Simplified
schematic illustrating three different types of ATCT
currently in development for cancer therapy: TILs, CAR-, and TCR-transduced
T cells. In general, all types require activation (typically with
anti-CD3/CD28 beads) and expansion prior to reinfusion. However, for
CAR-T and TCR-T cells, genetic modification is performed to equip
the cells with tumor antigen-recognizing receptors. Blue box: While
TCRs recognize peptides on the surface presented by the major histocompatibility
complex (MHC), CARs recognize protein antigens expressed on the tumor
cell surface. Since both intracellular and surface proteins can be
presented as peptides in the context of MHC, transgenic TCRs have
the potential to target more tumor antigens than CARs.