Table 3

ACT approaches

ACTsAdvantagesChallengesDisadvantages
TCR Broader array of possible targets Find target antigens that are tumor specific Tumor escape 
MHC restricted 
Risk of cross-reactivity 
Require vectors 
Possible mispairing with endogenous TCR 
CAR Highly tumor specific Find target antigens that are tumor specific Tumor escape 
HLA independent Cytokine storm 
Antigens recognized not limited to proteins Limited to extracellular antigens 
Recognizes soluble antigen Require vectors 
MILs No vectors involved in production Identify antigens being recognized Heterogeneous product 
Polyclonal (multiple targets) Increase tumor specificity Lower efficiency 
ACTsAdvantagesChallengesDisadvantages
TCR Broader array of possible targets Find target antigens that are tumor specific Tumor escape 
MHC restricted 
Risk of cross-reactivity 
Require vectors 
Possible mispairing with endogenous TCR 
CAR Highly tumor specific Find target antigens that are tumor specific Tumor escape 
HLA independent Cytokine storm 
Antigens recognized not limited to proteins Limited to extracellular antigens 
Recognizes soluble antigen Require vectors 
MILs No vectors involved in production Identify antigens being recognized Heterogeneous product 
Polyclonal (multiple targets) Increase tumor specificity Lower efficiency 
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