Beyond CAR T cells: exploring alternative cell sources for CAR-like cellular therapies

Author:

Tsiverioti Christina Angeliki1ORCID,Gottschlich Adrian123ORCID,Trefny Marcel1ORCID,Theurich Sebastian2345ORCID,Anders Hans-Joachim6ORCID,Kroiss Matthias678ORCID,Kobold Sebastian149ORCID

Affiliation:

1. Division of Clinical Pharmacology , University Hospital, LMU Munich , Lindwurmstr. 2a, 80337 Munich , Germany

2. Department of Medicine III , University Hospital, LMU Munich , Marchioninstr. 15, 81377 Munich , Germany

3. Bavarian Cancer Research Center (BZKF), LMU Munich , Pettenkoferstr. 8a, 80336 Munich , Germany

4. 74939 German Cancer Consortium (DKTK), Partner Site Munich, A Partnership Between DKFZ and University Hospital of the LMU , Marchioninstr. 15, 81377 Munich , Germany

5. Cancer and Immunometabolism Research Group , 74939 Gene Center LMU , Feodor-Lynen Str. 25, 81377 Munich , Germany

6. Department of Medicine IV , University Hospital, LMU Munich , Ziemssenstr. 5, 80336 Munich , Germany

7. Division of Endocrinology and Diabetes, Department of Medicine , University Hospital, University of Würzburg , Josef-Schneider-Str, 9780 Würzburg , Germany

8. Comprehensive Cancer Center Mainfranken , University of Würzburg , Josef-Schneider-Str. 6, 9780 Würzburg , Germany

9. Einheit für Klinische Pharmakologie (EKLiP) , Helmholtz Zentrum München – German Research Center for Environmental Health , Ingolstädter Landstr. 1, D-85764 Neuherberg , Germany

Abstract

Abstract Chimeric antigen receptor (CAR)-T cell therapy has led to remarkable clinical outcomes in the treatment of hematological malignancies. However, challenges remain, such as limited infiltration into solid tumors, inadequate persistence, systemic toxicities, and manufacturing insufficiencies. The use of alternative cell sources for CAR-based therapies, such as natural killer cells (NK), macrophages (MΦ), invariant Natural Killer T (iNKT) cells, γδT cells, neutrophils, and induced pluripotent stem cells (iPSC), has emerged as a promising avenue. By harnessing these cells’ inherent cytotoxic mechanisms and incorporating CAR technology, common CAR-T cell-related limitations can be effectively mitigated. We herein present an overview of the tumoricidal mechanisms, CAR designs, and manufacturing processes of CAR-NK cells, CAR-MΦ, CAR-iNKT cells, CAR-γδT cells, CAR-neutrophils, and iPSC-derived CAR-cells, outlining the advantages, limitations, and potential solutions of these therapeutic strategies.

Publisher

Walter de Gruyter GmbH

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1. Highlight: new developments in immunoengineering;Biological Chemistry;2024-06-21

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