Completed Cancer Brain & Nervous System

Next generation engineered T-cell therapy for brain lymphoma

In plain English

AI plain-English summary

A patient’s own immune cells are being genetically reprogrammed to hunt and destroy aggressive brain lymphoma, with a built-in safety switch controlled by a drug. Most patients with this type of brain cancer die because standard treatments fail. T-cells, the body’s natural infection-fighters, do not normally attack lymphoma cells. But by taking T-cells from a patient’s blood, engineering them to recognise the cancer, and reinjecting them—a therapy called CAR T-cells—doctors can turn the immune system against the tumour. However, treating lymphoma inside the brain is harder than elsewhere: the cells struggle to reach the brain, and the rapid immune response they trigger can cause dangerous inflammation. Dr Martin Pule at University College London will test an advanced version of this therapy in a clinical study. The team will engineer the CAR T-cells so they can be tracked with a special MRI scanner, and their activity can be dialled up or down using a drug. If successful, this approach could make CAR T-cell therapy safe and effective for brain lymphoma, offering a new treatment option for a disease that currently has few.

View original technical description
Most patients with aggressive brain lymphoma die of their disease. T-cells are white-blood cells that are part of our immune system. T-cells can be imagined as "robots" moving through the body on a "seek-and-destroy" mission against virus infected cells. T-cells do not normally attack lymphoma cells, only infected cells. However, it is possible to genetically engineer T-cells taken from a patient's blood so they now recognize lymphoma cells. These engineered T-cells are called "CAR T-cells" and once they are injected back into the patient, they find and kill lymphoma cells. Dr Martin Pule at University College London will test a CAR T-cell treatment for aggressive brain lymphoma in a clinical study. While CAR T- cells may be good treatments for lymphoma outside the brain, treating brain lymphoma is harder: the brain is more difficult to reach than other parts of the body. Additionally, when CAR T-cells work quickly, they cause inflammation which the brain may not tolerate compared with other organs. The project plans to engineer CAR T-cells in an advanced way so the team can track them using a special MRI scanner and control how quickly they work with a drug. This will allow to safely and effectively develop this new treatment.

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Researchers

Martin Pule (EPMC Awardee)

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Original classification

Health Innovation Challenge Fund Award

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