Abstract
Harnessing the power of the immune system to target cancer has long been a goal of tumor immunologists. One avenue under investigation is the modification of T cells to express a chimeric antigen receptor (CAR). Expression of such a receptor enables T-cell specificity to be redirected against a chosen tumor antigen. Substantial research in this field has been carried out, incorporating a wide variety of malignancies and tumor-associated antigens. Ongoing investigations will ensure this area continues to expand at a rapid pace. This review will explain the evolution of CAR technology over the last two decades in addition to detailing the associated benefits and disadvantages. The outcome of recent phase I clinical trials and the impact that these have had upon the direction of future research in this field will also be addressed.
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Abbreviations
- CAR:
-
Chimeric antigen receptor
- HLA:
-
Human leukocyte antigen
- MHC:
-
Major histocompatibility complex
- TCR:
-
T-cell receptor
- chTCR:
-
Chimeric TCR
- scFv:
-
Single-chain antibody fragment
- TNP:
-
Trinitrophenol
- Treg:
-
Regulatory T-cell
- IL:
-
Interleukin
- EBV:
-
Epstein–Barr virus
- HSV-TK:
-
Herpes simplex virus thymidine kinase
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Acknowledgments
Grant support for D. M. Davies is provided by a Graduate School PhD Studentship, King’s College, London, and by a project grant awarded by the Association for International Cancer Research (08-0419). J. Maher is supported by a Breast Cancer Campaign Project Grant (2006NovPR18) and a Royal College of Pathologists/Health Foundation Senior Clinician Scientist Research Fellowship. Since submission of this review, there have been two fatalities in patients shortly after systemic administration of CAR-grafted T-cells. One of these events has been described by Morgan et al. 2010.
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Davies, D.M., Maher, J. Adoptive T-cell Immunotherapy of Cancer Using Chimeric Antigen Receptor-Grafted T Cells. Arch. Immunol. Ther. Exp. 58, 165–178 (2010). https://doi.org/10.1007/s00005-010-0074-1
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DOI: https://doi.org/10.1007/s00005-010-0074-1