PMID- 33807867 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240331 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 5 DP - 2021 Mar 5 TI - Engineering Metabolism of Chimeric Antigen Receptor (CAR) Cells for Developing Efficient Immunotherapies. LID - 10.3390/cancers13051123 [doi] LID - 1123 AB - Chimeric antigen receptor (CAR) T cell-based therapies have shown tremendous advancement in clinical and pre-clinical studies for the treatment of hematological malignancies, such as the refractory of pre-B cell acute lymphoblastic leukemia (B-ALL), chronic lymphocytic leukemia (CLL), and large B cell lymphoma (LBCL). However, CAR T cell therapy for solid tumors has not been successful clinically. Although, some research efforts, such as combining CARs with immune checkpoint inhibitor-based therapy, have been used to expand the application of CAR T cells for the treatment of solid tumors. Importantly, further understanding of the coordination of nutrient and energy supplies needed for CAR T cell expansion and function, especially in the tumor microenvironment (TME), is greatly needed. In addition to CAR T cells, there is great interest in utilizing other types of CAR immune cells, such as CAR NK and CAR macrophages that can infiltrate solid tumors. However, the metabolic competition in the TME between cancer cells and immune cells remains a challenge. Bioengineering technologies, such as metabolic engineering, can make a substantial contribution when developing CAR cells to have an ability to overcome nutrient-paucity in the solid TME. This review introduces technologies that have been used to generate metabolically fit CAR-immune cells as a treatment for hematological malignancies and solid tumors, and briefly discusses the challenges to treat solid tumors with CAR-immune cells. FAU - Mangal, Joslyn L AU - Mangal JL AUID- ORCID: 0000-0003-0774-1066 AD - Biological Design Graduate Program, School for Biological and Health Systems Engineering, Arizona State University, Tempe, AZ 85281, USA. FAU - Handlos, Jamie L AU - Handlos JL AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. FAU - Esrafili, Arezoo AU - Esrafili A AUID- ORCID: 0000-0001-6074-5395 AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. FAU - Inamdar, Sahil AU - Inamdar S AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. FAU - Mcmillian, Sidnee AU - Mcmillian S AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. FAU - Wankhede, Mamta AU - Wankhede M AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. FAU - Gottardi, Riccardo AU - Gottardi R AUID- ORCID: 0000-0001-8040-5531 AD - Department of Pediatrics, Division of Pulmonary Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. AD - Fondazione Ri.MED, 90133 Palermo, Italy. FAU - Acharya, Abhinav P AU - Acharya AP AD - Biological Design Graduate Program, School for Biological and Health Systems Engineering, Arizona State University, Tempe, AZ 85281, USA. AD - Department of Chemical Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. AD - Department of Materials Science and Engineering, School for the Engineering of Matter, Transport, and Energy, Arizona State University, Tempe, AZ 85281, USA. AD - Biodesign Center for Immunotherapy, Vaccines and Virotherapy, Tempe, AZ 85281, USA. LA - eng PT - Journal Article PT - Review DEP - 20210305 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC7962004 OTO - NOTNLM OT - CAR T cell OT - CAR macrophage OT - immunometabolism OT - immunotherapy OT - solid tumors OT - tumor microenvironment COIS- The authors declare no conflict of interest. EDAT- 2021/04/04 06:00 MHDA- 2021/04/04 06:01 PMCR- 2021/03/05 CRDT- 2021/04/03 01:28 PHST- 2020/12/11 00:00 [received] PHST- 2021/02/23 00:00 [revised] PHST- 2021/03/03 00:00 [accepted] PHST- 2021/04/03 01:28 [entrez] PHST- 2021/04/04 06:00 [pubmed] PHST- 2021/04/04 06:01 [medline] PHST- 2021/03/05 00:00 [pmc-release] AID - cancers13051123 [pii] AID - cancers-13-01123 [pii] AID - 10.3390/cancers13051123 [doi] PST - epublish SO - Cancers (Basel). 2021 Mar 5;13(5):1123. doi: 10.3390/cancers13051123.