ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma

Chimeric antigen receptor T (CAR-T) cell therapy has shown great success in treating B cell malignancies; however, there are many challenges that limit their therapeutic efficacy in solid tumours. Immunotherapy of head and neck squamous cell carcinoma (HNSCC), and, in particular, oral squamous cell...

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Main Authors: Saffron E. Summers, Vehid Salih, Andrew D. Foey
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Dental Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdmed.2023.1116402/full
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author Saffron E. Summers
Saffron E. Summers
Vehid Salih
Andrew D. Foey
author_facet Saffron E. Summers
Saffron E. Summers
Vehid Salih
Andrew D. Foey
author_sort Saffron E. Summers
collection DOAJ
description Chimeric antigen receptor T (CAR-T) cell therapy has shown great success in treating B cell malignancies; however, there are many challenges that limit their therapeutic efficacy in solid tumours. Immunotherapy of head and neck squamous cell carcinoma (HNSCC), and, in particular, oral squamous cell carcinoma (OSCC), presents a unique set of challenges including lack of consistently expressed tumour associated antigens (TAAs) and the immunosuppressive tumour microenvironment (TME). Currently, there are few clinical trials investigating the use of CAR-T cells in HNSCC/OSCC; however, results from trials investigating similar solid tumours, such as breast cancer, can be adopted to help evaluate the use of CAR-T in this cancer. In this review, the process of CAR-T cell engineering and different generations of these cells will be summarised, highlighting their potential use in treating HNSCC through targeting ErbB and MUC1; TAAs highly expressed by this solid tumour. Potential strategies including combination therapy, utilising both TAA-targeting CAR-Ts and immune checkpoint inhibitors, such as PD-L1, have been discussed, in an attempt to develop synergistic anti-tumour responses. In addition to this, the use of dual-targeting CAR-T cells, synthetic NOTCH (synNOTCH) receptors and alternative non-tumour targets of the TME have been reviewed. Such combination therapies have been shown to help limit solid tumour progression and enhance both the safety and efficacy of CAR-T cell immunotherapy, which may be adopted for the treatment and management of OSCC.
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spelling doaj-art-9fdb0c56d3004fe3a67240ab1f5f51722025-02-11T10:29:09ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152023-03-01410.3389/fdmed.2023.11164021116402ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinomaSaffron E. Summers0Saffron E. Summers1Vehid Salih2Andrew D. Foey3School of Biomedical Sciences, Faculty of Health, University of Plymouth, Plymouth, United KingdomSchool of Dentistry, Faculty of Health, University of Plymouth, Plymouth, United KingdomSchool of Dentistry, Faculty of Health, University of Plymouth, Plymouth, United KingdomSchool of Biomedical Sciences, Faculty of Health, University of Plymouth, Plymouth, United KingdomChimeric antigen receptor T (CAR-T) cell therapy has shown great success in treating B cell malignancies; however, there are many challenges that limit their therapeutic efficacy in solid tumours. Immunotherapy of head and neck squamous cell carcinoma (HNSCC), and, in particular, oral squamous cell carcinoma (OSCC), presents a unique set of challenges including lack of consistently expressed tumour associated antigens (TAAs) and the immunosuppressive tumour microenvironment (TME). Currently, there are few clinical trials investigating the use of CAR-T cells in HNSCC/OSCC; however, results from trials investigating similar solid tumours, such as breast cancer, can be adopted to help evaluate the use of CAR-T in this cancer. In this review, the process of CAR-T cell engineering and different generations of these cells will be summarised, highlighting their potential use in treating HNSCC through targeting ErbB and MUC1; TAAs highly expressed by this solid tumour. Potential strategies including combination therapy, utilising both TAA-targeting CAR-Ts and immune checkpoint inhibitors, such as PD-L1, have been discussed, in an attempt to develop synergistic anti-tumour responses. In addition to this, the use of dual-targeting CAR-T cells, synthetic NOTCH (synNOTCH) receptors and alternative non-tumour targets of the TME have been reviewed. Such combination therapies have been shown to help limit solid tumour progression and enhance both the safety and efficacy of CAR-T cell immunotherapy, which may be adopted for the treatment and management of OSCC.https://www.frontiersin.org/articles/10.3389/fdmed.2023.1116402/fullCAR-TsPD-L1TAMsErbBMUC1OSCC
spellingShingle Saffron E. Summers
Saffron E. Summers
Vehid Salih
Andrew D. Foey
ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
Frontiers in Dental Medicine
CAR-Ts
PD-L1
TAMs
ErbB
MUC1
OSCC
title ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
title_full ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
title_fullStr ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
title_full_unstemmed ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
title_short ErbB- and MUC1-targeted CAR-T cell immunotherapy of oral squamous cell carcinoma
title_sort erbb and muc1 targeted car t cell immunotherapy of oral squamous cell carcinoma
topic CAR-Ts
PD-L1
TAMs
ErbB
MUC1
OSCC
url https://www.frontiersin.org/articles/10.3389/fdmed.2023.1116402/full
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AT vehidsalih erbbandmuc1targetedcartcellimmunotherapyoforalsquamouscellcarcinoma
AT andrewdfoey erbbandmuc1targetedcartcellimmunotherapyoforalsquamouscellcarcinoma