Immunotherapy with CAR-Modified T Cells: Toxicities and Overcoming Strategies

J Immunol Res. 2018 Apr 17:2018:2386187. doi: 10.1155/2018/2386187. eCollection 2018.

Abstract

T cells modified via chimeric antigen receptors (CARs) have emerged as a promising treatment modality. Unparalleled clinical efficacy recently demonstrated in refractory B-cell malignancy has brought this new form of adoptive immunotherapy to the center stage. Nonetheless, its current success has also highlighted its potential treatment-related toxicities. The adverse events observed in the clinical trials are described in this review, after which, some innovative strategies developed to overcome these unwanted toxicities are outlined, including suicide genes, targeted activation, and other novel strategies.

Publication types

  • Review

MeSH terms

  • Animals
  • Clinical Trials as Topic
  • Drug Resistance, Neoplasm
  • Drug-Related Side Effects and Adverse Reactions
  • Humans
  • Immunotherapy, Adoptive / methods*
  • Lymphoma, B-Cell / immunology
  • Lymphoma, B-Cell / therapy*
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Antigen, T-Cell / metabolism*
  • Recombinant Fusion Proteins / genetics
  • Recurrence
  • T-Lymphocytes / immunology*
  • T-Lymphocytes / transplantation

Substances

  • Receptors, Antigen, T-Cell
  • Recombinant Fusion Proteins