Medical Oncology, Centre Eugène Marquis, University of Rennes 1, Rennes, France.
Department of Hematology, CHU Rennes, INSERM U1236, University of Rennes, Rennes, France.
J Hematol Oncol. 2021 Apr 19;14(1):65. doi: 10.1186/s13045-021-01067-5.
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.
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。
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