CAR T-cells for T-cell malignancies: challenges in distinguishing between therapeutic, normal, and neoplastic T-cells

Leukemia. 2018 Nov;32(11):2307-2315. doi: 10.1038/s41375-018-0285-8. Epub 2018 Oct 12.

Abstract

Chimeric antigen receptor (CAR) T-cells targeting CD19 demonstrated remarkable efficacy for the treatment of B-cell malignancies. The development of CAR T-cells against T-cell malignancies appears more challenging due to the similarities between the therapeutic, normal and malignant T-cells. The obstacles include CAR T-cell fratricide, T-cell aplasia, and contamination of CAR T-cell products with malignant T-cells. Here, we review these challenges and propose solutions to overcome these limitations.

Publication types

  • Review

MeSH terms

  • Animals
  • Antigens, CD19 / immunology
  • Humans
  • Immunotherapy, Adoptive / methods
  • Lymphoma, B-Cell / immunology*
  • Lymphoma, B-Cell / therapy*
  • Neoplasms / immunology*
  • Neoplasms / therapy*
  • Receptors, Chimeric Antigen / immunology*
  • T-Lymphocytes / immunology*

Substances

  • Antigens, CD19
  • Receptors, Chimeric Antigen