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Publication Name World Journal of Clinical Oncology
Manuscript ID 114107
Country China
Category Oncology
Manuscript Type Minireviews
Article Title Advances and challenges of chimeric antigen receptor T cell therapy in digestive system malignancies
Manuscript Source Invited Manuscript
All Author List Chen Wang, Jin Zhang, Zi-Ke Chen, Yu-Gang Wang and Min Shi
Funding Agency and Grant Number
Funding Agency Grant Number
Pujiang Project of Shanghai Magnolia Talent Plan 24PJD098
Key Discipline Project of Shanghai Municipal Health System 2024ZDXK0004
Natural Science Foundation of the Science and Technology Commission of Shanghai Municipality 23ZR1458300
Corresponding Author Min Shi, Chief Physician, MD, Professor, Department of Gastroenterology, Shanghai Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Road, Changning District, Shanghai 200336, China. sm1790@shtrhospital.com
Key Words Chimeric antigen receptor T cell therapy; Digestive system tumors; Gastrointestinal cancers; Chimeric antigen receptor design; Immunotherapy
Core Tip Chimeric antigen receptor T cell therapy (CAR) has achieved remarkable success in hematologic cancers but faces unique barriers in solid tumors of the digestive system. This article highlights recent progress in optimizing antigen selection, CAR engineering, and delivery strategies, while discussing tumor-specific targets and clinical trials in gastric, colorectal, esophageal, hepatic, and pancreatic cancers. By addressing challenges such as the tumor microenvironment and therapeutic resistance, we provide perspectives on advancing CAR T cell therapy immunotherapy toward safe, effective, and durable treatments for gastrointestinal malignancies.
Citation Wang C, Zhang J, Chen ZK, Wang YG, Shi M. Advances and challenges of chimeric antigen receptor T cell therapy in digestive system malignancies. World J Clin Oncol 2025; In press
Received
2025-09-11 08:00
Peer-Review Started
2025-09-11 08:00
First Decision by Editorial Office Director
2025-10-11 03:25
Return for Revision
2025-10-11 03:25
Revised
2025-10-23 02:00
Publication Fee Transferred
Second Decision by Editor
2025-12-25 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-12-25 06:41
Articles in Press
2025-12-25 06:41
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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