CAR T cells: Continuation in a revolution of immunotherapy
Abstract
The recent clinical successes of immunotherapy, as a result of a broader and more profound understanding of cancer immunobiology, and the leverage of this knowledge to effectively eradicate malignant cells, has revolutionised the field of cancer therapeutics. Immunotherapy is now considered the fifth pillar of cancer care, alongside surgery, chemotherapy, radiotherapy, and targeted therapy. Recently, the success of genetically modified T cells that express chimeric antigen receptors (CAR T cells) has generated considerable excitement. CAR T-cell therapy research and development has built on experience generated by laboratory research and clinical investigation of lymphokine-activated killer cells, tumour-infiltrating lymphocytes, and allogeneic haemopoietic stem-cell transplantation for cancer treatment. This Review aims to provide a background on the field of adoptive T-cell therapy and the development of genetically modified T cells, most notably CAR T-cell therapy. Many challenges exist to optimise efficacy, minimise toxicity, and broaden the application of immunotherapies based on T cells.
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Despite the great effectiveness of CAR T-cell therapy, there is a considerable risk of toxicity, particularly the hazard of developing cytokine release syndrome (CRS).
“despite the great effectiveness of CAR T-cell therapy, there is a considerable risk of toxicity, particularly the hazard of developing cytokine release syndrome (CRS) [138]”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [138]
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Cytotoxic CD8+ T cells in cancer and cancer immunotherapy
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Cell Fate Reprogramming in the Era of Cancer Immunotherapy
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Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy
Nikolouzakis, T. K., Chrysos, E., Docea, A. O., Fragkiadaki, P., Souglakos, J., Tsiaoussis, J., & Tsatsakis, A. (2024) · Cancers · doi:10.3390/cancers16111995 · Cited by 37 · see citing works
- Authors
- Singh, A. K., & McGuirk, J. P.
- Affiliations
- University of Kansas Medical Center (US)
- Corresponding author
- Singh, Anurag K
- Venue
- The Lancet Oncology
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 21
- Issue
- 3
- Pages
- e168-e178
- ISSN
- 1470-2045 (ISSN-L)
- OpenAlex
- W3010217167
- Cited by
- 303
- References
- 127
- Citations by year
- 2026: 17 · 2025: 32 · 2024: 51 · 2023: 55 · 2022: 77 · 2021: 48 · 2020: 22
- FWCI
- 5.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Oncology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fresenius Biotech
- Astellas Pharma Global Development
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- CAR T-cell therapy, chimeric antigen receptor, adoptive T cell therapy, genetically modified T cells, cancer immunotherapy, lymphokine-activated killer cells, tumor-infiltrating lymphocytes, allogeneic hematopoietic stem cell transplantation, immunotherapy toxicity
- MeSH terms
- Receptors, Chimeric Antigen, Animals, Diffusion of Innovation, Forecasting, Humans, Neoplasms, T-Lymphocytes, Immunotherapy, Adoptive, Treatment Outcome, Tumor Microenvironment
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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