Engineering the tumour microenvironment for next-generation cell therapies
Cell therapies have transformed blood cancers but struggle against solid tumours. Engineering the cells—and the environment they enter—could change that.
Engineered T cells can cure some blood cancers, yet solid tumours remain largely resistant owing to a hostile microenvironment that excludes, exhausts and suppresses immune cells. In this Review, we survey strategies that equip therapeutic cells to overcome these barriers, including armoured receptors, metabolic rewiring and logic-gated targeting, as well as approaches that remodel the tumour microenvironment itself. We discuss lessons from early clinical trials and outline the experimental and regulatory advances needed to bring cell therapies to the most common cancers.
Introduction
Few areas of research have developed as quickly as cancer cell therapy. Over the past decade, conceptual and technical advances have transformed what can be measured and engineered1–4, and have brought long-standing questions within reach of experiment5,6.
Yet the field continues to be shaped by the immunosuppressive microenvironment of solid tumours7. In this article, we survey recent progress, highlight emerging consensus and disagreement, and identify the developments most likely to move the field forward.
Foundations
Early work established the core concepts and the first quantitative models8–10. These frameworks remain useful but rest on simplifying assumptions whose limits are increasingly apparent11.
A unifying theme is that progress has come from combining new measurements with models that make falsifiable predictions.
Recent advances
Three developments stand out. First, new experimental platforms allow systematic, high-throughput measurements12–14. Second, computational methods now enable predictions that can be tested directly15,16. Third, large collaborative datasets have made it possible to compare results across laboratories and systems17.
Approach
Strengths
Limitations
Controlled experiments
Causal inference, precision
Limited scale and realism
Large-scale observation
Generality, statistical power
Confounding factors
Computational models
Mechanistic insight, prediction
Dependence on assumptions
Open questions
Important questions remain unresolved, including how findings generalize across scales and contexts18, and how best to translate insight into application19,20.
Outlook
We anticipate that the next decade will see cancer cell therapy move from proof-of-principle demonstrations to robust, predictive science. Achieving this will require shared standards, open data and sustained support for interdisciplinary teams.
References
1.
Tanaka, J. et al. A unified framework for cancer cell therapy. Trans. Comput. Nat. Sci. 320, 893–899 (2015).
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Raman, K., Nilsson, K. & Lindqvist, F. Engineering the tumour microenvironment for next-generation cell therapies. Lumen3, 67–78 (2026). https://doi.org/10.5555/lmn-2026-00016