CRISPR-engineered T cells in patients with refractory cancer
Open accessAbstract
CRISPR takes first steps in humans: CRISPR-Cas9 is a revolutionary gene-editing technology that offers the potential to treat diseases such as cancer, but the effects of CRISPR in patients are currently unknown. Stadtmauer et al. report a phase 1 clinical trial to assess the safety and feasibility of CRISPR-Cas9 gene editing in three patients with advanced cancer (see the Perspective by Hamilton and Doudna). They removed immune cells called T lymphocytes from patients and used CRISPR-Cas9 to disrupt three genes ( TRAC, TRBC , and PDCD1 ) with the goal of improving antitumor immunity. A cancer-targeting transgene, NY-ESO-1, was also introduced to recognize tumors. The engineered cells were administered to patients and were well tolerated, with durable engraftment observed for the study duration. These encouraging observations pave the way for future trials to study CRISPR-engineered cancer immunotherapies. Science , this issue p. eaba7365 ; see also p. 976
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CRISPR-Cas9 ablation of checkpoint targets such as PD-1 in adoptive T cell therapies has shown increased functionality in certain models and is being pursued clinically.
“CRISPR-Cas9 genetic ablation of checkpoint targets such as PD-1 in adoptive T cell therapies has also shown increased functionality in certain models and is being persued clinically (Ren et al., 2017; Rupp et al., 2017; Stadtmauer et al., 2020; Su et al., 2016).”
From Pooled Knockin Targeting for Genome Engineering of Cellular Immunotherapies (2020) · cites this paper as Stadtmauer et al., 2020
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Self-citation
- Authors
- Stadtmauer, E. A., Fraietta, J. A., Davis, M. M., Cohen, A. D., Weber, K. L., Lancaster, E., Mangan, P. A., Kulikovskaya, I., Gupta, M., Chen, F., Tian, L., Gonzalez, V. E., Xu, J., Jung, I.-Y., Melenhorst, J. J., Plesa, G., Shea, J., Matlawski, T., Cervini, A., Gaymon, A. L., Desjardins, S., Lamontagne, A., Salas-Mckee, J., Fesnak, A., Siegel, D. L., Levine, B. L., Jadlowsky, J. K., Young, R. M., Chew, A., Hwang, W.-T., Hexner, E. O., Carreno, B. M., Nobles, C. L., Bushman, F. D., Parker, K. R., Qi, Y., Satpathy, A. T., Chang, H. Y., Zhao, Y., Lacey, S. F., & June, C. H.
- Affiliations
- Abramson Cancer Center (US)
- Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
- University of Pennsylvania (US)
- Stanford Medicine (US)
- Howard Hughes Medical Institute (US)
- Corresponding author
- Stadtmauer, Edward A.
- Fraietta, Joseph A.
- Lacey, Simon F.
- June, Carl H.
- ORCID
- Stadtmauer, Edward A.
- Fraietta, Joseph A.
- Davis, Megan M.
- Cohen, Adam D.
- Weber, Kristy L.
- Lancaster, Eric
- Kulikovskaya, Irina
- Gupta, Minnal
- Tian, Lifeng
- Gonzalez, Vanessa E.
- Xu, Jun
- Jung, In-young
- Melenhorst, J. Joseph
- Plesa, Gabriela
- Shea, Joanne
- Matlawski, Tina
- Cervini, Amanda
- Gaymon, Avery L.
- Desjardins, Stephanie
- Lamontagne, Anne
- Salas-Mckee, January
- Fesnak, Andrew
- Siegel, Donald L.
- Levine, Bruce L.
- Jadlowsky, Julie K.
- Young, Regina M.
- Hwang, Wei-Ting
- Hexner, Elizabeth O.
- Carreno, Beatriz M.
- Nobles, Christopher L.
- Bushman, Frederic D.
- Parker, Kevin R.
- Qi, Yanyan
- Satpathy, Ansuman T.
- Chang, Howard Y.
- Zhao, Yangbing
- Lacey, Simon F.
- June, Carl H.
- Venue
- Science
- Published
- 2020-02-28
- Volume
- 367
- Issue
- 6481
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC11249135
- OpenAlex
- W3004461655
- Cited by
- 1,478
- References
- 58
- Citations by year
- 2026: 168 · 2025: 203 · 2024: 210 · 2023: 210 · 2022: 253 · 2021: 260 · 2020: 168
- FWCI
- 80.73
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Office of Extramural Research, National Institutes of Health (2R01CA120409)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › CRISPR and Genetic Engineering
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- CRISPR/Cas9 genome editing, T cell engineering, refractory cancer, feasibility and safety, TRAC, PDCD1, NY-ESO-1, cancer immunotherapy, antitumor immunity, T cell engraftment
- MeSH terms
- Gene Editing, CRISPR-Associated Protein 9, Aged, Female, Humans, Male, Middle Aged, T-Lymphocytes, Receptors, Antigen, T-Cell, alpha-beta, Transgenes, Adoptive Transfer, Cell Engineering, Programmed Cell Death 1 Receptor, CRISPR-Cas Systems
About these checks
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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