Maher John, Davies David M
CAR Mechanics Group, Guy's Cancer Centre, School of Cancer and Pharmaceutical Sciences, King's College London, Great Maze Pond, London SE1 9RT, UK.
Department of Immunology, Eastbourne Hospital, Kings Drive, Eastbourne BN21 2UD, UK.
Cancers (Basel). 2023 Feb 11;15(4):1171. doi: 10.3390/cancers15041171.
Immunotherapy with CAR T-cells has revolutionised the treatment of B-cell and plasma cell-derived cancers. However, solid tumours present a much greater challenge for treatment using CAR-engineered immune cells. In a partner review, we have surveyed data generated in clinical trials in which patients with solid tumours that expressed any of 30 discrete targets were treated with CAR-based immunotherapy. That exercise confirms that efficacy of this approach falls well behind that seen in haematological malignancies, while significant toxic events have also been reported. Here, we consider approximately 60 additional candidates for which such clinical data are not available yet, but where pre-clinical data have provided support for their advancement to clinical evaluation as CAR target antigens.
嵌合抗原受体(CAR)T细胞免疫疗法彻底改变了B细胞和浆细胞来源癌症的治疗方式。然而,实体瘤对于使用CAR工程化免疫细胞进行治疗而言,是一个更大的挑战。在一篇合作综述中,我们调查了在临床试验中生成的数据,在这些试验中,表达30种不同靶点中任何一种的实体瘤患者接受了基于CAR的免疫疗法治疗。这项研究证实,这种方法的疗效远远落后于血液系统恶性肿瘤,同时也报告了显著的毒性事件。在此,我们考虑了另外约60个候选靶点,目前尚无这些靶点的此类临床数据,但临床前数据已为将它们作为CAR靶抗原推进到临床评估提供了支持。