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Title: CAR-T Cells Hit the Tumor Microenvironment: Strategies to Overcome Tumor Escape
Author: Rodríguez García, Alba
Palazón, Asis
Noguera Ortega, Estela
Powell, Daniel J.
Guedán Carrió, Sònia
Keywords: Cèl·lules T
T cells
Immunosupressive agents
Issue Date: 17-Jun-2020
Publisher: Frontiers Media
Abstract: Chimeric antigen receptor (CAR) T cell therapies have demonstrated remarkable efficacy for the treatment of hematological malignancies. However, in patients with solid tumors, objective responses to CAR-T cell therapy remain sporadic and transient. A major obstacle for CAR-T cells is the intrinsic ability of tumors to evade immune responses. Advanced solid tumors are largely composed of desmoplastic stroma and immunosuppressive modulators, and characterized by aberrant cell proliferation and vascularization, resulting in hypoxia and altered nutrient availability. To mount a curative response after infusion, CAR-T cells must infiltrate the tumor, recognize their cognate antigen and perform their effector function in this hostile tumor microenvironment, to then differentiate and persist as memory T cells that confer long-term protection. Fortunately, recent advances in synthetic biology provide a wide set of tools to genetically modify CAR-T cells to overcome some of these obstacles. In this review, we provide a comprehensive overview of the key tumor intrinsic mechanisms that prevent an effective CAR-T cell antitumor response and we discuss the most promising strategies to prevent tumor escape to CAR-T cell therapy.
Note: Reproducció del document publicat a:
It is part of: Frontiers in Immunology, 2020, 11, 1109-NA
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Appears in Collections:Publicacions de projectes de recerca finançats per la UE
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

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