Challenges in the preclinical design and assessment of CAR-T cells

The advent of immunotherapy in the treatment of cancer has opened a new dimension in the management of this complex multifaceted disease, bringing hope to many patients whose tumors have failed to respond to conventional therapies. The adoptive T cell therapy has since been extended to the treatment...

ver descrição completa

Detalhes bibliográficos
Autores: Tomai, Radu, De Las Rivas, Javier, Fetica, Bogdan, Bergantim, Rui, Filipic, Brankica, Gagic, Zarko, Nikolic, Katarina, Gulei, Diana, Kegyes, David, Nistor, Madalina, Muresan, Ximena María, Cenariu, Diana, Feder, Richard, Pavel-Tanasa, Mariana, Cianga, Andrei, Bogdan Tigu, Adrián, Munteanu, Raluca, Tanase, Alina, Einsele, Hermann, Tomuleasa, Ciprian
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Recursos:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/423459
Acesso em linha:http://hdl.handle.net/10261/423459
Access Level:acceso abierto
Palavra-chave:CAR-T cell tracking
Tumor organoids
Antigen escape
Solid tumor immunotherapy
Metabolic reprogramming
HDAC inhibitors
id ES_2ace6e73ac91bf2e87d4f66d83b08d2c
oai_identifier_str oai:digital.csic.es:10261/423459
network_acronym_str ES
network_name_str España
repository_id_str
spelling Challenges in the preclinical design and assessment of CAR-T cellsTomai, RaduDe Las Rivas, JavierFetica, BogdanBergantim, RuiFilipic, BrankicaGagic, ZarkoNikolic, KatarinaGulei, DianaKegyes, DavidNistor, MadalinaMuresan, Ximena MaríaCenariu, DianaFeder, RichardPavel-Tanasa, MarianaCianga, AndreiBogdan Tigu, AdriánMunteanu, RalucaTanase, AlinaEinsele, HermannTomuleasa, CiprianCAR-T cell trackingTumor organoidsAntigen escapeSolid tumor immunotherapyMetabolic reprogrammingHDAC inhibitorsThe advent of immunotherapy in the treatment of cancer has opened a new dimension in the management of this complex multifaceted disease, bringing hope to many patients whose tumors have failed to respond to conventional therapies. The adoptive T cell therapy has since been extended to the treatment of several hematologic malignancies, initially in relapsed settings and more recently at the forefront of treatment due to high response rates. Despite exciting initial results, the preclinical antitumor effects of the first long-term studies show that CAR (Chimeric Antigen Receptor)-T cells have been slow to translate to the clinical setting, with early clinical trials showing suboptimal responses. The main reasons for the limited clinical performance seemed to be related to the low activation and short persistence of CAR-T cells. Thus, began a journey to improve the initial CAR structure, leading to the development of more complex constructs, which are grouped into five CAR generations. In this review, we describe the main challenges and potential solutions for the evaluation of CAR T-cell-based therapies in the preclinical setting.This article is based upon work from COST Action IMMUNO-model, CA21135, supported by COST (European Cooperation in Science and Technology (KF, RB, BoF, DC, RM and CT). DK is funded by a national research grant of the Romanian Government – Bursa Henri Coanda, contract 8/10.02.2024. CT is funded by an international grant of the European Hematology Association (EHA-SWG Immunotherapy Project 2024—CAR NK cells for tumor associated macrophage immunomodulation—a new era of immunotherapy), as well as by a bilateral collaboration grant between Romania and Moldova (PN-IV-P8-8.3-ROMD-2023-0036). HE is funded by a national grant of the Romanian Research Ministry—PNRR 2024-2026 (PNRR/2022/C9/MCID/18, Contract No. 760278/26.03.2024). MPT and AC are funded by a national grant of the Romanian Research Ministry—CNCS-UEFISCDI project number PN-IV-P2-2.1-TE-2023-1182 within PNCDI IV.Peer reviewedFrontiers MediaEuropean Cooperation in Science and TechnologyEuropean Hematology AssociationMinistry of Research and Innovation (Romania)Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202620262025info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/423459reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)Ingléshttps://doi.org/10.3389/fimmu.2025.1564998Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/4234592026-05-22T06:33:51Z
dc.title.none.fl_str_mv Challenges in the preclinical design and assessment of CAR-T cells
title Challenges in the preclinical design and assessment of CAR-T cells
spellingShingle Challenges in the preclinical design and assessment of CAR-T cells
Tomai, Radu
CAR-T cell tracking
Tumor organoids
Antigen escape
Solid tumor immunotherapy
Metabolic reprogramming
HDAC inhibitors
title_short Challenges in the preclinical design and assessment of CAR-T cells
title_full Challenges in the preclinical design and assessment of CAR-T cells
title_fullStr Challenges in the preclinical design and assessment of CAR-T cells
title_full_unstemmed Challenges in the preclinical design and assessment of CAR-T cells
title_sort Challenges in the preclinical design and assessment of CAR-T cells
dc.creator.none.fl_str_mv Tomai, Radu
De Las Rivas, Javier
Fetica, Bogdan
Bergantim, Rui
Filipic, Brankica
Gagic, Zarko
Nikolic, Katarina
Gulei, Diana
Kegyes, David
Nistor, Madalina
Muresan, Ximena María
Cenariu, Diana
Feder, Richard
Pavel-Tanasa, Mariana
Cianga, Andrei
Bogdan Tigu, Adrián
Munteanu, Raluca
Tanase, Alina
Einsele, Hermann
Tomuleasa, Ciprian
author Tomai, Radu
author_facet Tomai, Radu
De Las Rivas, Javier
Fetica, Bogdan
Bergantim, Rui
Filipic, Brankica
Gagic, Zarko
Nikolic, Katarina
Gulei, Diana
Kegyes, David
Nistor, Madalina
Muresan, Ximena María
Cenariu, Diana
Feder, Richard
Pavel-Tanasa, Mariana
Cianga, Andrei
Bogdan Tigu, Adrián
Munteanu, Raluca
Tanase, Alina
Einsele, Hermann
Tomuleasa, Ciprian
author_role author
author2 De Las Rivas, Javier
Fetica, Bogdan
Bergantim, Rui
Filipic, Brankica
Gagic, Zarko
Nikolic, Katarina
Gulei, Diana
Kegyes, David
Nistor, Madalina
Muresan, Ximena María
Cenariu, Diana
Feder, Richard
Pavel-Tanasa, Mariana
Cianga, Andrei
Bogdan Tigu, Adrián
Munteanu, Raluca
Tanase, Alina
Einsele, Hermann
Tomuleasa, Ciprian
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv European Cooperation in Science and Technology
European Hematology Association
Ministry of Research and Innovation (Romania)
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv CAR-T cell tracking
Tumor organoids
Antigen escape
Solid tumor immunotherapy
Metabolic reprogramming
HDAC inhibitors
topic CAR-T cell tracking
Tumor organoids
Antigen escape
Solid tumor immunotherapy
Metabolic reprogramming
HDAC inhibitors
description The advent of immunotherapy in the treatment of cancer has opened a new dimension in the management of this complex multifaceted disease, bringing hope to many patients whose tumors have failed to respond to conventional therapies. The adoptive T cell therapy has since been extended to the treatment of several hematologic malignancies, initially in relapsed settings and more recently at the forefront of treatment due to high response rates. Despite exciting initial results, the preclinical antitumor effects of the first long-term studies show that CAR (Chimeric Antigen Receptor)-T cells have been slow to translate to the clinical setting, with early clinical trials showing suboptimal responses. The main reasons for the limited clinical performance seemed to be related to the low activation and short persistence of CAR-T cells. Thus, began a journey to improve the initial CAR structure, leading to the development of more complex constructs, which are grouped into five CAR generations. In this review, we describe the main challenges and potential solutions for the evaluation of CAR T-cell-based therapies in the preclinical setting.
publishDate 2025
dc.date.none.fl_str_mv 2025
2026
2026
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/423459
url http://hdl.handle.net/10261/423459
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.3389/fimmu.2025.1564998

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869405095657996288
score 15,811543