Tumor microenvironment and CAR-T cell immunotherapy in B-cell lymphoma

© 2023 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd..

Chimeric receptor antigen T cell (CAR-T cell) therapy has demonstrated effectiveness and therapeutic potential in the immunotherapy of hematological malignancies, representing a promising breakthrough in cancer treatment. Despite the efficacy of CAR-T cell therapy in B-cell lymphoma, response variability, resistance, and side effects remain persistent challenges. The tumor microenvironment (TME) plays an intricate role in CAR-T cell therapy of B-cell lymphoma. The TME is a complex and dynamic environment that includes various cell types, cytokines, and extracellular matrix components, all of which can influence CAR-T cell function and behavior. This review discusses the design principles of CAR-T cells, TME in B-cell lymphoma, and the mechanisms by which TME influences CAR-T cell function. We discuss emerging strategies aimed at modulating the TME, targeting immunosuppressive cells, overcoming inhibitory signaling, and improving CAR-T cell infiltration and persistence. Therefore, these processes enhance the efficacy of CAR-T cell therapy and improve patient outcomes in B-cell lymphoma. Further research will be needed to investigate the molecular and cellular events that occur post-infusion, including changes in TME composition, immune cell interactions, cytokine signaling, and potential resistance mechanisms. Understanding these processes will contribute to the development of more effective CAR-T cell therapies and strategies to mitigate treatment-related toxicities.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:112

Enthalten in:

European journal of haematology - 112(2024), 2 vom: 01. Jan., Seite 223-235

Sprache:

Englisch

Beteiligte Personen:

Cai, Fengqing [VerfasserIn]
Zhang, Junfeng [VerfasserIn]
Gao, Hui [VerfasserIn]
Shen, Hongqiang [VerfasserIn]

Links:

Volltext

Themen:

B-cell lymphoma
CAR-T cell
Journal Article
Receptors, Chimeric Antigen
Resistance
Review
Strategies
Tumor microenvironment (TME)

Anmerkungen:

Date Completed 17.01.2024

Date Revised 17.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/ejh.14103

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM362037779