Explorations of CRISPR/Cas9 for improving the long-term efficacy of universal CAR-T cells in tumor immunotherapy

Copyright © 2023 Elsevier Inc. All rights reserved..

Chimeric antigen receptor (CAR) T therapy has shown remarkable success in discovering novel CAR-T cell products for treating malignancies. Despite of successful results from clinical trials, CAR-T cell therapy is ineffective for long-term disease progression. Numerous challenges of CAR-T cell immunotherapy such as cell dysfunction, cytokine-related toxicities, TGF-β resistance, GvHD risks, antigen escape, restricted trafficking, and tumor cell infiltration still exist that hamper the safety and efficacy of CAR-T cells for malignancies. The accumulated data revealed that these challenges could be overcome with the advanced CRISPR genome editing technology, which is the most promising tool to knockout TRAC and HLA genes, inhibiting the effects of dominant negative receptors (PD-1, TGF-β, and B2M), lowering the risks of cytokine release syndrome (CRS), and regulating CAR-T cell function in the tumor microenvironment (TME). CRISPR technology employs DSB-free genome editing methods that robustly allow efficient and controllable genetic modification. The present review explored the innovative aspects of CRISPR/Cas9 technology for developing next-generation/universal allogeneic CAR-T cells. The present manuscript addressed the ongoing status of clinical trials of CRISPR/Cas9-engineered CAR-T cells against cancer and pointed out the off-target effects associated with CRISPR/Cas9 genome editing. It is concluded that CAR-T cells modified by CRISPR/Cas9 significantly improved antitumor efficacy in a cost-effective manner that provides opportunities for novel cancer immunotherapies.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:316

Enthalten in:

Life sciences - 316(2023) vom: 01. März, Seite 121409

Sprache:

Englisch

Beteiligte Personen:

Naeem, Muhammad [VerfasserIn]
Hazafa, Abu [VerfasserIn]
Bano, Naheed [VerfasserIn]
Ali, Rashid [VerfasserIn]
Farooq, Muhammad [VerfasserIn]
Razak, Saiful Izwan Abd [VerfasserIn]
Lee, Tze Yan [VerfasserIn]
Devaraj, Sutha [VerfasserIn]

Links:

Volltext

Themen:

Allogeneic CAR-T cell
CAR-T cell therapy
CRISPR/Cas9
Cytokine release syndrome
Immunotherapy
Journal Article
Limitations
Multiplex genome editing
Next-generation CAR-T cells
Receptors, Chimeric Antigen
Review
TGF-β resistance
Tumor

Anmerkungen:

Date Completed 14.02.2023

Date Revised 14.02.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.lfs.2023.121409

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM351918973