4.8 Review

Advances in Universal CAR-T Cell Therapy

Journal

FRONTIERS IN IMMUNOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.744823

Keywords

cellular immunotherapy; chimeric antigen receptor T cell therapy; universal chimeric antigen receptor T cell therapy; gene editing; CRISPR; Cas9

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Funding

  1. National Natural Science Foundation of China [81900187]

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CAR-T cell therapy has shown remarkable success in antitumor treatments, particularly against hematological malignancies. The development of universal CAR-T (UCAR-T) cell therapy may overcome current limitations, with a focus on safety, efficiency, and potential complementary immune cells. The landscape and prospects of UCAR-T cell therapy are explored through a comprehensive overview of progress and challenges.
Chimeric antigen receptor T (CAR-T) cell therapy achieved extraordinary achievements results in antitumor treatments, especially against hematological malignancies, where it leads to remarkable, long-term antineoplastic effects with higher target specificity. Nevertheless, some limitations persist in autologous CAR-T cell therapy, such as high costs, long manufacturing periods, and restricted cell sources. The development of a universal CAR-T (UCAR-T) cell therapy is an attractive breakthrough point that may overcome most of these drawbacks. Here, we review the progress and challenges in CAR-T cell therapy, especially focusing on comprehensive comparison in UCAR-T cell therapy to original CAR-T cell therapy. Furthermore, we summarize the developments and concerns about the safety and efficiency of UCAR-T cell therapy. Finally, we address other immune cells, which might be promising candidates as a complement for UCAR-T cells. Through a detailed overview, we describe the current landscape and explore the prospect of UCAR-T cell therapy.

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