2022
DOI: 10.3390/vaccines10030457
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Genetic Modification of T Cells for the Immunotherapy of Cancer

Abstract: Immunotherapy is a beneficial treatment approach for multiple cancers, however, current therapies are effective only in a small subset of patients. Adoptive cell transfer (ACT) is a facet of immunotherapy where T cells targeting the tumor cells are transferred to the patient with several primary forms, utilizing unmodified or modified T cells: tumor-infiltrating lymphocytes (TIL), genetically modified T cell receptor transduced T cells, and chimeric antigen receptor (CAR) transduced T cells. Many clinical tria… Show more

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Cited by 2 publications
(2 citation statements)
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“…Despite the demonstration in previous studies of the variable effectiveness of using TILs in ovarian cancer, renal-cell carcinoma, and metastatic cases, TILs have not achieved more than a 50% response rate in melanoma cases [131]. The failure of TIL treatments in some cancers has been attributed to the difficulty of isolating TILs from lesions, such as those in the lungs, liver, and brain, and most of the TILs in these cases were not sufficiently enriched to counteract the tumor-specific antigens [132].…”
Section: Cell-based Immunotherapy-adoptive Cellular Transfer (Act)mentioning
confidence: 99%
“…Despite the demonstration in previous studies of the variable effectiveness of using TILs in ovarian cancer, renal-cell carcinoma, and metastatic cases, TILs have not achieved more than a 50% response rate in melanoma cases [131]. The failure of TIL treatments in some cancers has been attributed to the difficulty of isolating TILs from lesions, such as those in the lungs, liver, and brain, and most of the TILs in these cases were not sufficiently enriched to counteract the tumor-specific antigens [132].…”
Section: Cell-based Immunotherapy-adoptive Cellular Transfer (Act)mentioning
confidence: 99%
“…Historically, the first ACT that proved effective is tumor-infiltrating lymphocyte (TIL) therapy, reaching a high response rate in advanced melanoma patients [157]. Another approach is redirecting the specificity of T cells via genetic engineering, introducing genes encoding tumor antigen-recognizing TCRs, or transducing them with chimeric antigen receptors (CARs) [155,158]. CARs consist of an scFv fragment of a tumor antigen-specific immunoglobulin connected to the CD3ζ signaling chain via a hinge and a transmembrane domain and of costimulatory domains.…”
Section: Targeting the Immune Systemmentioning
confidence: 99%