Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects

Tumor-infiltrating lymphocyte (TIL) therapy has evolved from a pioneering experimental approach to a clinically validated treatment strategy, underscored by the recent approval of lifileucel (Amtagvi) by the Food and Drug Administration (FDA) for advanced melanoma refractory to existing therapies. I...

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Main Authors: Sarker Drishty Badhon, Gonzalez Marian M., Martinez Sophia, Sang Qing-Xiang Amy
Format: Article
Language:English
Published: EDP Sciences 2025-01-01
Series:Visualized Cancer Medicine
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Online Access:https://vcm.edpsciences.org/articles/vcm/full_html/2025/01/vcm20250003/vcm20250003.html
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author Sarker Drishty Badhon
Gonzalez Marian M.
Martinez Sophia
Sang Qing-Xiang Amy
author_facet Sarker Drishty Badhon
Gonzalez Marian M.
Martinez Sophia
Sang Qing-Xiang Amy
author_sort Sarker Drishty Badhon
collection DOAJ
description Tumor-infiltrating lymphocyte (TIL) therapy has evolved from a pioneering experimental approach to a clinically validated treatment strategy, underscored by the recent approval of lifileucel (Amtagvi) by the Food and Drug Administration (FDA) for advanced melanoma refractory to existing therapies. Initially successful in melanoma due to its high tumor mutational burden (TMB) and immune-reactivity, contemporary efforts extend TIL applications to other solid tumors, including lung, cervical, and colorectal cancers. However, these lower-TMB malignancies typically require the selective enrichment of tumor-specific T cells to achieve significant clinical efficacy. The therapeutic potential of TILs is influenced by critical factors, including cell dose, T-cell phenotype and differentiation state, tumor-specific reactivity, and the ability to persist and expand within patients post-infusion. Emerging techniques, including single-cell transcriptomics and biomarker-guided TIL selection (e.g., CD137, CD103 markers), have provided deeper insights into the characteristics correlating with successful outcomes. Ongoing clinical trials highlight future directions, including genetically engineered TILs with chimeric antigen receptor (CAR) or immune checkpoint knockout, improved cytokine support strategies to enhance T-cell expansion and reduce toxicity, and optimized lymphodepletion regimens. Establishing clear quality attributes for TIL manufacturing will be essential for consistent clinical success, paving the way toward personalized and robust immunotherapeutic approaches across diverse cancer types.
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publishDate 2025-01-01
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spelling doaj-art-e807bcb2c2b54cbd8139c28b50ec6a502025-08-20T03:34:48ZengEDP SciencesVisualized Cancer Medicine2740-42182025-01-016910.1051/vcm/2025010vcm20250003Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospectsSarker Drishty Badhon0https://orcid.org/0000-0001-6366-3926Gonzalez Marian M.1Martinez Sophia2https://orcid.org/0009-0009-4277-8076Sang Qing-Xiang Amy3https://orcid.org/0000-0001-8828-0569Department of Chemistry and Biochemistry, Florida State UniversityDepartment of Chemistry and Biochemistry, Florida State UniversityDepartment of Chemistry and Biochemistry, Florida State UniversityDepartment of Chemistry and Biochemistry, Florida State UniversityTumor-infiltrating lymphocyte (TIL) therapy has evolved from a pioneering experimental approach to a clinically validated treatment strategy, underscored by the recent approval of lifileucel (Amtagvi) by the Food and Drug Administration (FDA) for advanced melanoma refractory to existing therapies. Initially successful in melanoma due to its high tumor mutational burden (TMB) and immune-reactivity, contemporary efforts extend TIL applications to other solid tumors, including lung, cervical, and colorectal cancers. However, these lower-TMB malignancies typically require the selective enrichment of tumor-specific T cells to achieve significant clinical efficacy. The therapeutic potential of TILs is influenced by critical factors, including cell dose, T-cell phenotype and differentiation state, tumor-specific reactivity, and the ability to persist and expand within patients post-infusion. Emerging techniques, including single-cell transcriptomics and biomarker-guided TIL selection (e.g., CD137, CD103 markers), have provided deeper insights into the characteristics correlating with successful outcomes. Ongoing clinical trials highlight future directions, including genetically engineered TILs with chimeric antigen receptor (CAR) or immune checkpoint knockout, improved cytokine support strategies to enhance T-cell expansion and reduce toxicity, and optimized lymphodepletion regimens. Establishing clear quality attributes for TIL manufacturing will be essential for consistent clinical success, paving the way toward personalized and robust immunotherapeutic approaches across diverse cancer types.https://vcm.edpsciences.org/articles/vcm/full_html/2025/01/vcm20250003/vcm20250003.htmltumor-infiltrating lymphocytestil therapyimmunotherapyadoptive cell therapy
spellingShingle Sarker Drishty Badhon
Gonzalez Marian M.
Martinez Sophia
Sang Qing-Xiang Amy
Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
Visualized Cancer Medicine
tumor-infiltrating lymphocytes
til therapy
immunotherapy
adoptive cell therapy
title Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
title_full Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
title_fullStr Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
title_full_unstemmed Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
title_short Tumor-infiltrating lymphocyte therapy: therapeutic advances and prospects
title_sort tumor infiltrating lymphocyte therapy therapeutic advances and prospects
topic tumor-infiltrating lymphocytes
til therapy
immunotherapy
adoptive cell therapy
url https://vcm.edpsciences.org/articles/vcm/full_html/2025/01/vcm20250003/vcm20250003.html
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AT gonzalezmarianm tumorinfiltratinglymphocytetherapytherapeuticadvancesandprospects
AT martinezsophia tumorinfiltratinglymphocytetherapytherapeuticadvancesandprospects
AT sangqingxiangamy tumorinfiltratinglymphocytetherapytherapeuticadvancesandprospects