Gene Augmentation and Editing to Improve TCR Engineered T Cell Therapy against Solid Tumors
Open accessAbstract
Recent developments in gene engineering technologies have drastically improved the therapeutic treatment options for cancer patients. The use of effective chimeric antigen receptor T (CAR-T) cells and recombinant T cell receptor engineered T (rTCR-T) cells has entered the clinic for treatment of hematological malignancies with promising results. However, further fine-tuning, to improve functionality and safety, is necessary to apply these strategies for the treatment of solid tumors. The immunosuppressive microenvironment, the surrounding stroma, and the tumor heterogeneity often results in poor T cell reactivity, functionality, and a diminished infiltration rates, hampering the efficacy of the treatment. The focus of this review is on recent advances in rTCR-T cell therapy, to improve both functionality and safety, for potential treatment of solid tumors and provides an overview of ongoing clinical trials. Besides selection of the appropriate tumor associated antigen, efficient delivery of an optimized recombinant TCR transgene into the T cells, in combination with gene editing techniques eliminating the endogenous TCR expression and disrupting specific inhibitory pathways could improve adoptively transferred T cells. Armoring the rTCR-T cells with specific cytokines and/or chemokines and their receptors, or targeting the tumor stroma, can increase the infiltration rate of the immune cells within the solid tumors. On the other hand, clinical “off-tumor/on-target” toxicities are still a major potential risk and can lead to severe adverse events. Incorporation of safety switches in rTCR-T cells can guarantee additional safety. Recent clinical trials provide encouraging data and emphasize the relevance of gene therapy and gene editing tools for potential treatment of solid tumors.
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TCR-T cell therapy has shown relative effectiveness in the treatment of solid tumors compared to CAR-T cell therapy due to the ability of TCR-T cells to recognize both intracellular and extracellular proteins.
“TCR-T cell therapy has shown relative effectiveness in the treatment of solid tumors compared to CAR-T cell therapy due to the ability of TCR-T cells to recognize both intracellular and extracellular proteins.”
From Multiple myeloma: signaling pathways and targeted therapy (2024) · cites this paper as [277]
Section 1 says rTCR-T cells can recognize peptides from both extracellular and intracellular proteins, a major advantage over CAR-T cells, and that CAR-T treatment has been less effective for solid tumors. It describes the resulting advantage for rTCR-T treatment as potential, however; it does not establish that TCR-T therapy has shown superior clinical effectiveness against solid tumors. (LLM, conf=0.86)
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- Authors
- Lo Presti, V., Buitenwerf, F., van Til, N. P., & Nierkens, S.
- Affiliations
- Center for Translational Immunology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands
- University Medical Center Utrecht (NL)
- Venue
- Vaccines
- Publisher
- MDPI AG
- Published
- 2020-12-03
- Volume
- 8
- Issue
- 4
- Pages
- 733
- ISSN
- 2076-393X (ISSN-L)
- PMC
- PMC7761868
- OpenAlex
- W3107298471
- Cited by
- 14
- References
- 112
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 4 · 2021: 5
- FWCI
- 0.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Vaccines (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Funders
- KWF Kankerbestrijding (10474)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Keywords
- T cell engineering, solid tumors, genome editing, tumor microenvironment, tumor stroma, tumor heterogeneity, on-target off-tumor toxicity, safety switch, tumor-associated antigens, adoptive T cell therapy, clinical trials
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