PMID- 25621840 OWN - NLM STAT- MEDLINE DCOM- 20160101 LR - 20230607 IS - 1879-0372 (Electronic) IS - 0952-7915 (Print) IS - 0952-7915 (Linking) VI - 33 DP - 2015 Apr TI - Designing chimeric antigen receptors to effectively and safely target tumors. PG - 9-15 LID - S0952-7915(15)00003-5 [pii] LID - 10.1016/j.coi.2015.01.002 [doi] AB - The adoptive transfer of T cells engineered to express artificial chimeric antigen receptors CARs) that target a tumor cell surface molecule has emerged as an exciting new approach for cancer immunotherapy. Clinical trials in patients with advanced B cell malignancies treated with CD19-specific CAR-modified T cells (CAR-T) have shown impressive antitumor efficacy, leading to optimism that this approach will be useful for treating common solid tumors. Because CAR-T cells recognize tumor cells independent of their expression of human leukocyte antigen (HLA) molecules, tumors that escape conventional T cells by downregulating HLA and/or mutating components of the antigen processing machinery can be eliminated. The ability to introduce or delete additional genes in T cells has the potential to provide therapeutic cell products with novel attributes that overcome impediments to immune mediated tumor elimination in immunosuppressive tumor microenvironments. This review will discuss recent concepts in the development of effective and safe synthetic CARs for adoptive T cell therapy (ACT). CI - Copyright (c) 2015 Elsevier Ltd. All rights reserved. FAU - Jensen, Michael C AU - Jensen MC AD - Seattle Children's Research Institute, Seattle, WA, United States; University of Washington, Seattle, WA, United States; Fred Hutchinson Cancer Research Institute, Seattle, WA, United States. Electronic address: Michael.jensen@seattlechildrens.org. FAU - Riddell, Stanley R AU - Riddell SR AD - University of Washington, Seattle, WA, United States; Fred Hutchinson Cancer Research Institute, Seattle, WA, United States; Institute for Advanced Study, Technical University of Munich, Munich, Germany. LA - eng GR - CA136551/CA/NCI NIH HHS/United States GR - P51 OD010425/OD/NIH HHS/United States GR - P50CA132393/CA/NCI NIH HHS/United States GR - R01 AI053193/AI/NIAID NIH HHS/United States GR - R01 CA114536/CA/NCI NIH HHS/United States GR - R01 CA136551/CA/NCI NIH HHS/United States GR - AI053193/AI/NIAID NIH HHS/United States GR - CA114536/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20150123 PL - England TA - Curr Opin Immunol JT - Current opinion in immunology JID - 8900118 RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Recombinant Fusion Proteins) SB - IM MH - Animals MH - Cell- and Tissue-Based Therapy MH - Humans MH - *Immunotherapy, Adoptive/adverse effects/methods MH - Neoplasms/genetics/*immunology/metabolism/*therapy MH - *Receptors, Antigen, T-Cell/genetics/metabolism MH - *Recombinant Fusion Proteins/genetics/metabolism MH - T-Lymphocytes/*immunology/metabolism PMC - PMC4397136 MID - NIHMS658435 EDAT- 2015/01/27 06:00 MHDA- 2016/01/02 06:00 PMCR- 2016/04/01 CRDT- 2015/01/27 06:00 PHST- 2014/12/11 00:00 [received] PHST- 2014/12/30 00:00 [revised] PHST- 2015/01/01 00:00 [accepted] PHST- 2015/01/27 06:00 [entrez] PHST- 2015/01/27 06:00 [pubmed] PHST- 2016/01/02 06:00 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - S0952-7915(15)00003-5 [pii] AID - 10.1016/j.coi.2015.01.002 [doi] PST - ppublish SO - Curr Opin Immunol. 2015 Apr;33:9-15. doi: 10.1016/j.coi.2015.01.002. Epub 2015 Jan 23.