Advances in bioengineered CAR T/NK cell therapy for glioblastoma: Overcoming immunosuppression and nanotechnology‐based strategies for enhanced CAR T/NK cell therapy

Author:

Dana Nasim1,Dabiri Arezou1,Najafi Majed Bahri1,Rahimi Azadeh1,Ishaghi Sayed Mohammad Matin2,Shariati Laleh34,Shao Minmin5,Borzacchiello Assunta6,Rahimmanesh Ilnaz1ORCID,Makvandi Pooyan789ORCID

Affiliation:

1. Applied Physiology Research Center, Cardiovascular Research Institute Isfahan University of Medical Sciences Isfahan Iran

2. Department of Microbiology, Faculty of biological science and technology The University of Isfahan Isfahan Iran

3. Department of Biomaterials, Nanotechnology and Tissue Engineering, School of Advanced Technologies in Medicine Isfahan University of Medical Sciences Isfahan Iran

4. Biosensor Research Center, School of Advanced Technologies in Medicine Isfahan University of Medical Sciences Isfahan Iran

5. Department of Otorhinolaryngology, The Dingli Clinical College affiliated to Wenzhou Medical University Wenzhou Central Hospital Wenzhou 325000 China

6. Institute of Polymers, Composites and Biomaterials National Research Council (IPCB‐CNR) Naples Italy

7. The Quzhou Affiliated Hospital of Wenzhou Medical University Quzhou People's Hospital Zhejiang China

8. Centre of Research Impact and Outreach Chitkara University Rajpura 140417 Punjab India

9. University Centre for Research & Development Chandigarh University Mohali Punjab India

Abstract

AbstractGlioblastoma is a strong challenge in the worldwide field of central nervous system malignancies. GBM's inherent heterogeneity, along with the formation of an immunosuppressive tumor microenvironment, supports its resistance to current therapy methods. Immunotherapeutic methods have emerged as potential options in recent years. However, because of the inherent limits of traditional immunotherapeutic techniques innovative approaches are required. Advances in cut‐edge techniques provide a possible route for improving effector cell effectiveness. This review gives insight into the complicated immunosuppressive pathways in GBM, with a particular emphasis on CAR T/NK‐cell treatment as a potential achievement. Recognizing and addressing these concerns might open the way for more effective and focused glioblastoma therapies, providing hope for the future with the aim of improved outcomes for patients. In addition, this review presents valuable insights into the integration of nanotechnology into CAR T/NK cell therapy for enhanced efficiency of these personalized gene therapy products.

Publisher

Wiley

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