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For whom the T cells troll? Bispecific T-cell engagers in glioblastoma

Singh, K, Hotchkiss, KM, Mohan, AA, Reedy, JL, Sampson, JH and Khasraw, Mustafa 2021, For whom the T cells troll? Bispecific T-cell engagers in glioblastoma, Journal for ImmunoTherapy of Cancer, vol. 9, no. 11, pp. 1-12, doi: 10.1136/jitc-2021-003679.

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Title For whom the T cells troll? Bispecific T-cell engagers in glioblastoma
Author(s) Singh, K
Hotchkiss, KM
Mohan, AA
Reedy, JL
Sampson, JH
Khasraw, MustafaORCID iD for Khasraw, Mustafa orcid.org/0000-0003-3249-9849
Journal name Journal for ImmunoTherapy of Cancer
Volume number 9
Issue number 11
Article ID e003679
Start page 1
End page 12
Total pages 12
Publisher BMJ
Place of publication London, Eng.
Publication date 2021
ISSN 2051-1426
2051-1426
Keyword(s) ACUTE LYMPHOBLASTIC-LEUKEMIA
ANTITUMOR-ACTIVITY
BITE ANTIBODY
BLOOD-BRAIN-BARRIER
CD19 X CD3
central nervous system neoplasms
HALF-LIFE
IMMUNE CHECKPOINT
Immunology
immunotherapy
Life Sciences & Biomedicine
MALIGNANT GLIOMA
MONOCLONAL-ANTIBODIES
Oncology
Science & Technology
SINGLE-CHAIN ANTIBODY
T lymphocytes
Summary Glioblastoma is the the most common primary brain tumor in adults. Onset of disease is followed by a uniformly lethal prognosis and dismal overall survival. While immunotherapies have revolutionized treatment in other difficult-to-treat cancers, these have failed to demonstrate significant clinical benefit in patients with glioblastoma. Obstacles to success include the heterogeneous tumor microenvironment (TME), the immune-privileged intracranial space, the blood–brain barrier (BBB) and local and systemic immunosuppressions. Monoclonal antibody-based therapies have failed at least in part due to their inability to access the intracranial compartment. Bispecific T-cell engagers are promising antibody fragment-based therapies which can bring T cells close to their target and capture them with a high binding affinity. They can redirect the entire repertoire of T cells against tumor, independent of T-cell receptor specificity. However, the multiple challenges posed by the TME, immune privilege and the BBB suggest that a single agent approach may be insufficient to yield durable, long-lasting antitumor efficacy. In this review, we discuss the mechanism of action of T-cell engagers, their preclinical and clinical developments to date. We also draw comparisons with other classes of multispecific antibodies and potential combinations using these antibody fragment therapies.
Language eng
DOI 10.1136/jitc-2021-003679
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30160469

Document type: Journal Article
Collections: Faculty of Health
School of Medicine
Open Access Collection
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Created: Fri, 31 Dec 2021, 14:07:34 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.