Review Article

A New Hope in Immunotherapy for Malignant Gliomas: Adoptive T Cell Transfer Therapy

Table 2

Comparison of the effector cells used in adoptive T cell therapy for malignant glioma.

Effector cellsAdvantagesDisadvantages

Lymphokine-activated killer (LAK) cellsMHC-independent cytotoxicity
Easy preparation of cells
Nonspecific killing
IL-2 related toxicities

Natural killer (NK) cellsMHC-independent cytotoxicity
Immediate response
Can be modified to target tumor antigens genetically
Nonspecific killing

γ δ T cellsMHC-independent cytotoxicity
Immediate response
Nonspecific killing

Tumor infiltrating lymphocytes (TILs)Presumably tumor-specific killingNeed T cells from tumor tissue
Technical difficulty to expand ex vivo

CD4+ cytotoxic T lymphocytesTumor-specific killingMHC class II-dependent cytotoxicity

CD8+ cytotoxic T lymphocytesTumor-specific killing
Can be modified to target tumor antigens genetically
MHC class I-dependent cytotoxicity

Genetically modified cytotoxic T lymphocytesMHC-independent cytotoxicity
Rapid and elaborate tumor-specific killing
Induction of antigen loss variants at tumor recurrence
Possible overreactivity on same target antigens expressed in normal tissue