Table 1.
Autologous CAR-T cell therapy | Universal CAR-T cell therapy | |
---|---|---|
Consistency | ||
Killing mechanism | MHC-independent | |
Gene editing to avoid fratricide | Carried out if needed | |
Manufacturing process | T lymphocytes are isolated and transduced with a specific CAR by viral vector, then refused to the patient after amplification | |
Difference | ||
Cell source | Patients themselves | Healthy donors |
Activation of the immune system in patients | Hardly | Possible |
Manufacturing Line | Customized | Batched |
Additional Gene Editing to avoid GVHD and rejection | Unnecessary | Necessary |
Cost | High | Much lower |
Immediate availability | No | Yes |
Application in T-cell malignancies | Restricted | Promising |
Main risks | CRS;CRES | CRS;CRES;GVHD |
Limitations | Suboptimal quantity and quality of T cells in patients | Lower amplification and shorter persistence in vivo |
CAR, chimeric antigen receptor; CRS, cytokine release syndrome; CRES, CAR-T cell-associated encephalopathy syndrome; GVHD, graft versus host disease.