAR approaches currently under investigation, including CAR natural killer (NK) and NKT cell therapies.

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