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Writer's pictureDr. ARUN V J

TME 21: CAR T-Cell Therapy: A New Warrior in the Fight Against Cancer

Updated: May 4, 2024

CAR T-Cell Therapy: A Revolution in Cancer Treatment


A cell with s logo
CAR T cells are trained super soldiers to treat cancer

Our bodies possess amazing tools to fight disease – if we know how to use them. CAR T-cell therapy is a cutting-edge treatment that takes our natural immune system and turns it into a powerful weapon in the battle against cancer.


Understanding the Immune System

Our immune system is a complex network of cells and organs that protect us from illness. Think of it as the body's security system, always on patrol. T-cells, a type of white blood cell, are like the special forces of this system. They seek out and eliminate infected cells, bacteria, and other threats – sometimes including cancer.


The Challenge with Cancer

Cancer cells are tricky. They're masters of disguise, often blending in with our healthy cells, and can even find ways to suppress the immune system. This makes them difficult for our T-cells to detect and destroy.

Cancer cells are our own body cells that went haywire and lost their purpose. Hence, sometimes it is difficult to identify cancer cells and healthy cells in the body.


one cancer cell in between normal cells
It is very difficult for our immune systems to differentiate between normal cells and cancer cells

How CAR T-Cells Change the Game

CAR T-cell therapy tackles this problem head-on. Here's a closer look at the process:

  1. Collection: It starts with taking a blood sample from the patient to isolate their T-cells.

  2. Supercharging: In the lab, scientists use a harmless virus to insert the special CAR gene into the T-cells. This gene provides the cells with a sophisticated radar to specifically 'see' and target the cancer cells.

  3. Expansion: Once upgraded, the CAR T-cells are multiplied into a vast army– millions upon millions strong.

  4. Re-infusion: This army is infused back into the patient's bloodstream, ready for battle.

  5. Seek and Destroy: The CAR T-cells spread throughout the body, hunting down cancer cells based on the target specified by their CAR receptors. Upon finding a match, they release powerful chemicals to destroy the cancer cell.

A flow chart
Simplified flow chart of developing CAR T cell

Where CAR T-cell Therapy Excels

Currently, CAR T-cell therapy shows outstanding results in treating certain blood cancers like leukemia and lymphoma, often when other options have failed. This personalized treatment can provide hope for patients facing very difficult situations. Scientists are actively researching ways to expand CAR T-cell therapy's reach to treat solid tumors and other types of cancer.


A cartoon of a CAR T cell
CAR T cells can find cancer cells and destroy them

Important Considerations

While groundbreaking, CAR T-cell therapy isn't without risks. Due to its power, it can cause temporary but sometimes severe side effects, including:

  • Cytokine release syndrome (CRS):  The immune system's intense response can lead to flu-like symptoms, fever, or in more severe cases, difficulties with breathing and low blood pressure.

  • Neurological effects:  Some patients experience temporary confusion, seizures, or difficulty speaking.


The Promise and The Journey

CAR T-cell therapy is a rapidly evolving field changing the way we treat cancer. It offers:

  • Hope:  This treatment provides new hope for patients who haven't responded to traditional therapies.

  • Long-term Remission: For some, CAR T-cell therapy could be a path towards a cure.

  • The Power Within:  It represents a paradigm shift, showing us that solutions for some of our toughest medical challenges might lie within our own bodies.


Cost

One of the major concerns is the cost of CAR-T cell therapy. It runs into crores for a single patient.

Recently India has recently launched its own CAR T cell NexCAR19. It is India’s First Home-Grown Gene Therapy for Cancer developed by IIT Bombay, Tata Memorial Centre and ImmunoACT. They have managed to bring down the cost of therapy severalfold.

Click here to see ImmunoACT videos on CART cell therapy.


Important Note: CAR T-cell therapy is a complex treatment with significant risks. If you or a loved one are considering this option, extensive consultation with your doctor is absolutely essential to understand the potential benefits and risks in your individual case.

While the path might be long, CAR T-cell therapy illuminates a promising future where we fight cancer smarter, not just harder.

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