Novel approaches to enhance the specificity and safety of engineered T cells Journal Article


Authors: Fedorov, V. D.; Sadelain, M.; Kloss, C. C.
Article Title: Novel approaches to enhance the specificity and safety of engineered T cells
Abstract: T-cell therapies using engineered T cells show great promise for cancer immunotherapy, as illustrated by the CD19 paradigm. Much of the excitement about this approach, and second-generation CARs in particular, is due to the dramatic clinical results recently reported by a few centers, especially in acute lymphoblastic leukemia, and the applicability of this approach, in principle, to a wide range of cancers. Extending the use of CAR therapies to cancers other than B-cell malignancies will require selective tumor targeting with minimal or acceptable "on-target, off-tumor" effects. The identification of new CAR target antigens is thus one of the next big challenges to address. Recognizing the paucity of currently available tumor-specific targets, we have developed broadly applicable approaches to enhance the tumor selectivity and safety of engineered T cells. Here, we review 2 promising concepts. One is to improve tumor targeting based on combinatorial antigen recognition. The other uses receptors that provide antigen-specific inhibition, which we named iCARs, to divert T cells from the normal tissues one wants to protect. Copyright © 2014 Lippincott Williams & Wilkins.
Keywords: cancer immunotherapy; cd19; car therapies; t-cell therapies
Journal Title: The Cancer Journal
Volume: 20
Issue: 2
ISSN: 1528-9117
Publisher: Lippincott Williams & Wilkins  
Date Published: 2014-03-01
Start Page: 160
End Page: 165
Language: English
DOI: 10.1097/ppo.0000000000000040
PROVIDER: scopus
PUBMED: 24667964
DOI/URL:
Notes: Export Date: 1 May 2014 -- CODEN: CAJOC -- Source: Scopus
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  1. Michel W J Sadelain
    583 Sadelain
  2. Christopher Carl Kloss
    11 Kloss