[HTML][HTML] Manipulating the metabolism to improve the efficacy of CAR T-cell immunotherapy

M Pellegrino, F Del Bufalo, B De Angelis, C Quintarelli… - Cells, 2020 - mdpi.com
M Pellegrino, F Del Bufalo, B De Angelis, C Quintarelli, I Caruana, E de Billy
Cells, 2020mdpi.com
The adoptive transfer of the chimeric antigen receptor (CAR) expressing T-cells has
produced unprecedented successful results in the treatment of B-cell malignancies.
However, the use of this technology in other malignancies remains less effective. In the
setting of solid neoplasms, CAR T-cell metabolic fitness needs to be optimal to reach the
tumor and execute their cytolytic function in an environment often hostile. It is now well
established that both tumor and T cell metabolisms play critical roles in controlling the …
The adoptive transfer of the chimeric antigen receptor (CAR) expressing T-cells has produced unprecedented successful results in the treatment of B-cell malignancies. However, the use of this technology in other malignancies remains less effective. In the setting of solid neoplasms, CAR T-cell metabolic fitness needs to be optimal to reach the tumor and execute their cytolytic function in an environment often hostile. It is now well established that both tumor and T cell metabolisms play critical roles in controlling the immune response by conditioning the tumor microenvironment and the fate and activity of the T cells. In this review, after a brief description of the tumoral and T cell metabolic reprogramming, we summarize the latest advances and new strategies that have been developed to improve the metabolic fitness and efficacy of CAR T-cell products.
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