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Narrative review covers adoptive cell therapy modalities for ovarian cancer.

Narrative review covers adoptive cell therapy modalities for ovarian cancer.
Photo by Logan Voss / Unsplash
Key Takeaway
Note that this narrative review synthesizes ACT modalities for ovarian cancer without reporting specific efficacy or safety data.

This narrative review focuses on the landscape of adoptive cell therapy (ACT) modalities for ovarian cancer. The scope encompasses a broad range of cellular approaches, specifically tumor-infiltrating lymphocytes (TILs), chimeric antigen receptor T cells (CAR-T), natural killer (NK) cells, TCR-T, cytokine-induced killer (CIK) cells, and γδ T cells. The authors do not report a specific population, sample size, or setting for these therapies.

The synthesis addresses multiple dimensions of ACT development and application. Key topics include the mechanistic underpinnings of ACT, the immunosuppressive features of the ovarian tumor microenvironment, combinatorial regimens, genetic engineering, cell design, antigen specificity, tumor immune evasion, stromal barriers, clinical trial progress, efficacy outcomes, and translational barriers. The review aims to provide a comprehensive overview of these complex biological and clinical challenges.

Limitations of this narrative approach are inherent in the absence of pooled effect sizes or specific adverse event rates, as these details were not reported in the source material. The authors acknowledge that without specific trial-level data or a defined study phase, the practice relevance remains qualitative. Consequently, clinicians should interpret these findings as a broad conceptual framework rather than definitive guidance for immediate clinical implementation, noting that the evidence is observational and descriptive in nature.

Study Details

Study typeSystematic review
EvidenceLevel 1
PublishedApr 2026
View Original Abstract ↓
Ovarian cancer remains the most lethal gynecological malignancy worldwide, with late-stage diagnosis, high recurrence rates, and chemoresistance posing persistent clinical challenges. Adoptive cell therapy (ACT), a rapidly advancing immunotherapeutic strategy, offers promising efficacy with low systemic toxicity and has emerged as a compelling option to address these limitations. This review provides a comprehensive overview of ACT modalities—including tumor-infiltrating lymphocytes (TILs), chimeric antigen receptor T cells (CAR-T), natural killer (NK) cells, and other emerging cellular therapies such as TCR-T, cytokine-induced killer (CIK) cells, and γδ T cells—in the context of ovarian cancer. We highlight the mechanistic underpinnings of ACT, the immunosuppressive features of the ovarian tumor microenvironment, and cutting-edge advances in combinatorial regimens, genetic engineering, and cell design aimed at overcoming therapeutic resistance. In particular, we discuss antigen specificity, tumor immune evasion, and stromal barriers, and summarize current clinical trial progress, efficacy outcomes, and translational barriers. Together, these insights underscore the transformative potential of ACT in ovarian cancer and outline future directions for personalized and scalable immunotherapies.
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