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MINI REVIEW article

Front. Oncol.

Sec. Cancer Immunity and Immunotherapy

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1551583

This article is part of the Research Topic Advancements and Challenges in CAR-T Cell Therapy for Cancer Treatment View all 3 articles

Cell-Based Immunotherapies for Solid Tumors: Advances, Challenges, and Future Directions

Provisionally accepted
Ting Zhao Ting Zhao Congyue Wang Congyue Wang Bo Li Bo Li Yuhan Liu Yuhan Liu Wuyang Zhao Wuyang Zhao Chuang Zhou Chuang Zhou *
  • Ansteel Group General Hospital, Anshan, China

The final, formatted version of the article will be published soon.

    Cell-based immunotherapies, including CAR-T, CAR-NK, and TCR-T therapies, represent a transformative approach to cancer treatment by offering precise targeting of tumor cells. Despite their success in hematologic malignancies, these therapies encounter significant challenges in treating solid tumors, such as antigen heterogeneity, immunosuppressive tumor microenvironments, limited cellular infiltration, off-target toxicity, and difficulties in manufacturing scalability. CAR-T cells have demonstrated exceptional efficacy in blood cancers but face obstacles in solid tumors, whereas CAR-NK cells offer reduced graft-versus-host disease but encounter similar barriers. TCR-T cells expand the range of treatable cancers by targeting intracellular antigens but require meticulous antigen selection to prevent off-target effects. Alternative therapies like TIL, NK, and CIK cells show promise but require further optimization to enhance persistence and overcome immunosuppressive barriers.Manufacturing complexity, high costs, and ensuring safety and efficacy remain critical challenges.Future advancements in gene editing, multi-antigen targeting, synthetic biology, off-the-shelf products, and personalized medicine hold the potential to address these issues and expand the use of cell-based therapies. Continued research and innovation are essential to improving safety, efficacy, and scalability, ultimately leading to better patient outcomes.

    Keywords: Cell-based immunotherapy, car-t, CAR-NK, TCR-T, solid tumors, Tumor Microenvironment

    Received: 25 Dec 2024; Accepted: 31 Mar 2025.

    Copyright: © 2025 Zhao, Wang, Li, Liu, Zhao and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Chuang Zhou, Ansteel Group General Hospital, Anshan, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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