RETRACTED ARTICLE: Hurdles to breakthrough in CAR T cell therapy of solid tumors
Open accessAbstract
Autologous T cells genetically engineered to express chimeric antigen receptor (CAR) have shown promising outcomes and emerged as a new curative option for hematological malignancy, especially malignant neoplasm of B cells. Notably, when T cells are transduced with CAR constructs, composed of the antigen recognition domain of monoclonal antibodies, they retain their cytotoxic properties in a major histocompatibility complex (MHC)-independent manner. Despite its beneficial effect, the current CAR T cell therapy approach faces myriad challenges in solid tumors, including immunosuppressive tumor microenvironment (TME), tumor antigen heterogeneity, stromal impediment, and tumor accessibility, as well as tribulations such as on-target/off-tumor toxicity and cytokine release syndrome (CRS). Herein, we highlight the complications that hamper the effectiveness of CAR T cells in solid tumors and the strategies that have been recommended to overcome these hurdles and improve infused T cell performance.
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Poor CAR T cell activity against solid tumors has been attributed to insufficient activation and proliferation of modified T cells, as well as to their limited persistence.
“Poor CAR T cell activity against solid tumors has been attributed to the insufficient activation and proliferation of modified T cells, as well as to their limited persistence [2].”
From Ectopic PU.1 Expression Provides Chimeric Antigen Receptor (CAR) T Cells with Innate Cell Capacities Including IFN-β Release (2024) · cites this paper as [2]
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- Authors
- Marofi, F., Achmad, H., Bokov, D., Abdelbasset, W. K., Alsadoon, Z., Chupradit, S., Suksatan, W., Shariatzadeh, S., Hasanpoor, Z., Yazdanifar, M., Shomali, N., & Khiavi, F. M.
- Affiliations
- Tabriz University of Medical Sciences (IR)
- Hasanuddin University (ID)
- Sechenov University (RU)
- Prince Sattam Bin Abdulaziz University (SA)
- Iraqi University (IQ)
- Chiang Mai University (TH)
- Chulabhorn Royal Academy (TH)
- Shahid Beheshti University (IR)
- Tarbiat Modares University (IR)
- Stanford Medicine (US)
- Pasteur Institute of Iran (IR)
- Corresponding author
- Khiavi, Farhad Motavalli
- ORCID
- Venue
- Stem Cell Research & Therapy
- Published
- 2022-04-01
- Volume
- 13
- Issue
- 1
- Pages
- 140-140
- ISSN
- 1757-6512 (ISSN-L)
- PMC
- PMC8974159
- OpenAlex
- W4220816662
- Cited by
- 47
- References
- 196
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 15 · 2023: 15 · 2022: 4
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Status
- Retracted
- Update notices
- retraction (2026-06-10)
- Open access
- gold
- doi.org
- Locations
- Stem Cell Research & Therapy (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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, solid tumors, chimeric antigen receptor, tumor microenvironment, tumor antigen heterogeneity, on-target off-tumor toxicity, cytokine release syndrome, hematologic malignancies
- MeSH terms
- Receptors, Chimeric Antigen, Humans, Neoplasms, T-Lymphocytes, Immunotherapy, Adoptive, Tumor Microenvironment
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