TY - JOUR A1 - Pellegrino, Marsha A1 - Del Bufalo, Francesca A1 - De Angelis, Biagio A1 - Quintarelli, Concetta A1 - Caruana, Ignazio A1 - de Billy, Emmanuel T1 - Manipulating the metabolism to improve the efficacy of CAR T-cell immunotherapy JF - Cells N2 - The adoptive transfer of the chimeric antigen receptor (CAR) expressing T-cells has produced unprecedented successful results in the treatment of B-cell malignancies. However, the use of this technology in other malignancies remains less effective. In the setting of solid neoplasms, CAR T-cell metabolic fitness needs to be optimal to reach the tumor and execute their cytolytic function in an environment often hostile. It is now well established that both tumor and T cell metabolisms play critical roles in controlling the immune response by conditioning the tumor microenvironment and the fate and activity of the T cells. In this review, after a brief description of the tumoral and T cell metabolic reprogramming, we summarize the latest advances and new strategies that have been developed to improve the metabolic fitness and efficacy of CAR T-cell products. KW - cancer KW - metabolic reprogramming KW - combined therapy KW - Chimeric Antigen Receptor T cells KW - immunotherapy Y1 - 2020 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:20-opus-220140 SN - 2073-4409 VL - 10 IS - 1 ER -