Chimeric antigen receptor T cell persistence and memory cell formation

AD McLellan… - Immunology and cell …, 2019 - Wiley Online Library
Immunology and cell biology, 2019Wiley Online Library
It is now becoming clear that less differentiated naive and memory T cells are superior to
effector T cells in the transfer of immunity for adoptive cell therapy. This review will outline
the challenges faced by chimeric antigen receptor (CAR) T cell therapy in the generation of
persistence and memory for CAR T cells, and summarize recent strategies to improve CAR T
cell persistence, with a focus on memory cell formation. The relevance of enhancing
persistence in more differentiated effector T cells is also covered, because genetic and …
Abstract
It is now becoming clear that less differentiated naive and memory T cells are superior to effector T cells in the transfer of immunity for adoptive cell therapy. This review will outline the challenges faced by chimeric antigen receptor (CAR) T cell therapy in the generation of persistence and memory for CAR T cells, and summarize recent strategies to improve CAR T cell persistence, with a focus on memory cell formation. The relevance of enhancing persistence in more differentiated effector T cells is also covered, because genetic and pharmacological interventions may prolong effector T cell activity and lifespan, thereby improving anti‐cancer activity. In particular, it may be possible to enforce epigenetic changes in differentiated T cells to enhance memory CAR T cell formation. Optimizing the generation of self‐renewing T cell populations (e.g. memory cells), while maintaining differentiated effector T cells through epigenome modification, will help overcome barriers to T cell expansion and survival, thereby improving clinical outcomes in CAR T cell therapy.
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