Expanding the Therapeutic Window for CAR T Cell Therapy in Solid Tumors: The Knowns and Unknowns of CAR T Cell Biology
A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition,...
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Published in | Frontiers in immunology Vol. 9; p. 2486 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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Frontiers Media S.A
26.10.2018
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Abstract | A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition, expression of TAAs in solid tumors is particularly heterogeneous. In this regard, it is critical to deeply understand the sensitivity of CAR T cells, especially against low-density targets and the possible therapeutic window of antigen density targeted by CAR T cells. In this review, we discuss the recent findings of mechanisms of antigen recognition through CAR, including immunological synapse formation, and the impact of target antigen density for induction of distinct T cell functions. We also discuss rational strategies to adjust and expand the therapeutic window for effective and safe targeting of solid tumors by CAR T cell platforms. |
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AbstractList | A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition, expression of TAAs in solid tumors is particularly heterogeneous. In this regard, it is critical to deeply understand the sensitivity of CAR T cells, especially against low-density targets and the possible therapeutic window of antigen density targeted by CAR T cells. In this review, we discuss the recent findings of mechanisms of antigen recognition through CAR, including immunological synapse formation, and the impact of target antigen density for induction of distinct T cell functions. We also discuss rational strategies to adjust and expand the therapeutic window for effective and safe targeting of solid tumors by CAR T cell platforms. A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition, expression of TAAs in solid tumors is particularly heterogeneous. In this regard, it is critical to deeply understand the sensitivity of CAR T cells, especially against low-density targets and the possible therapeutic window of antigen density targeted by CAR T cells. In this review, we discuss the recent findings of mechanisms of antigen recognition through CAR, including immunological synapse formation, and the impact of target antigen density for induction of distinct T cell functions. We also discuss rational strategies to adjust and expand the therapeutic window for effective and safe targeting of solid tumors by CAR T cell platforms.A major obstacle for chimeric antigen receptor (CAR) T cell therapy in solid tumors is the lack of truly tumor-specific target antigens, which translates to the targeting of tumor-associated antigens (TAAs) overexpressed on tumors but shared with normal organs, raising safety concerns. In addition, expression of TAAs in solid tumors is particularly heterogeneous. In this regard, it is critical to deeply understand the sensitivity of CAR T cells, especially against low-density targets and the possible therapeutic window of antigen density targeted by CAR T cells. In this review, we discuss the recent findings of mechanisms of antigen recognition through CAR, including immunological synapse formation, and the impact of target antigen density for induction of distinct T cell functions. We also discuss rational strategies to adjust and expand the therapeutic window for effective and safe targeting of solid tumors by CAR T cell platforms. |
Author | Watanabe, Keisuke Posey, Jr, Avery D Kuramitsu, Shunichiro June, Carl H |
AuthorAffiliation | 4 Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA , United States 1 Center for Cellular Immunotherapies, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA , United States 3 Corporal Michael J. Crescenz VA Medical Center , Philadelphia, PA , United States 2 Parker Institute for Cancer Immunotherapy, University of Pennsylvania , Philadelphia, PA , United States |
AuthorAffiliation_xml | – name: 4 Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA , United States – name: 1 Center for Cellular Immunotherapies, Perelman School of Medicine at the University of Pennsylvania , Philadelphia, PA , United States – name: 2 Parker Institute for Cancer Immunotherapy, University of Pennsylvania , Philadelphia, PA , United States – name: 3 Corporal Michael J. Crescenz VA Medical Center , Philadelphia, PA , United States |
Author_xml | – sequence: 1 givenname: Keisuke surname: Watanabe fullname: Watanabe, Keisuke organization: Center for Cellular Immunotherapies, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States – sequence: 2 givenname: Shunichiro surname: Kuramitsu fullname: Kuramitsu, Shunichiro organization: Center for Cellular Immunotherapies, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States – sequence: 3 givenname: Avery D surname: Posey, Jr fullname: Posey, Jr, Avery D organization: Corporal Michael J. Crescenz VA Medical Center, Philadelphia, PA, United States – sequence: 4 givenname: Carl H surname: June fullname: June, Carl H organization: Department of Pathology and Laboratory Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States |
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Copyright | Copyright © 2018 Watanabe, Kuramitsu, Posey and June. 2018 Watanabe, Kuramitsu, Posey and June |
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Keywords | T cell biology chimeric antigen receptors immune synapse formation cancer immunology immunotherapy |
Language | English |
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Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 Edited by: Salem Chouaib, Institut Gustave Roussy, France Reviewed by: Maksim Mamonkin, Baylor College of Medicine, United States; Pappanaicken R. Kumaresan, University of Texas MD Anderson Cancer Center, United States This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Immunology |
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SubjectTerms | Animals Antigens, Neoplasm - immunology cancer immunology chimeric antigen receptors Humans immune synapse formation Immunological Synapses - metabolism Immunology immunotherapy Immunotherapy, Adoptive - methods Neoplasms - immunology Neoplasms - therapy Receptors, Antigen, T-Cell - genetics T cell biology T-Lymphocytes - immunology T-Lymphocytes - transplantation |
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Title | Expanding the Therapeutic Window for CAR T Cell Therapy in Solid Tumors: The Knowns and Unknowns of CAR T Cell Biology |
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