Applications and opportunities for immune cell CAR engineering in comparative oncology.

in Clinical cancer research : an official journal of the American Association for Cancer Research by Antonia Rotolo, Matthew J Atherton

TLDR

  • The study investigates how CAR-T therapy can be used to treat cancer in dogs. The study finds that the challenges in early clinical trials in canine lymphoma patients are similar to those in human CAR-T trials. The study suggests that increased funding for canine immunotherapy studies could lead to more effective human trials and benefit both human and canine cancer patients.

Abstract

Chimeric antigen receptor (CAR) T adoptive cell therapy has transformed the treatment of human hematologic malignancies. However, its application for the treatment of solid tumors remains challenging. An exciting avenue for advancing this field lies in the use of pet dogs, in which cancers that recapitulate the biology, immunological features, and clinical course of human malignancies arise spontaneously. Moreover, their large size, outbred genetic background, shared environment with humans, and immunocompetency make dogs ideal for investigating and optimizing CAR therapies before human trials. Here, we will outline how challenges in early clinical trials in canine lymphoma patients, including issues related to autologous CAR-T cell manufacturing, limited CAR-T cell persistence, and tumor antigen escape, mirrored challenges observed in human CAR-T trials. We will then highlight emerging adoptive cell therapy strategies currently under investigation in dogs with hematological and solid cancers, that will provide crucial safety and efficacy data on novel CAR-T regimens that can be used to support clinical trials. By drawing from ongoing studies, we will illustrate how canine patients with spontaneous cancer may serve as compelling screening platforms to establish innovative CAR-therapy approaches and identify predictive biomarkers of response, with a specific emphasis on solid tumors. With increased funding for canine immunotherapy studies, multi-institutional investigations are poised to generate highly impactful clinical data that should translate into more effective human trials, ultimately benefiting both human and canine cancer patients.

Overview

  • The study explores the use of chimeric antigen receptor (CAR) T adoptive cell therapy for the treatment of solid tumors in dogs, which recapitulate the biology, immunological features, and clinical course of human malignancies. The study aims to investigate the challenges in early clinical trials in canine lymphoma patients and highlight emerging adoptive cell therapy strategies currently under investigation in dogs with hematological and solid cancers. The study seeks to establish innovative CAR-therapy approaches and identify predictive biomarkers of response, with a specific emphasis on solid tumors. The study will provide crucial safety and efficacy data on novel CAR-T regimens that can be used to support clinical trials.

Comparative Analysis & Findings

  • The study compares the outcomes observed under different experimental conditions or interventions detailed in the study. The study identifies any significant differences or similarities in the results between these conditions. The study discusses the key findings of the study and how they relate to the initial hypothesis. The study finds that challenges in early clinical trials in canine lymphoma patients, including issues related to autologous CAR-T cell manufacturing, limited CAR-T cell persistence, and tumor antigen escape, mirrored challenges observed in human CAR-T trials. The study highlights emerging adoptive cell therapy strategies currently under investigation in dogs with hematological and solid cancers, that will provide crucial safety and efficacy data on novel CAR-T regimens that can be used to support clinical trials.

Implications and Future Directions

  • The study explains the significance of the study's findings and their potential impact on the field of research or clinical practice. The study identifies any limitations of the study that need to be addressed in future research. The study suggests possible future research directions that could build on the results of the study, explore unresolved questions, or utilize novel approaches. The study suggests that increased funding for canine immunotherapy studies, multi-institutional investigations are poised to generate highly impactful clinical data that should translate into more effective human trials, ultimately benefiting both human and canine cancer patients.