Publications by authors named "Alberto Carturan"

Editing chimeric antigen receptor (CAR) T cells by using CRISPR-Cas9 has become a routine strategy to improve their antitumor function or safety profile. Xenograft tumor models in immunodeficient mice are often used to evaluate the function of CRISPR-edited human CAR T cells. These models, however, lack functional immune systems and thus fail to recapitulate barriers such as the immunosuppressive tumor microenvironment (TME) that CAR T cells will encounter in patients.

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This review addresses the integration of chimeric antigen receptor (CAR)-T cell therapy with reconstructive oncologic surgery in treating peripheral solid tumors, including melanoma, sarcomas, breast cancer, and head and neck cancers. While CAR-T cells have demonstrated effectiveness in blood cancers, their efficacy in solid tumors has been limited due to tumor heterogeneity, immune suppression, and poor cellular infiltration. Emerging approaches involving localized CAR-T cell delivery, improved CAR design, and targeted antigen selection (such as HER2, MUC1, GD2, and B7-H3) are discussed as promising strategies to enhance therapeutic outcomes.

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Tumor resistance to chimeric antigen receptor T cell (CAR-T) and, in general, to adoptive cell immunotherapies (ACTs) is a major challenge in the clinic. We hypothesized that inhibiting the tumor drivers' methyltransferases EZH2 and EZH1 could enhance ACT by rewiring cancer cells to a more immunogenic state. In human B cell lymphoma, EZH2 inhibition (tazemetostat) improved the efficacy of anti-CD19 CAR-T by enhancing activation, expansion, and tumor infiltration.

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Cancer immunotherapy-including immune checkpoint inhibition (ICI) and adoptive cell therapy (ACT)-has become a standard, potentially curative treatment for a subset of advanced solid and liquid tumors. However, most patients with cancer do not benefit from the rapidly evolving improvements in the understanding of principal mechanisms determining cancer immune responsiveness (CIR); including patient-specific genetically determined and acquired factors, as well as intrinsic cancer cell biology. Though CIR is multifactorial, fundamental concepts are emerging that should be considered for the design of novel therapeutic strategies and related clinical studies.

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Numerous cutting-edge immunotherapy approaches have been developed for hematological malignancies, such as immune-checkpoint inhibitors for lymphomas, chimeric antigen receptor (CAR)-T-cell treatments for B-cell cancers, and monoclonal antibody therapies for acute myeloid leukemia (AML). However, achieving similar breakthroughs in MPNs has proven challenging. The key obstacles include the absence of universally expressed and MPN-specific surface markers, significant cellular and molecular variability among both individual patients and across different MPN subtypes, and the failure of treatments to stimulate an anti-tumor immune response due to the immune system disruptions caused by the myeloid neoplasm.

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Article Synopsis
  • Many patients treated with FDA-approved CAR T cells see their disease progress, especially with solid cancers and certain types of blood cancers like T cell lymphomas.
  • A major challenge in adoptive T cell therapies is the dysfunction of CAR T cells, which struggle to expand and last after being infused.
  • The study reveals that knocking out the CD5 gene using CRISPR-Cas9 can improve the antitumor abilities of CAR T cells by enhancing their function and persistence, suggesting CD5 as a key target for improving T cell therapies.
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  • - The study identifies the interaction between BTLA on T cells and HVEM on regulatory T cells as a major factor limiting the effectiveness of T cell-based immunotherapies in tumors.
  • - High levels of BTLA in CAR T cells are linked to poorer treatment outcomes, prompting researchers to delete BTLA to improve the T cells' tumor-fighting abilities.
  • - By removing BTLA, T cells show enhanced signaling and function, suggesting that targeting the BTLA-HVEM interaction could boost the success of CAR T cell therapies.
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  • This study focuses on the need for efficient and cost-effective methods to measure important characteristics of CAR T cells during their manufacturing process, as the popularity of these therapies is rising.
  • Researchers compared a new device called the Moxi GO II with established devices, the Multisizer Coulter Counter and BD LSRFortessa, to evaluate cell number, size, viability, and basic features of CAR T cells.
  • Findings show that the Moxi GO II can accurately provide these measurements and is comparable to the gold standard instruments, making it a promising tool for monitoring CAR T-cell characteristics in both research and clinical settings.
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  • - Researchers hypothesized that developing a novel anti-CD19 scFv, h1218, could improve the efficacy of CAR T-cell therapies for patients with relapsed B-cell non-Hodgkin lymphoma, addressing issues linked to the commonly used FMC63 variant.
  • - The new h1218-CART19 product demonstrated superior performance in preclinical studies, effectively targeting lymphoma cells that had developed resistance to FMC63 and showing enhanced anti-cancer activity due to reduced cell death and better cell expansion.
  • - A phase I clinical trial was initiated to evaluate the safety and effectiveness of h1218-CART19 in patients with relapsed or refractory NHL, building on promising preclinical findings.
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  • Immunotherapy has changed the landscape of cancer treatment, with methods like immune checkpoint blockade and T-cell transfer showing great success in fighting various cancer types.
  • A major challenge is that cancer cells often resist apoptosis (programmed cell death), making them harder to eliminate; improving their susceptibility to apoptosis is crucial for effective treatment.
  • The review highlights current strategies to enhance T-cell therapies by increasing cancer cell apoptosis sensitivity while also addressing how apoptosis affects the survival of T-cells in the tumor environment.
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  • The case discusses a 78-year-old woman with severe leukocytosis and anemia who initially appeared asymptomatic and was hospitalized for a routine check-up.
  • After an abdominal ultrasound showed mild splenomegaly, further examinations revealed a significant decline in her cognitive function and multiple brain lesions a week later.
  • An autopsy confirmed extreme infiltration of leukemia in various organs, indicating a complex condition potentially classified as an overlap syndrome between atypical chronic myeloid leukemia (aCML) and myelodysplastic/myeloproliferative neoplasm (MDS/MPN), making diagnosis challenging.
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