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Chimeric-antigen receptor T (CAR-T) cell therapy for solid tumors: challenges and opportunities.


ABSTRACT: Chimeric antigen receptor (CAR)-engineered T cells (CAR-T cells) have been shown to have unprecedented efficacy in B cell malignancies, most notably in B cell acute lymphoblastic leukemia (B-ALL) with up to a 90% complete remission rate using anti-CD19 CAR-T cells. However, CAR T-cell therapy for solid tumors currently is faced with numerous challenges such as physical barriers, the immunosuppressive tumor microenvironment and the specificity and safety. The clinical results in solid tumors have been much less encouraging, with multiple cases of toxicity and a lack of therapeutic response. In this review, we will discuss the current stats and challenges of CAR-T cell therapy for solid tumors, and propose possibl e solutions and future perspectives.

SUBMITTER: Xia AL 

PROVIDER: S-EPMC5685771 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature

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Chimeric-antigen receptor T (CAR-T) cell therapy for solid tumors: challenges and opportunities.

Xia An-Liang AL   Wang Xiao-Chen XC   Lu Yi-Jun YJ   Lu Xiao-Jie XJ   Sun Beicheng B  

Oncotarget 20170718 52


Chimeric antigen receptor (CAR)-engineered T cells (CAR-T cells) have been shown to have unprecedented efficacy in B cell malignancies, most notably in B cell acute lymphoblastic leukemia (B-ALL) with up to a 90% complete remission rate using anti-CD19 CAR-T cells. However, CAR T-cell therapy for solid tumors currently is faced with numerous challenges such as physical barriers, the immunosuppressive tumor microenvironment and the specificity and safety. The clinical results in solid tumors have  ...[more]

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