학술논문

Beyond direct killing—novel cellular immunotherapeutic strategies to reshape the tumor microenvironment.
Document Type
Article
Source
Seminars in Immunopathology. Mar2023, Vol. 45 Issue 2, p215-227. 13p.
Subject
*TUMOR microenvironment
*CHIMERIC antigen receptors
*CELLULAR therapy
*HEMATOLOGIC malignancies
Language
ISSN
1863-2297
Abstract
The clinical use of cellular immunotherapies is gaining momentum and the number of approved indications is steadily increasing. One class of cellular therapies—chimeric antigen receptor (CAR)-modified T cells—has achieved impressive results in distinct blood cancer indications. These existing cellular therapies treating blood cancers face significant relapse rates, and their application beyond hematology has been underwhelming, especially in solid oncology. Major reasons for resistance source largely in the tumor microenvironment (TME). The TME in fact functionally suppresses, restricts, and excludes adoptive immune cells, which limits the efficacy of cellular immunotherapies from the onset. Many promising efforts are ongoing to adapt cellular immunotherapies to address these obstacles, with the aim of reshaping the tumor microenvironment to ameliorate function and to achieve superior efficacy against both hematological and solid malignancies. [ABSTRACT FROM AUTHOR]