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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Autores principales: Pauline Thomas, Natacha Galopin, Emma Bonérandi, Béatrice Clémenceau, Sophie Fougeray, Stéphane Birklé
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/ae313db6a6094e169834075363a59a1f
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic 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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