Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments

<div><p>Traditional cancer treatments use nonspecific drugs and monoclonal antibodies to target tumor cells. Chimeric antigen receptor (CAR)-T cell therapy, however, leverages the immune system's T-cells to recognize and attack tumor cells. T-cells are isolated from patients and mod...

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Main Author: Gunjan Dagar (9339276) (author)
Other Authors: Ashna Gupta (14150955) (author), Tariq Masoodi (8117702) (author), Sabah Nisar (12561961) (author), Maysaloun Merhi (4246147) (author), Sheema Hashem (14150961) (author), Ravi Chauhan (14150958) (author), Manisha Dagar (9339273) (author), Sameer Mirza (685921) (author), Puneet Bagga (4055866) (author), Rakesh Kumar (8432) (author), Ammira S. Al-Shabeeb Akil (15376391) (author), Muzafar A. Macha (11605200) (author), Mohammad Haris (564809) (author), Shahab Uddin (154400) (author), Mayank Singh (793077) (author), Ajaz A. Bhat (12984701) (author)
Published: 2023
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author Gunjan Dagar (9339276)
author2 Ashna Gupta (14150955)
Tariq Masoodi (8117702)
Sabah Nisar (12561961)
Maysaloun Merhi (4246147)
Sheema Hashem (14150961)
Ravi Chauhan (14150958)
Manisha Dagar (9339273)
Sameer Mirza (685921)
Puneet Bagga (4055866)
Rakesh Kumar (8432)
Ammira S. Al-Shabeeb Akil (15376391)
Muzafar A. Macha (11605200)
Mohammad Haris (564809)
Shahab Uddin (154400)
Mayank Singh (793077)
Ajaz A. Bhat (12984701)
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_facet Gunjan Dagar (9339276)
Ashna Gupta (14150955)
Tariq Masoodi (8117702)
Sabah Nisar (12561961)
Maysaloun Merhi (4246147)
Sheema Hashem (14150961)
Ravi Chauhan (14150958)
Manisha Dagar (9339273)
Sameer Mirza (685921)
Puneet Bagga (4055866)
Rakesh Kumar (8432)
Ammira S. Al-Shabeeb Akil (15376391)
Muzafar A. Macha (11605200)
Mohammad Haris (564809)
Shahab Uddin (154400)
Mayank Singh (793077)
Ajaz A. Bhat (12984701)
author_role author
dc.creator.none.fl_str_mv Gunjan Dagar (9339276)
Ashna Gupta (14150955)
Tariq Masoodi (8117702)
Sabah Nisar (12561961)
Maysaloun Merhi (4246147)
Sheema Hashem (14150961)
Ravi Chauhan (14150958)
Manisha Dagar (9339273)
Sameer Mirza (685921)
Puneet Bagga (4055866)
Rakesh Kumar (8432)
Ammira S. Al-Shabeeb Akil (15376391)
Muzafar A. Macha (11605200)
Mohammad Haris (564809)
Shahab Uddin (154400)
Mayank Singh (793077)
Ajaz A. Bhat (12984701)
dc.date.none.fl_str_mv 2023-07-07T03:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s12967-023-04292-3
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Harnessing_the_potential_of_CAR-T_cell_therapy_progress_challenges_and_future_directions_in_hematological_and_solid_tumor_treatments/25257169
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Biochemistry and cell biology
Genetics
CAR-T cell therapy
Immunotherapy
Tumor antigens
Antigen escape
Cytokine release syndrome
Hematological malignancy
Solid tumor
dc.title.none.fl_str_mv Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <div><p>Traditional cancer treatments use nonspecific drugs and monoclonal antibodies to target tumor cells. Chimeric antigen receptor (CAR)-T cell therapy, however, leverages the immune system's T-cells to recognize and attack tumor cells. T-cells are isolated from patients and modified to target tumor-associated antigens. CAR-T therapy has achieved FDA approval for treating blood cancers like B-cell acute lymphoblastic leukemia, large B-cell lymphoma, and multiple myeloma by targeting CD-19 and B-cell maturation antigens. Bi-specific chimeric antigen receptors may contribute to mitigating tumor antigen escape, but their efficacy could be limited in cases where certain tumor cells do not express the targeted antigens. Despite success in blood cancers, CAR-T technology faces challenges in solid tumors, including lack of reliable tumor-associated antigens, hypoxic cores, immunosuppressive tumor environments, enhanced reactive oxygen species, and decreased T-cell infiltration. To overcome these challenges, current research aims to identify reliable tumor-associated antigens and develop cost-effective, tumor microenvironment-specific CAR-T cells. This review covers the evolution of CAR-T therapy against various tumors, including hematological and solid tumors, highlights challenges faced by CAR-T cell therapy, and suggests strategies to overcome these obstacles, such as utilizing single-cell RNA sequencing and artificial intelligence to optimize clinical-grade CAR-T cells.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Journal of Translational Medicine<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12967-023-04292-3" target="_blank">https://dx.doi.org/10.1186/s12967-023-04292-3</a></p>
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identifier_str_mv 10.1186/s12967-023-04292-3
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/25257169
publishDate 2023
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spelling Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatmentsGunjan Dagar (9339276)Ashna Gupta (14150955)Tariq Masoodi (8117702)Sabah Nisar (12561961)Maysaloun Merhi (4246147)Sheema Hashem (14150961)Ravi Chauhan (14150958)Manisha Dagar (9339273)Sameer Mirza (685921)Puneet Bagga (4055866)Rakesh Kumar (8432)Ammira S. Al-Shabeeb Akil (15376391)Muzafar A. Macha (11605200)Mohammad Haris (564809)Shahab Uddin (154400)Mayank Singh (793077)Ajaz A. Bhat (12984701)Biological sciencesBiochemistry and cell biologyGeneticsCAR-T cell therapyImmunotherapyTumor antigensAntigen escapeCytokine release syndromeHematological malignancySolid tumor<div><p>Traditional cancer treatments use nonspecific drugs and monoclonal antibodies to target tumor cells. Chimeric antigen receptor (CAR)-T cell therapy, however, leverages the immune system's T-cells to recognize and attack tumor cells. T-cells are isolated from patients and modified to target tumor-associated antigens. CAR-T therapy has achieved FDA approval for treating blood cancers like B-cell acute lymphoblastic leukemia, large B-cell lymphoma, and multiple myeloma by targeting CD-19 and B-cell maturation antigens. Bi-specific chimeric antigen receptors may contribute to mitigating tumor antigen escape, but their efficacy could be limited in cases where certain tumor cells do not express the targeted antigens. Despite success in blood cancers, CAR-T technology faces challenges in solid tumors, including lack of reliable tumor-associated antigens, hypoxic cores, immunosuppressive tumor environments, enhanced reactive oxygen species, and decreased T-cell infiltration. To overcome these challenges, current research aims to identify reliable tumor-associated antigens and develop cost-effective, tumor microenvironment-specific CAR-T cells. This review covers the evolution of CAR-T therapy against various tumors, including hematological and solid tumors, highlights challenges faced by CAR-T cell therapy, and suggests strategies to overcome these obstacles, such as utilizing single-cell RNA sequencing and artificial intelligence to optimize clinical-grade CAR-T cells.</p><p> </p></div><h2>Other Information</h2> <p> Published in: Journal of Translational Medicine<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1186/s12967-023-04292-3" target="_blank">https://dx.doi.org/10.1186/s12967-023-04292-3</a></p>2023-07-07T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12967-023-04292-3https://figshare.com/articles/journal_contribution/Harnessing_the_potential_of_CAR-T_cell_therapy_progress_challenges_and_future_directions_in_hematological_and_solid_tumor_treatments/25257169CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/252571692023-07-07T03:00:00Z
spellingShingle Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
Gunjan Dagar (9339276)
Biological sciences
Biochemistry and cell biology
Genetics
CAR-T cell therapy
Immunotherapy
Tumor antigens
Antigen escape
Cytokine release syndrome
Hematological malignancy
Solid tumor
status_str publishedVersion
title Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
title_full Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
title_fullStr Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
title_full_unstemmed Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
title_short Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
title_sort Harnessing the potential of CAR-T cell therapy: progress, challenges, and future directions in hematological and solid tumor treatments
topic Biological sciences
Biochemistry and cell biology
Genetics
CAR-T cell therapy
Immunotherapy
Tumor antigens
Antigen escape
Cytokine release syndrome
Hematological malignancy
Solid tumor