Synthetic biology approaches for enhancing safety and specificity of CAR-T cell therapies for solid cancers.

Russell, Grace C; Hamzaoui, Yassin; Rho, Daniel; Sutrave, Gaurav; Choi, Joseph S; Missan, Dara S; Reckard, Gabrielle A; Gustafson, Michael P et al. · Cytotherapy · 2024

review · Level V

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Abstract

CAR-T cell therapies have been successful in treating numerous hematologic malignancies as the T cell can be engineered to target a specific antigen associated with the disease. However, translating CAR-T cell therapies for solid cancers is proving more challenging due to the lack of truly tumor-associated antigens and the high risk of off-target toxicities. To combat this, numerous synthetic biology mechanisms are being incorporated to create safer and more specific CAR-T cells that can be spatiotemporally controlled with increased precision. Here, we seek to summarize and analyze the advancements for CAR-T cell therapies with respect to clinical implementation, from the perspective of synthetic biology and immunology. This review should serve as a resource for further investigation and growth within the field of personalized cellular therapies.

Medical subject headings