CAR T Cell Therapy’s Potential for Pediatric Brain Tumors
Malignant central nervous system tumors are the leading cause of cancer death in children. Progress in high-throughput molecular techniques has increased the molecular understanding of these tumors, but the outcomes are still poor. Even when efficacious, surgery, radiation, and chemotherapy cause ne...
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MDPI AG
2021
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oai:doaj.org-article:ae313db6a6094e169834075363a59a1f2021-11-11T15:32:33ZCAR T Cell Therapy’s Potential for Pediatric Brain Tumors10.3390/cancers132154452072-6694https://doaj.org/article/ae313db6a6094e169834075363a59a1f2021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6694/13/21/5445https://doaj.org/toc/2072-6694Malignant central nervous system tumors are the leading cause of cancer death in children. Progress in high-throughput molecular techniques has increased the molecular understanding of these tumors, but the outcomes are still poor. Even when efficacious, surgery, radiation, and chemotherapy cause neurologic and neurocognitive morbidity. Adoptive cell therapy with autologous CD19 chimeric antigen receptor T cells (CAR T) has demonstrated remarkable remission rates in patients with relapsed refractory B cell malignancies. Unfortunately, tumor heterogeneity, the identification of appropriate target antigens, and location in a growing brain behind the blood–brain barrier within a specific suppressive immune microenvironment restrict the efficacy of this strategy in pediatric neuro-oncology. In addition, the vulnerability of the brain to unrepairable tissue damage raises important safety concerns. Recent preclinical findings, however, have provided a strong rationale for clinical trials of this approach in patients. Here, we examine the most important challenges associated with the development of CAR T cell immunotherapy and further present the latest preclinical strategies intending to optimize genetically engineered T cells’ efficiency and safety in the field of pediatric neuro-oncology.Pauline ThomasNatacha GalopinEmma BonérandiBéatrice ClémenceauSophie FougerayStéphane BirkléMDPI AGarticlechimeric antigen receptorT cellmedulloblastomaatypical teratoid rhabdoid tumorsependymomahigh-grade gliomaNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCancers, Vol 13, Iss 5445, p 5445 (2021) |
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DOAJ |
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chimeric antigen receptor T cell medulloblastoma atypical teratoid rhabdoid tumors ependymoma high-grade glioma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
spellingShingle |
chimeric antigen receptor T cell medulloblastoma atypical teratoid rhabdoid tumors ependymoma high-grade glioma Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Pauline Thomas Natacha Galopin Emma Bonérandi Béatrice Clémenceau Sophie Fougeray Stéphane Birklé CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
description |
Malignant central nervous system tumors are the leading cause of cancer death in children. Progress in high-throughput molecular techniques has increased the molecular understanding of these tumors, but the outcomes are still poor. Even when efficacious, surgery, radiation, and chemotherapy cause neurologic and neurocognitive morbidity. Adoptive cell therapy with autologous CD19 chimeric antigen receptor T cells (CAR T) has demonstrated remarkable remission rates in patients with relapsed refractory B cell malignancies. Unfortunately, tumor heterogeneity, the identification of appropriate target antigens, and location in a growing brain behind the blood–brain barrier within a specific suppressive immune microenvironment restrict the efficacy of this strategy in pediatric neuro-oncology. In addition, the vulnerability of the brain to unrepairable tissue damage raises important safety concerns. Recent preclinical findings, however, have provided a strong rationale for clinical trials of this approach in patients. Here, we examine the most important challenges associated with the development of CAR T cell immunotherapy and further present the latest preclinical strategies intending to optimize genetically engineered T cells’ efficiency and safety in the field of pediatric neuro-oncology. |
format |
article |
author |
Pauline Thomas Natacha Galopin Emma Bonérandi Béatrice Clémenceau Sophie Fougeray Stéphane Birklé |
author_facet |
Pauline Thomas Natacha Galopin Emma Bonérandi Béatrice Clémenceau Sophie Fougeray Stéphane Birklé |
author_sort |
Pauline Thomas |
title |
CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
title_short |
CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
title_full |
CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
title_fullStr |
CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
title_full_unstemmed |
CAR T Cell Therapy’s Potential for Pediatric Brain Tumors |
title_sort |
car t cell therapy’s potential for pediatric brain tumors |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/ae313db6a6094e169834075363a59a1f |
work_keys_str_mv |
AT paulinethomas cartcelltherapyspotentialforpediatricbraintumors AT natachagalopin cartcelltherapyspotentialforpediatricbraintumors AT emmabonerandi cartcelltherapyspotentialforpediatricbraintumors AT beatriceclemenceau cartcelltherapyspotentialforpediatricbraintumors AT sophiefougeray cartcelltherapyspotentialforpediatricbraintumors AT stephanebirkle cartcelltherapyspotentialforpediatricbraintumors |
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