The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications

Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have shown poor effectiveness in treating peritoneal carcinomatosis (PC) of gastric origin with a high tumor burden (high peritoneal cancer index), though there are scarce therapy alternatives that are able to improve...

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Autores principales: Siyuan Qian, Pedro Villarejo-Campos, Damián García-Olmo
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:f260bbe5649748e5b03891fc4715842f2021-11-11T17:40:17ZThe Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications10.3390/jcm102150502077-0383https://doaj.org/article/f260bbe5649748e5b03891fc4715842f2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5050https://doaj.org/toc/2077-0383Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have shown poor effectiveness in treating peritoneal carcinomatosis (PC) of gastric origin with a high tumor burden (high peritoneal cancer index), though there are scarce therapy alternatives that are able to improve survival. In experimental studies, chimeric antigen receptor-T (CAR-T) cell therapy has shown encouraging results in gastric cancer and is currently being evaluated in several clinical trials. Regarding PC, CAR-T cell therapy has also proven useful in experimental studies, especially when administered intraperitoneally, as this route improves cell distribution and lifespan. Although these results need to be supported by ongoing clinical trials, CAR-T cells are a promising new therapeutic approach to peritoneal metastases from gastric cancer. In this review, we summarize the current evidence of the use of CAR-T cells in gastric cancer and PC of gastric origin.Siyuan QianPedro Villarejo-CamposDamián García-OlmoMDPI AGarticlegastric adenocarcinomaperitoneal carcinomatosisintraperitoneal chemotherapycytoreductive surgeryimmunotherapycell therapyMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5050, p 5050 (2021)
institution DOAJ
collection DOAJ
language EN
topic gastric adenocarcinoma
peritoneal carcinomatosis
intraperitoneal chemotherapy
cytoreductive surgery
immunotherapy
cell therapy
Medicine
R
spellingShingle gastric adenocarcinoma
peritoneal carcinomatosis
intraperitoneal chemotherapy
cytoreductive surgery
immunotherapy
cell therapy
Medicine
R
Siyuan Qian
Pedro Villarejo-Campos
Damián García-Olmo
The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
description Cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) have shown poor effectiveness in treating peritoneal carcinomatosis (PC) of gastric origin with a high tumor burden (high peritoneal cancer index), though there are scarce therapy alternatives that are able to improve survival. In experimental studies, chimeric antigen receptor-T (CAR-T) cell therapy has shown encouraging results in gastric cancer and is currently being evaluated in several clinical trials. Regarding PC, CAR-T cell therapy has also proven useful in experimental studies, especially when administered intraperitoneally, as this route improves cell distribution and lifespan. Although these results need to be supported by ongoing clinical trials, CAR-T cells are a promising new therapeutic approach to peritoneal metastases from gastric cancer. In this review, we summarize the current evidence of the use of CAR-T cells in gastric cancer and PC of gastric origin.
format article
author Siyuan Qian
Pedro Villarejo-Campos
Damián García-Olmo
author_facet Siyuan Qian
Pedro Villarejo-Campos
Damián García-Olmo
author_sort Siyuan Qian
title The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
title_short The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
title_full The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
title_fullStr The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
title_full_unstemmed The Role of CAR-T Cells in Peritoneal Carcinomatosis from Gastric Cancer: Rationale, Experimental Work, and Clinical Applications
title_sort role of car-t cells in peritoneal carcinomatosis from gastric cancer: rationale, experimental work, and clinical applications
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/f260bbe5649748e5b03891fc4715842f
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