PMID- 27550819 OWN - NLM STAT- MEDLINE DCOM- 20170529 LR - 20230607 IS - 1474-1768 (Electronic) IS - 1474-175X (Print) IS - 1474-175X (Linking) VI - 16 IP - 9 DP - 2016 Aug 23 TI - Engineered T cells: the promise and challenges of cancer immunotherapy. PG - 566-81 LID - 10.1038/nrc.2016.97 [doi] AB - The immune system evolved to distinguish non-self from self to protect the organism. As cancer is derived from our own cells, immune responses to dysregulated cell growth present a unique challenge. This is compounded by mechanisms of immune evasion and immunosuppression that develop in the tumour microenvironment. The modern genetic toolbox enables the adoptive transfer of engineered T cells to create enhanced anticancer immune functions where natural cancer-specific immune responses have failed. Genetically engineered T cells, so-called 'living drugs', represent a new paradigm in anticancer therapy. Recent clinical trials using T cells engineered to express chimeric antigen receptors (CARs) or engineered T cell receptors (TCRs) have produced stunning results in patients with relapsed or refractory haematological malignancies. In this Review we describe some of the most recent and promising advances in engineered T cell therapy with a particular emphasis on what the next generation of T cell therapy is likely to entail. FAU - Fesnak, Andrew D AU - Fesnak AD AD - Department of Pathology and Laboratory Medicine and Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-5156, USA. FAU - June, Carl H AU - June CH AD - Department of Pathology and Laboratory Medicine and Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-5156, USA. FAU - Levine, Bruce L AU - Levine BL AD - Department of Pathology and Laboratory Medicine and Center for Cellular Immunotherapies, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-5156, USA. LA - eng GR - P30 CA016520/CA/NCI NIH HHS/United States GR - R01 CA120409/CA/NCI NIH HHS/United States GR - R01 CA165206/CA/NCI NIH HHS/United States GR - T32 HL007775/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Review PL - England TA - Nat Rev Cancer JT - Nature reviews. Cancer JID - 101124168 RN - 0 (Antigens, CD19) RN - 0 (Antigens, Neoplasm) RN - 0 (CD19 molecule, human) RN - 0 (Costimulatory and Inhibitory T-Cell Receptors) RN - 0 (Cytokines) RN - 0 (HLA Antigens) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Recombinant Fusion Proteins) SB - IM MH - Antigen Presentation MH - Antigens, CD19/immunology MH - Antigens, Neoplasm/immunology MH - Clinical Trials as Topic MH - Costimulatory and Inhibitory T-Cell Receptors/genetics/immunology MH - Cytokines/metabolism MH - Forecasting MH - Gene Editing MH - Gene Transfer Techniques MH - Genetic Engineering MH - HLA Antigens/immunology MH - Hematologic Neoplasms/immunology/therapy MH - Humans MH - Immunotherapy, Adoptive/adverse effects/*methods/trends MH - Models, Immunological MH - Neoplasms/immunology/*therapy MH - Receptors, Antigen, T-Cell/genetics/*immunology MH - Recombinant Fusion Proteins/genetics/immunology MH - Syndrome MH - T-Cell Antigen Receptor Specificity MH - T-Lymphocyte Subsets/*immunology/transplantation MH - Tumor Escape MH - Tumor Microenvironment/immunology PMC - PMC5543811 MID - NIHMS855771 EDAT- 2016/08/24 06:00 MHDA- 2017/05/30 06:00 PMCR- 2017/08/23 CRDT- 2016/08/24 06:00 PHST- 2016/08/24 06:00 [entrez] PHST- 2016/08/24 06:00 [pubmed] PHST- 2017/05/30 06:00 [medline] PHST- 2017/08/23 00:00 [pmc-release] AID - nrc.2016.97 [pii] AID - 10.1038/nrc.2016.97 [doi] PST - ppublish SO - Nat Rev Cancer. 2016 Aug 23;16(9):566-81. doi: 10.1038/nrc.2016.97.