# Nanomedicine Meets Immunotherapy: Transforming Chimeric Antigen Receptor T Cell Treatment for Solid Tumors

**Authors:** Stephen O’Rourke, Nuo Xu, Hongjun Wang, Hexin Chen

PMC · DOI: 10.1002/smsc.202500596 · Small Science · 2026-02-02

## TL;DR

This review explores how nanomedicine can improve CAR T cell therapy for solid tumors by addressing challenges like poor T cell infiltration and immunosuppressive environments.

## Contribution

The paper highlights recent nanotechnology-based strategies to enhance CAR T cell therapy's effectiveness in solid tumors.

## Key findings

- Nanotechnology can improve tumor targeting and T cell infiltration in solid tumors.
- Nanomaterials can help remodel the immunosuppressive tumor microenvironment.
- Integration of nanomaterials into CAR T cell platforms may lead to more effective cancer therapies.

## Abstract

The emergence of effective immunotherapies has drastically revolutionized clinical management of many cancer types. Among them, chimeric antigen receptor (CAR)‐T cell therapy (CTT), as a groundbreaking approach, has been considered as a “living drug,” displaying unprecedented clinical outcomes with hematological malignancies, including B cell leukemia and lymphomas, and multiple myeloma. Despite the high remission rates and improved survival achieved with hematological cancers, the effectiveness of CTT in solid tumors remains largely unsatisfactory. The efficacy of CTT in solid tumors is significantly challenged by multiple factors, including tumor‐antigen heterogeneity, limited T cell trafficking and infiltration, a highly immunosuppressive tumor microenvironment, and the risk of severe adverse effects. Accumulating evidence highlights the potential of nanotechnology to address these obstacles, paving the way for more effective CTT against solid tumors. Thus, this review explores to highlight the evolution and challenges of CTT in solid tumors, while summarizing the up‐to‐date advances of nanotechnology‐enabled CTT with the intention towards the formulation of a more cohesive, personalized, and effective cancer therapy in the future.

This review highlights recent advances in nanomedicine that enhance chimeric antigen receptor (CAR) T cell therapy against solid tumors. It discusses key barriers to CAR T cell efficacy and outlines nanotechnology‐based strategies to improve tumor targeting, remodel the immunosuppressive microenvironment, and integrate nanomaterials into CAR T cell platforms for improved therapeutic outcomes.© 2026 WILEY‐VCH GmbH

## Linked entities

- **Diseases:** multiple myeloma (MONDO:0009693)

## Full-text entities

- **Genes:** IL12B (interleukin 12B) [NCBI Gene 3593] {aka CLMF, CLMF2, IL-12B, IMD28, IMD29, NKSF}, HPSE (heparanase) [NCBI Gene 10855] {aka HPA, HPA1, HPR1, HPSE1, HSE1}, TNFRSF9 (TNF receptor superfamily member 9) [NCBI Gene 3604] {aka 4-1BB, CD137, CDw137, ILA, IMD109}, FAP (fibroblast activation protein alpha) [NCBI Gene 2191] {aka DPPIV, FAPA, FAPalpha, SIMP}, CXADRP1 (CXADR pseudogene 1) [NCBI Gene 653108] {aka CAR, CXADRP}, TLR9 (toll like receptor 9) [NCBI Gene 54106] {aka CD289}, HLA-P (major histocompatibility complex, class I, P (pseudogene)) [NCBI Gene 352963] {aka C6orf101, HLA-90, dJ377H14.3}, IDO1 (indoleamine 2,3-dioxygenase 1) [NCBI Gene 3620] {aka IDO, IDO-1, INDO}, Ifng (interferon gamma) [NCBI Gene 15978] {aka IFN-g, If2f, Ifg}, SCARB1 (scavenger receptor class B member 1) [NCBI Gene 949] {aka CD36L1, CLA-1, CLA1, HDLCQ6, HDLQTL6, SR-BI}, IL2RA (interleukin 2 receptor subunit alpha) [NCBI Gene 3559] {aka CD25, IDDM10, IL2R, IMD41, TCGFR, p55}, HSP90B2P (heat shock protein 90 beta family member 2, pseudogene) [NCBI Gene 7190] {aka GRP94P1, GRP94b, HSP, HSPCP2, TRA1P1, TRAP1}, STING1 (stimulator of interferon response cGAMP interactor 1) [NCBI Gene 340061] {aka ERIS, MITA, MPYS, NET23, SAVI, STING}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, TRBV20OR9-2 (T cell receptor beta variable 20/OR9-2 (non-functional)) [NCBI Gene 6962] {aka CDR3, TCRBV20S2, TCRBV2O, TCRBV2S2O}, Cd4 (CD4 antigen) [NCBI Gene 12504] {aka L3T4, Ly-4}, NEU1 (neuraminidase 1) [NCBI Gene 4758] {aka NANH, NEU, SIAL1}, VEGFA (vascular endothelial growth factor A) [NCBI Gene 7422] {aka L-VEGF, MVCD1, VEGF, VPF}, Il15 (interleukin 15) [NCBI Gene 16168] {aka IL-15}, CEACAM3 (CEA cell adhesion molecule 3) [NCBI Gene 1084] {aka CD66D, CEA, CGM1, CGM1a, W264, W282}, IL1A (interleukin 1 alpha) [NCBI Gene 3552] {aka IL-1 alpha, IL-1A, IL1, IL1-ALPHA, IL1F1}, TNFRSF17 (TNF receptor superfamily member 17) [NCBI Gene 608] {aka BCM, BCMA, CD269, TNFRSF13A}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, PLG (plasminogen) [NCBI Gene 5340] {aka HAE4}, Cd44 (CD44 antigen) [NCBI Gene 12505] {aka HERMES, Ly-24, Pgp-1}, Trav6-3 (T cell receptor alpha variable 6-3) [NCBI Gene 328483] {aka Gm13948, Gm193, Gm4, TCR}, Csf3 (colony stimulating factor 3 (granulocyte)) [NCBI Gene 12985] {aka Csfg, G-CSF, MGI-IG}, Ccl2 (C-C motif chemokine ligand 2) [NCBI Gene 20296] {aka HC11, JE, MCAF, MCP-1, MCP1, SMC-CF}, APC (APC regulator of Wnt signaling pathway) [NCBI Gene 324] {aka BTPS2, DESMD, DP2, DP2.5, DP3, GS}, Tnfrsf9 (tumor necrosis factor receptor superfamily, member 9) [NCBI Gene 21942] {aka 4-1BB, A930040I11Rik, CDw137, Cd137, ILA, Ly63}, CTSS (cathepsin S) [NCBI Gene 1520], PDCD1 (programmed cell death 1) [NCBI Gene 5133] {aka ADMIO4, AIMTBS, CD279, PD-1, PD1, SLEB2}, IL2RB (interleukin 2 receptor subunit beta) [NCBI Gene 3560] {aka CD122, IL15RB, IMD63, P70-75}, HLA-C (major histocompatibility complex, class I, C) [NCBI Gene 3107] {aka D6S204, HLA-JY3, HLAC, HLC-C, MHC, PSORS1}, CD19 (CD19 molecule) [NCBI Gene 930] {aka B4, CVID3}, EGFR (epidermal growth factor receptor) [NCBI Gene 1956] {aka ERBB, ERBB1, ERRP, HER1, NISBD2, NNCIS}, IL7 (interleukin 7) [NCBI Gene 3574] {aka IL-7, IMD130}, CXCR4 (C-X-C motif chemokine receptor 4) [NCBI Gene 7852] {aka CD184, D2S201E, FB22, HM89, HSY3RR, LCR1}, ICOS (inducible T cell costimulator) [NCBI Gene 29851] {aka AILIM, CD278, CVID1}, MAGEA3 (MAGE family member A3) [NCBI Gene 4102] {aka CT1.3, HIP8, HYPD, MAGE3}, Nr1i3 (nuclear receptor subfamily 1, group I, member 3) [NCBI Gene 12355] {aka CAR, CAR-beta, Care2, ESTM32, MB67}, HMGB1 (high mobility group box 1) [NCBI Gene 3146] {aka HMG-1, HMG1, HMG3, SBP-1}, Il3 (interleukin 3) [NCBI Gene 16187] {aka BPA, Csfmu, HCGF, Il-3, MCGF, PSF}, Il2 (interleukin 2) [NCBI Gene 16183] {aka Il-2}, CD33 (CD33 molecule) [NCBI Gene 945] {aka CD33rSiglec, SIGLEC-3, SIGLEC3, p67}, IL21 (interleukin 21) [NCBI Gene 59067] {aka CVID11, IL-21, Za11}, TLR7 (toll like receptor 7) [NCBI Gene 51284] {aka IMD74, SLEB17, TLR7-like}, Cd28 (CD28 antigen) [NCBI Gene 12487], MLANA (melan-A) [NCBI Gene 2315] {aka MART-1, MART1}, CXCL12 (C-X-C motif chemokine ligand 12) [NCBI Gene 6387] {aka IRH, PBSF, SCYB12, SDF1, TLSF, TPAR1}, CALR (calreticulin) [NCBI Gene 811] {aka CALR1, CRT, HEL-S-99n, RO, SSA, cC1qR}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}, Tgfb1 (transforming growth factor, beta 1) [NCBI Gene 21803] {aka TGF-beta1, TGFbeta1, Tgfb, Tgfb-1}, PMEL (premelanosome protein) [NCBI Gene 6490] {aka D12S53E, HMB-45, HMB45, ME20, ME20-M, ME20M}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, SIGLEC1 (sialic acid binding Ig like lectin 1) [NCBI Gene 6614] {aka CD169, SIGLEC-1, SN}, Cd247 (CD247 antigen) [NCBI Gene 12503] {aka 4930549J05Rik, A430104F18Rik, Cd3, Cd3-eta, Cd3-zeta, Cd3h}, FN1 (fibronectin 1) [NCBI Gene 2335] {aka CIG, ED-B, FINC, FN, FNZ, GFND}, Ido1 (indoleamine 2,3-dioxygenase 1) [NCBI Gene 15930] {aka Ido, Indo}, Il15ra (interleukin 15 receptor, alpha chain) [NCBI Gene 16169] {aka IL-15RA}
- **Diseases:** hypoxic (MESH:D002534), cachexia (MESH:D002100), hematologic malignancies (MESH:D019337), fever (MESH:D005334), B cell leukemia and lymphomas (MESH:D015448), neuroblastoma (MESH:D009447), renal cancer (MESH:D007680), acute myeloid leukemia (MESH:D015470), hypotension (MESH:D007022), anaphylaxis (MESH:D000707), Hypoxia (MESH:D000860), nonsmall cell lung cancer (MESH:D002289), melanoma (MESH:D008545), inflammatory (MESH:D007249), PDAC (MESH:C537768), CLL (MESH:D015451), pain (MESH:D010146), B16 melanoma (MESH:D008546), Solid Tumors (MESH:D009369), neurotoxicity (MESH:D020258), multiple myeloma (MESH:D009101), ESCC (MESH:D000077277), B cell malignancies (MESH:D016393), triple-negative (MESH:D064726), retinoblastoma (MESH:D012175), breast cancer (MESH:D001943), CRS (MESH:D000080424), lymphoma (MESH:D008223), colon and ovarian cancer (MESH:D010051), dysfunction (MESH:D006331), systemic toxicity (MESH:D010523), necrosis (MESH:D009336), diffuse large B cell lymphoma (MESH:D016403), mantle cell lymphoma (MESH:D020522), solid (MESH:D018250), metastases (MESH:D009362), CTT (MESH:C535887), MCL (MESH:C535516), immune-related toxicities (MESH:D007154), A-ALL (MESH:D054198), ICANS (MESH:C000722498), SDT (MESH:D016609), infections (MESH:D007239), weight loss (MESH:D015431), cytotoxic (MESH:D064420)
- **Chemicals:** fluorine (MESH:D005461), water (MESH:D014867), fullerene (MESH:D037741), 6-diazo-5-oxo-L-norleucine (MESH:D003980), kynurenine (MESH:D007737), manganese oxide (MESH:C027424), iron oxide (MESH:C000499), HA (MESH:D006820), ganglioside GM3 (MESH:D005679), nitric oxide (MESH:D009569), ManNAz (MESH:C405953), Gold (MESH:D006046), pyruvate (MESH:D019289), CaCO3 (MESH:D002119), metal (MESH:D008670), Alginate (MESH:D000464), nickel-titanium (MESH:C013616), N-acetylmannosamine (MESH:C002022), oxygen (MESH:D010100), black phosphorus (MESH:D010758), PEG (MESH:D011092), Azide (MESH:D001386), lactate (MESH:D019344), GO (MESH:C000628730), Carbon (MESH:D002244), polymer (MESH:D011108), 2-DG (MESH:D003847), hydroxypropyl methylcellulose (MESH:D065347), BP (MESH:C038809), NG (MESH:D000080385), GSH (MESH:D005978), glutamine (MESH:D005973), maleimide (MESH:C043592), Gd (MESH:D005682), lipid (MESH:D008055), tryptophan (MESH:D014364), PLGA (MESH:D000077182), carbimide (MESH:D003484), AMD3100 (MESH:C088327), ROS (MESH:D017382), FA (MESH:D005492), glucose (MESH:D005947), PBAE (MESH:C507253), graphene (MESH:D006108), hydrogen peroxide (MESH:D006861), epacadostat (MESH:C000613752), HPMC-C12 (-), CA4P (MESH:C058728), disulfide (MESH:D004220), 6-TG (MESH:D013866), silica (MESH:D012822), MOF (MESH:C037042), CNTs (MESH:D037742), mercaptan (MESH:D013438), L-arginine (MESH:D001120), Bicarbonate (MESH:D001639), ICG (MESH:D007208), cyclic-di-GMP (MESH:C062025)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12928070/full.md

## References

188 references — full list in the complete paper: https://tomesphere.com/paper/PMC12928070/full.md

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Source: https://tomesphere.com/paper/PMC12928070