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Cited by 1,183

The DOI matches its Crossref record; 9 of the 9 references it cites were found in a registry or an index.

Tumor Antigen Escape from CAR T-cell Therapy

Majzner, Robbie G., Mackall, Crystal L.·2018·Cancer Discovery

Abstract

Emerging data from chimeric antigen receptor (CAR) T-cell trials in B-cell malignancies demonstrate that a common mechanism of resistance to this novel class of therapeutics is the emergence of tumors with loss or downregulation of the target antigen. Antigen loss or antigen-low escape is likely to emerge as an even greater barrier to success in solid tumors, which manifest greater heterogeneity in target antigen expression. Potential approaches to overcome this challenge include engineering CAR T cells to achieve multispecificity and to respond to lower levels of target antigen and more efficient induction of natural antitumor immune responses as a result of CAR-induced inflammation. In this article, we review the evidence to date for antigen escape and downregulation and discuss approaches currently under study to overcome these obstacles. Significance: Antigen escape and downregulation have emerged as major issues impacting the durability of CAR T-cell therapy. Here, we explore their incidence and ways to overcome these obstacles in order to improve clinical outcomes. Cancer Discov; 8(10); 1219–26. ©2018 AACR.

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Metadata

Authors
Majzner, R. G., & Mackall, C. L.
Venue
Cancer Discovery
Published
2018-10-01
Volume
8
Issue
10
Pages
1219-1226
ISSN
  • 2159-8274 (ISSN-L)
  • 2159-8290
OpenAlex
W2888063816
Cited by
1,183
References
9
FWCI
26.88
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Tumor Antigen Escape from CAR T-cell Therapy. https://app.cochat.ai/papers/10.1158/2159-8290.cd-18-0442
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Majzner, R. G., & Mackall, C. L. (2018). Tumor Antigen Escape from CAR T-cell Therapy. Cancer Discovery. https://doi.org/10.1158/2159-8290.cd-18-0442

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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