Patel Urvi, Abernathy John, Savani Bipin N, Oluwole Olalekan, Sengsayadeth Salyka, Dholaria Bhagirathbhai
College of Pharmacy The University of Tennessee Health Science Center Nashville Tennessee USA.
College of Medicine The University of Tennessee Health Science Center Memphis Tennessee USA.
EJHaem. 2021 Dec 7;3(Suppl 1):24-31. doi: 10.1002/jha2.356. eCollection 2022 Jan.
Chimeric antigen receptor (CAR) T cell therapy has made tremendous strides in the arena of hematological malignancies with approved therapies in certain leukemias, lymphomas, and recently myeloma with overall highly favorable response rates. While numerous clinical studies are still ongoing for hematological malignancies, research is developing to translate the feasibility of CAR T therapy in solid organ malignancies. Unfortunately, the majority of diagnosed cancers are primarily solid tumors. Thus, a highly unmet clinical need for further research and development exists in this field. This review article highlights currently active clinical trials and a few pertinent preclinical studies involving CAR T cell therapy in solid tumors while briefly discussing study outcomes and potential key targets that may allow for the feasibility of this therapy option. Finally, we mention critical challenges existing in the solid tumor environment and discuss developing strategies that may potentially overcome the existing barriers to CAR T cell progress in solid tumors.
嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤领域取得了巨大进展,某些白血病、淋巴瘤以及最近的骨髓瘤的相关疗法已获批准,总体缓解率非常可观。虽然针对血液系统恶性肿瘤的众多临床研究仍在进行,但也在开展研究以将CAR T细胞疗法应用于实体器官恶性肿瘤的可行性进行转化。不幸的是,大多数确诊癌症主要是实体瘤。因此,该领域存在对进一步研发的高度未满足的临床需求。这篇综述文章重点介绍了目前正在进行的涉及实体瘤CAR T细胞疗法的临床试验以及一些相关的临床前研究,同时简要讨论了研究结果和可能使这种治疗选择具有可行性的潜在关键靶点。最后,我们提及实体瘤环境中存在的关键挑战,并讨论可能克服实体瘤中CAR T细胞进展现有障碍的发展策略。