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嵌合抗原受体 T 细胞和双特异性 T 细胞衔接子在实体瘤中的应用:挑战与展望。

CAR-T cells and BiTEs in solid tumors: challenges and perspectives.

机构信息

Medical Oncology, Centre Eugène Marquis, University of Rennes 1, Rennes, France.

Department of Hematology, CHU Rennes, INSERM U1236, University of Rennes, Rennes, France.

出版信息

J Hematol Oncol. 2021 Apr 19;14(1):65. doi: 10.1186/s13045-021-01067-5.


DOI:10.1186/s13045-021-01067-5
PMID:33874996
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8054411/
Abstract

Chimeric antigen receptor (CAR)-modified T cells and BiTEs are both immunotherapies which redirect T cell specificity against a tumor-specific antigen through the use of antibody fragments. They demonstrated remarkable efficacy in B cell hematologic malignancies, thus paving the way for their development in solid tumors. Nonetheless, the use of such new drugs to treat solid tumors is not straightforward. So far, the results from early phase clinical trials are not as impressive as expected but many improvements are under way. In this review we present an overview of the clinical development of CAR-T cells and BiTEs targeting the main antigens expressed by solid tumors. We emphasize the most frequent hurdles encountered by either CAR-T cells or BiTEs, or both, and summarize the strategies that have been proposed to overcome these obstacles.

摘要

嵌合抗原受体 (CAR)-修饰 T 细胞和双特异性 T 细胞衔接子 (BiTEs) 都是免疫疗法,它们通过使用抗体片段将 T 细胞的特异性重新导向肿瘤特异性抗原。这些疗法在 B 细胞血液恶性肿瘤中显示出显著的疗效,从而为它们在实体瘤中的发展铺平了道路。然而,使用这些新药治疗实体瘤并非易事。到目前为止,早期临床试验的结果并不如预期的那样令人印象深刻,但许多改进正在进行中。在这篇综述中,我们介绍了针对实体瘤表达的主要抗原的 CAR-T 细胞和 BiTEs 的临床开发概况。我们强调了 CAR-T 细胞或 BiTEs 或两者都遇到的最常见障碍,并总结了为克服这些障碍而提出的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e0/8054411/8a8ba9f8a8cf/13045_2021_1067_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e0/8054411/8a8ba9f8a8cf/13045_2021_1067_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d4e0/8054411/8a8ba9f8a8cf/13045_2021_1067_Fig1_HTML.jpg

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CAR-T cells and BiTEs in solid tumors: challenges and perspectives.

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本文引用的文献

[1]
Trispecific antibodies enhance the therapeutic efficacy of tumor-directed T cells through T cell receptor co-stimulation.

Nat Cancer. 2020-1

[2]
Antitumor activity without on-target off-tumor toxicity of GD2-chimeric antigen receptor T cells in patients with neuroblastoma.

Sci Transl Med. 2020-11-25

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TriTACs, a Novel Class of T-Cell-Engaging Protein Constructs Designed for the Treatment of Solid Tumors.

Mol Cancer Ther. 2021-1

[4]
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J Immunother Cancer. 2020-8

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Tebentafusp, A TCR/Anti-CD3 Bispecific Fusion Protein Targeting gp100, Potently Activated Antitumor Immune Responses in Patients with Metastatic Melanoma.

Clin Cancer Res. 2020-11-15

[6]
Tumor response and endogenous immune reactivity after administration of HER2 CAR T cells in a child with metastatic rhabdomyosarcoma.

Nat Commun. 2020-7-15

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Engineering Strategies to Enhance TCR-Based Adoptive T Cell Therapy.

Cells. 2020-6-18

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Nat Immunol. 2020-5-18

[9]
The BiTE (bispecific T-cell engager) platform: Development and future potential of a targeted immuno-oncology therapy across tumor types.

Cancer. 2020-7-15

[10]
Chimeric Antigen Receptor-Glypican-3 T-Cell Therapy for Advanced Hepatocellular Carcinoma: Results of Phase I Trials.

Clin Cancer Res. 2020-8-1

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