CAR T-cell therapy for pleural mesothelioma: Rationale, preclinical development, and clinical trials

Lung Cancer. 2021 Jul:157:48-59. doi: 10.1016/j.lungcan.2021.05.004. Epub 2021 May 5.

Abstract

The aim of adoptive T-cell therapy is to promote tumor-infiltrating immune cells following the transfer of either tumor-harvested or genetically engineered T lymphocytes. A new chapter in adoptive T-cell therapy began with the success of chimeric antigen receptor (CAR) T-cell therapy. T cells harvested from peripheral blood are transduced with genetically engineered CARs that render the ability to recognize cancer cell-surface antigen and lyse cancer cells. The successes in CAR T-cell therapy for B-cell leukemia and lymphoma have led to efforts to expand this therapy to solid tumors. Herein, we discuss the rationale behind the preclinical development and clinical trials of T-cell therapies in patients with malignant pleural mesothelioma. Furthermore, we highlight the ongoing investigation of combination immunotherapy strategies to synergistically potentiate endogenous as well as adoptively transferred immunity.

Keywords: Adoptive cell therapy; Locoregional delivery; Malignant pleural mesothelioma; Pleural cancers.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Humans
  • Immunotherapy, Adoptive
  • Lung Neoplasms*
  • Mesothelioma* / therapy
  • Mesothelioma, Malignant*
  • Pleural Neoplasms* / therapy