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Beyond #CARTcells: #CARMacrophages Efficacy CAR-MΦ research, though primarily in the preclinical stage, shows promise against hematological malignancies and solid tumors. CAR-MΦ mediate cytotoxicity through phagocytosis and other mechanisms. For instance, CD19-targeting CAR-macrophages can specifically engulf CD19+ cancer cells. Enhancing phagocytosis via CD47-targeting antibodies has been shown effective. Studies have demonstrated CAR-MΦ can reshape the tumor microenvironment (TME) by promoting an M1-like phenotype and recruiting immune cells. Combining CAR-T cells with CAR-MΦ shows synergistic effects, improving tumor infiltration and immune response. Clinical Trials Four phase I clinical trials are investigating the efficacy of CAR-macrophages against solid tumors. These include trials targeting HER-2 expressing tumors (NCT04660929), GPC3-positive tumors (NCT04405778), and mesothelin-expressing tumors (NCT05164666). Advantages Macrophages offer unique advantages over T and #NK cells, such as better migration and infiltration into the TME. They secrete matrix metalloproteases (MMP) to degrade the TME, aiding T cell infiltration and tumor penetration. CAR-MΦ also exhibit unique cytotoxic properties like phagocytosis and ADCC, and can reprogram the TME by polarizing M2 macrophages to an M1 phenotype. They can be generated from various reliable sources, potentially improving safety profiles compared to CAR-T cells. Limitations and Solutions CAR macrophages face challenges like low proliferation and the need for repeated infusions. Efficient and cost-effective production protocols are essential for clinical application. Gene transfer into macrophages remains complex, with adenoviral transduction and iPSC use as potential strategies. The risk of M2 polarization due to the TME can be managed through adenoviral transduction or cytokine treatments. Safety concerns, such as IL-6 secretion linked to CRS, need further assessment in clinical trials. Image:  #CARmacrophages infiltrate solid tumors through secretion of MMP and ECM degradation. They can recognize tumor cells via their CAR and CAR-independently via innate receptors (TLR). Apart from phagocytosing tumor cells and participating in ADCC, they can release proinflammatory cytokines, recruit further immune cells (NKs, DCs) and activate T cells through antigen presentation or interaction with CD28   Source: https://lnkd.in/eDsrV33g

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Thanks for the very interesting information or article.

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