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SURMOUNTING THE OBSTACLES THAT IMPEDE EFFECTIVE CAR TCELL TRAFFICKING TO SOLID TUMORS
Tráfico de células T
Engenharia de receptor de antígeno quimérico
Motilidade
Matriz extracelular
Microambiente tumoral
T cell trafficking
Chimeric antigen receptor engineering
Motility
Extracellular matrix
Tumor microenvironment
Affilliation
Université de Paris, Institut Cochin, INSERM, U1016, CNRS, UMR8104. Paris, France.
INSERM, UMR1043, Centre de Physiopathologie de Toulouse Purpan, Toulouse, France / CNRS, UMR5282. Toulouse, France / Université Toulouse III Paul-Sabatier, Toulouse, France.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Instituto Nacional de Ciência e Tecnologia em Imunomodulação. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Instituto Nacional de Ciência e Tecnologia em Imunomodulação. Rio de Janeiro, RJ, Brasil.
INSERM, UMR1043, Centre de Physiopathologie de Toulouse Purpan, Toulouse, France / CNRS, UMR5282. Toulouse, France / Université Toulouse III Paul-Sabatier, Toulouse, France.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Instituto Nacional de Ciência e Tecnologia em Imunomodulação. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Pesquisa sobre o Timo. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Instituto Nacional de Ciência e Tecnologia em Imunomodulação. Rio de Janeiro, RJ, Brasil.
Abstract
Innovative immunotherapies based on immune checkpoint targeting antibodies and engineered
T cells are transforming the way we approach cancer treatment. However, although these T cell
centered strategies result in marked and durable responses in patients across many different
tumor types, they provide therapeutic efficacy only in a proportion of patients. A major challenge
of immuno-oncology is thereby to identify mechanisms responsible for resistance to cancer
immunotherapy in order to overcome them via adapted strategies thatwill ultimately improve
intrinsic efficacy and response rates. Here, we focus on the barriers that restrain the trafficking
of chimeric antigen receptor (CAR)-expressing T cells to solid tumors. Upon infusion, CAR T cells
need to home into malignant sites, navigate within complex tumor environments, form productive
interactions with cancer cells, deliver their cytotoxic activities, and finally persist.We review
the accumulating evidence that the microenvironment of solid tumors contains multiple obstacles
that hinder CAR T cells in the dynamic steps underlying their trafficking.We focus on how these
hurdles may in part account for the failure of CAR T cell clinical trials in human carcinomas. Given
the engineered nature of CAR T cells and possibilities to modify the tumor environment, there
are ample opportunities to augment CAR T cell ability to efficiently find and combat tumors.We
present some of these strategies, which represent a dynamic field of research with high potential
for clinical applicability.
Keywords in Portuguese
Imunoterapia contra o câncerTráfico de células T
Engenharia de receptor de antígeno quimérico
Motilidade
Matriz extracelular
Microambiente tumoral
Keywords
Cancer immunotherapyT cell trafficking
Chimeric antigen receptor engineering
Motility
Extracellular matrix
Tumor microenvironment
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