1. Prospects of Synergy: Local Interventions and CAR T Cell Therapy in Solid Tumors.
- Author
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Holtermann A, Gislon M, Angele M, Subklewe M, von Bergwelt-Baildon M, Lauber K, and Kobold S
- Subjects
- Humans, Combined Modality Therapy methods, Animals, T-Lymphocytes immunology, T-Lymphocytes transplantation, Neoplasms therapy, Neoplasms immunology, Immunotherapy, Adoptive methods, Tumor Microenvironment immunology, Receptors, Chimeric Antigen immunology, Receptors, Chimeric Antigen therapeutic use
- Abstract
Chimeric antigen receptor T cell therapy has been established in the treatment of various B cell malignancies. However, translating this therapeutic effect to treat solid tumors has been challenging because of their inter-tumoral as well as intratumoral heterogeneity and immunosuppressive microenvironment. Local interventions, such as surgery, radiotherapy, local ablation, and locoregional drug delivery, can enhance chimeric antigen receptor T cell therapy in solid tumors by improving tumor infiltration and reducing systemic toxicities. Additionally, ablation and radiotherapy have proven to (re-)activate systemic immune responses via abscopal effects and reprogram the tumor microenvironment on a physical, cellular, and chemical level. This review highlights the potential synergy of the combined approaches to overcome barriers of chimeric antigen receptor T cell therapy and summarizes recent studies that may pave the way for new treatment regimens., (© 2024. The Author(s).)
- Published
- 2024
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