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SITC 2022 | MEK inhib to combat antigen escape in treating poorly differentiated thyroid cancers with TSHR-CART

Claudia Manriquez Roman, Mayo Clinic, Rochester, MN, discusses future directions in sensitizing poorly differentiated thyroid cancers to TSHR-CART cell therapy with MEK inhibitors. So far, viable CAR-T cells have been successfully developed targeting THSR that are functional both in vivo and in vitro. A challenge remains regarding antigen escape as poorly differentiated thyroid cancers tend to downregulate expression of THSR. A proposed solution is the utilisation of MEK and RAF inhibitors as a strategy to inhibit the genes that are preventing the expression of thyroid gland proteins. Research into the best combination strategy of MEK inhibitors, either as a sequential treatment or as a combination therapy, is currently underway in order to uncover the optimal dose that will be safe for clinical trials whilst maintaining a high expression of TSHR. This interview took place at the 37th Annual Meeting of the Society for Immunotherapy in Cancer (SITC 2022) in Boston, MA.

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