Current approaches to increase CAR T cell potency in solid tumors: targeting the tumor microenvironment

I Scarfò, MV Maus - Journal for immunotherapy of cancer, 2017 - Springer
Journal for immunotherapy of cancer, 2017Springer
Chimeric antigen receptor (CAR) T-cell therapy represents a revolutionary treatment for
haematological malignancies (ie B-ALL). However, the success of this type of treatment has
not yet been achieved in solid tumors. One hypothesis is that the immunosuppressive nature
of the tumor microenvironment (TME) influences and affects the efficacy of adoptive
immunotherapy. Understanding the role of the TME and its interaction with CAR T-cells is
crucial to improve the potency of adoptive immunotherapy. In this review, we discuss the …
Abstract
Chimeric antigen receptor (CAR) T-cell therapy represents a revolutionary treatment for haematological malignancies (i.e. B-ALL). However, the success of this type of treatment has not yet been achieved in solid tumors. One hypothesis is that the immunosuppressive nature of the tumor microenvironment (TME) influences and affects the efficacy of adoptive immunotherapy. Understanding the role of the TME and its interaction with CAR T-cells is crucial to improve the potency of adoptive immunotherapy. In this review, we discuss the strategies and potential combinatorial approaches recently developed in mouse models to enhance the efficacy of CAR T-cells, with particular emphasis on the translational potential of these approaches.
Springer