4.6 Review Book Chapter

In Situ Programming of CAR T Cells

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ANNUAL REVIEWS
DOI: 10.1146/annurev-bioeng-070620-033348

关键词

CAR T cell therapy; nanoparticle; gene therapy; off-the-shelf T cell therapy

资金

  1. National Cancer Institute [CA207407]
  2. Mark Foundation for Cancer Research
  3. Alliance for Cancer Gene Therapy
  4. Allen Distinguished Investigator Award
  5. Paul G. Allen Frontiers Group advised grant of the Paul G. Allen Family Foundation

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Gene therapy enables the creation of CAR-T cells to target specific diseases, but current manufacturing protocols are costly and complex, limiting access for many patients. In vivo programming of T cells could potentially overcome these challenges and expand the reach of this therapy.
Gene therapy makes it possible to engineer chimeric antigen receptors (CARs) to create T cells that target specific diseases. However, current approaches require elaborate and expensive protocols to manufacture engineered T cells ex vivo, putting this therapy beyond the reach of many patients who might benefit. A solution could be to program T cells in vivo. Here, we evaluate the clinical need for in situ CAR T cell programming, compare competing technologies, review current progress, and provide a perspective on the long-term impact of this emerging and rapidly flourishing biotechnology field.

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