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. 2021 Sep 29;14(10):993. doi: 10.3390/ph14100993

Table 5.

Advantages and Disadvantages of transgenic TCR vs. CAR T cell-based therapy.

Transgenic TCR T Cells CAR T Cells
Advantages
  • Recognize peptides derived from intracellular and extracellular proteins

  • High antigen sensitivity (as little as 1 antigen per cell needed)

  • Target antigen may be tumor-specific (neoantigen-derived)

  • Kills cancer cells at a log-scale [91]

  • MHC-independent

  • Not dependent on mutations and neoantigen expression

Disadvantages
  • Receptor is MHC-restricted, necessitating MHC-matching

  • Identifying target antigen and patient-specific TCR remains challenging

  • Severe toxicities

  • Only targets extracellular proteins

  • Severe toxicities, including cytokine release syndrome

  • Lower antigen sensitivity (>100 antigens per cell needed, in general)