Genetically engineered donor T cells to optimize graft-versus-tumor effects across MHC barriers.

Abstract:

:Hematopoietic stem cell transplantation has been used for more than 50 years to combat hematologic malignancies. In addition to being the first stem cell therapy, transplantation has provided evidence for the potent anti-tumor effects of T cells. Facilitating T-cell-based immunity against malignancies requires a careful balancing act between generating a robust response and avoiding off-target killing of healthy tissues, which is difficult to accomplish using bulk donor T cells. To address these issues, several approaches have been developed, drawing on basic T-cell biology, to potentiate graft-versus-tumor activity while avoiding graft-versus-host disease. Current strategies for anti-tumor cell therapies include: (i) selecting optimal T cells for transfer; (ii) engineering T cells to possess enhanced effector functions; and (iii) generating T-cell precursors that complete development after adoptive transfer. In this review, we assess the current state of the art in T-lineage cell therapy to treat malignancies in the context of allogeneic hematopoietic stem cell transplantation.

journal_name

Immunol Rev

journal_title

Immunological reviews

authors

Ghosh A,Holland AM,van den Brink MR

doi

10.1111/imr.12142

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

226-36

issue

1

eissn

0105-2896

issn

1600-065X

journal_volume

257

pub_type

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