2021
DOI: 10.1186/s13045-021-01115-0
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T-cell receptor-based therapy: an innovative therapeutic approach for solid tumors

Abstract: T-cell receptor (TCR)-based adoptive therapy employs genetically modified lymphocytes that are directed against specific tumor markers. This therapeutic modality requires a structured and integrated process that involves patient screening (e.g., for HLA-A*02:01 and specific tumor targets), leukapheresis, generation of transduced TCR product, lymphodepletion, and infusion of the TCR-based adoptive therapy. In this review, we summarize the current technology and early clinical development of TCR-based therapy in… Show more

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Cited by 98 publications
(80 citation statements)
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“…Among the limitations of engineered TCR are the restriction of this treatment to patients with a specific HLA subtype and, on the other hand the potential mechanisms of resistance such as loss of antigen, HLA or interferon gamma signaling ( 87 , 90 ).…”
Section: Vaccines and Adoptive Cell Therapymentioning
confidence: 99%
See 1 more Smart Citation
“…Among the limitations of engineered TCR are the restriction of this treatment to patients with a specific HLA subtype and, on the other hand the potential mechanisms of resistance such as loss of antigen, HLA or interferon gamma signaling ( 87 , 90 ).…”
Section: Vaccines and Adoptive Cell Therapymentioning
confidence: 99%
“…However, the intracellular nature of KRAS makes direct antigen binding difficult. Specific driver mutations in NSCLC may be associated with high levels of expression of multiple tumor surface antigens potentially amenable to targeting CAR-T and BiTE strategies ( 90 ).…”
Section: Vaccines and Adoptive Cell Therapymentioning
confidence: 99%
“…These include, for instance, T cell receptor (TCR) gene therapy and cancer vaccines. TCR gene therapy involves the exploitation of a TCR that recognizes a specific HLA/peptide complex and which is transduced into a patient's own T cells [101]. Once administered, these modified T cells should elicit a robust antitumor immune response when the target antigen is expressed by cancer cells.…”
Section: Response To Other Immunotherapeutic Agentsmentioning
confidence: 99%
“…Then, tumor-infiltrating lymphocytes (TILs) are amplified or engineered in vitro , and subsequently infused back into the patient to achieve precise cytotoxicity on tumor cells expressing the targeting antigens. ACT therapy involves the use of unmodified TILs, T cells with engineered T-cell receptor (TCR) fragments (TCR-Ts) [ 8 , 9 ], and chimeric antibody receptor-engineered T cells (CAR-Ts) [ 10 15 ]. The clinical outcome of both ICI and ACT treatments depends on the presence of tumor-derived antigens, which are the core of tumor immunotherapy in killing tumor cells by T lymphocytes [ 16 ].…”
Section: Introductionmentioning
confidence: 99%