JAMA Clinical Reviews cover image

JAMA Clinical Reviews

CAR T Cells and T-Cell Therapies for Cancer

Nov 4, 2024
Jennifer N. Brudno, an Associate Research Physician at the National Cancer Institute, shares her expertise on CAR T-cell therapy. The discussion highlights how genetically engineered T cells specifically target and kill tumor cells, showing promise against various B cell malignancies. Brudno also delves into the side effects, like cytokine release syndrome and neurological toxicities, while addressing FDA concerns over secondary malignancies. Plus, logistical challenges and advancements in making these therapies more accessible are explored, painting a comprehensive picture of CAR T-cell therapy's impact.
18:22

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Quick takeaways

  • CAR T cell therapy utilizes genetically modified T cells to target and kill specific cancer cells, with significant success in hematologic malignancies.
  • The treatment process involves collecting, engineering, and infusing T cells, facing challenges like high costs and wait times affecting patient outcomes.

Deep dives

Understanding CAR T Cell Therapy

CAR T cell therapy involves genetically engineering a patient's own T lymphocytes to express a chimeric antigen receptor (CAR) that targets specific cancer antigens. This synthetic protein allows T cells to recognize and attack malignant cells displaying the target antigen, such as CD19 in certain B-cell malignancies. The effectiveness of CAR T cell therapy varies by the type of cancer being treated, but notable successes have been recorded in patients with B-cell acute lymphoblastic leukemia (ALL) and diffuse large B-cell lymphoma, with long-term remission rates reaching around 30% and up to 90%, respectively. This therapy has the potential to provide an effective treatment option for individuals who do not respond to conventional chemotherapy.

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