HBV antigen as a tumour antigen in adoptive TCR-T cell therapy for HBV-related HCC: rationale and clinical effectiveness

Semin Immunol. 2025 Dec:80:102004. doi: 10.1016/j.smim.2025.102004. Epub 2025 Nov 6.

Abstract

Hepatocellular carcinoma developing in patients with HBV chronic infection are marked by expression of whole or partial HBV antigens through a highly tissue-specific process, determined by the hepatotropism of HBV. HBV antigens are therefore a possible target for adoptive T cell immunotherapy as their expression and, consequently, potential on-target off-tumour events, are confined to the liver compartment with no involvement of other organs. Here we summarise the research steps to develop T cell therapy that utilises viral antigen as a tumour antigen in HBV-related HCC and discuss the efficacy and the potential mechanisms of action of HBV-specific T cell receptor (TCR)-redirected T cells in phase I clinical trials.

Keywords: Adoptive T cell therapy; HBV-related HCC; HBV-specific TCR; MRNA Transfection.

Publication types

  • Review

MeSH terms

  • Animals
  • Antigens, Neoplasm* / immunology
  • Carcinoma, Hepatocellular* / etiology
  • Carcinoma, Hepatocellular* / immunology
  • Carcinoma, Hepatocellular* / therapy
  • Carcinoma, Hepatocellular* / virology
  • Hepatitis B Antigens* / immunology
  • Hepatitis B virus* / immunology
  • Hepatitis B, Chronic* / complications
  • Hepatitis B, Chronic* / immunology
  • Hepatitis B, Chronic* / therapy
  • Humans
  • Immunotherapy, Adoptive* / methods
  • Liver Neoplasms* / etiology
  • Liver Neoplasms* / immunology
  • Liver Neoplasms* / therapy
  • Receptors, Antigen, T-Cell* / genetics
  • Receptors, Antigen, T-Cell* / immunology
  • Receptors, Antigen, T-Cell* / metabolism
  • Receptors, Chimeric Antigen / genetics
  • Receptors, Chimeric Antigen / metabolism
  • T-Lymphocytes* / immunology
  • T-Lymphocytes* / metabolism
  • T-Lymphocytes* / transplantation
  • Treatment Outcome

Substances

  • Receptors, Antigen, T-Cell
  • Antigens, Neoplasm
  • Hepatitis B Antigens
  • Receptors, Chimeric Antigen