CAR T-cell therapy for pancreatic cancer

J Surg Oncol. 2017 Jul;116(1):63-74. doi: 10.1002/jso.24627. Epub 2017 Mar 27.

Abstract

Chimeric antigen receptor (CAR) T-cell therapy utilizes genetic engineering to redirect a patient's own T cells to target cancer cells. The remarkable results in hematological malignancies prompted investigating this approach in solid tumors such as pancreatic cancer. The complex tumor microenvironment, stromal hindrance in limiting immune response, and expression of checkpoint blockade on T cells pose hurdles. Herein, we summarize the opportunities, challenges, and state of knowledge in targeting pancreatic cancer with CAR T-cell therapy.

Keywords: CAR T cells; adoptive cell therapy; checkpoint blockade; chimeric antigen receptor; immunotherapy.

Publication types

  • Review

MeSH terms

  • Antigens, Neoplasm / immunology
  • CD24 Antigen / immunology
  • Carcinoembryonic Antigen / immunology
  • Clinical Trials as Topic
  • GPI-Linked Proteins / immunology
  • Humans
  • Immunotherapy, Adoptive*
  • Mesothelin
  • Mucin-1 / immunology
  • Neoplasm Proteins / immunology
  • Pancreatic Neoplasms / immunology*
  • Pancreatic Neoplasms / therapy*
  • Receptor, ErbB-2 / immunology
  • Receptors, Antigen, T-Cell
  • Receptors, Natural Killer Cell / immunology
  • Stromal Cells / immunology
  • T-Lymphocytes / immunology
  • T-Lymphocytes / transplantation*
  • Transplantation Conditioning

Substances

  • Antigens, Neoplasm
  • CD24 Antigen
  • CD24 protein, human
  • Carcinoembryonic Antigen
  • GPI-Linked Proteins
  • MUC1 protein, human
  • Mucin-1
  • Neoplasm Proteins
  • PSCA protein, human
  • Receptors, Antigen, T-Cell
  • Receptors, Natural Killer Cell
  • ERBB2 protein, human
  • Receptor, ErbB-2
  • Mesothelin