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. 2024 Apr 25;5(2):432–448. doi: 10.37349/etat.2024.00227

Table 2.

Comparison of each immunotherapy in terms of major effector, limitation, and undesired adverse effects

Function TriKEs CAR-T cells ICIs CKTs mAbs
Functions
Major effector cells NK cells T cells T cells Various immune cells Various immune cells
Limitation Frequent dosing requirement Excessive immune response Excessive immune response Effective dose’s cytotoxicity Varied effects among people
Antigen escape High costs Natural pathway inhibition Uncertain stimulation Limited penetration accessibility
Adverse effects
Stimulation of CRS No reports Anti-CD19 CAR in B-CLL and DLBCL patients [53, 54, 61] Anti-PD-1/PD-L1 in melanoma and hemotologicmalignancy [79] No reports Anti-CD3, anti-CD20, and anti-CD28 [58, 75]
On-target off-tumor cytotoxicity No reports Anti-TAG72, anti-B7-H3 [56, 57] Anti-PD-1 and anti-CTLA-4 [70] No reports Anti-TNF and anti-EGFR [75]
Neurotoxicity No reports Anti-CD19 CAR in B-CLL patients [53, 56] Anti-CTLA-4 and anti-PD-1 [80] No reports No reports
Graft-versus-host disease No reports Anti-CD19 CAR in B-CLL [53] Anti-PD-1 and anti-CTLA-4 [70] No reports No reports
Others No reports TLS [56] Autoim-mune diabetes [70] Vascular-leak syndrome [44] No reports

CKTs: cytokine therapies; TAG: tumor-associated glycoprotein; DLBCL: diffuse large B-cell lymphoma; EGFR: epidermal growth factor receptor