T cells are well known for their powerful ability to fight
off pathogens and tumor cells. T cells’ ability to destroy tumor cells has been
studied for the last two decades regarding the cell-surface sensors known as
chimeric antigen receptors (CARs). By inserting CARs into T cells, which is now
called CAR T cells, CAR T cells are guided to target and destroy the tumor
cells in the patient’s body. The mechanism of action includes the releasing of
cytokines to attract other T cells to the site and binding to the tumor cell’s
surfaces to destroy them. Despite the promising ability to destroy tumor cells,
T cells also exert a powerful side effect that could be lethal to the patients.
For example, once administered, CAR T cells randomly destroy organs on their
way such as the lungs and heart. This detrimental side effect renders CAR T
cells to be impractical. To combat this, researchers from the University of
California-San Francisco created an on switch for CAR T cells. CAR T cells will
be administered in inactivated form by default. Delivering a drug that serves
as an on switch will allow a delayed time necessary for CAR T cells to pass
through vulnerable organs, i.e. heart and lungs, and become activated when they
encounter the tumor cells. This controller drug offers a means to regulate CAR
T cells activities. Additionally, based on the dosage of the drug, the amount of
toxic waste, which is produced from the lysing of tumor cells, can be
controlled. Although the controller drug is still under investigation, it sheds
light on other researches such as using light or inserting multiple CARs into T
cells to gain control on CAR T cells.
Reference
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