Cellular networks controlling T cell persistence in adoptive cell therapy
Details
Publication Year 2021-12,Volume 21,Issue #12,Page 769-784
Journal Title
Nature Reviews Immunology
Publication Type
Review
Abstract
The antitumour activity of endogenous or adoptively transferred tumour-specific T cells is highly dependent on their differentiation status. It is now apparent that less differentiated T cells compared with fully differentiated effector T cells have better antitumour therapeutic effects owing to their enhanced capacity to expand and their long-term persistence. In patients with cancer, the presence of endogenous or adoptively transferred T cells with stem-like memory or precursor phenotype correlates with improved therapeutic outcomes. Advances in our understanding of T cell differentiation states at the epigenetic and transcriptional levels have led to the development of novel methods to generate tumour-specific T cells - namely, chimeric antigen receptor T cells - that are more persistent and resistant to the development of dysfunction. These include the use of novel culture methods before infusion, modulation of transcriptional, metabolic and/or epigenetic programming, and strategies that fine-tune antigen receptor signalling. This Review discusses existing barriers and strategies to overcome them for successful T cell expansion and persistence in the context of adoptive T cell immunotherapy for solid cancers.
Keywords
Animals; Cell- and Tissue-Based Therapy; Humans; *Immunotherapy, Adoptive; Lymphocyte Activation; Neoplasms/*immunology/pathology/*therapy; T-Lymphocytes/*cytology/*immunology
Department(s)
Laboratory Research
PubMed ID
33879873
Terms of Use/Rights Notice
Refer to copyright notice on published article.


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