2024-08-29 | Trends

A New Trend in Cancer Treatment! Clarifying the Difference between Autologous Cell Therapy and Allogeneic Cell Therapy

In modern times, daily stress and lifestyle changes imperceptibly affect human health. This can result in suboptimal health or escalate to serious diseases such as breast cancer, lung cancer, liver cancer, and so on. Faced with the daunting challenge of cancer, patients embark on a long journey of treatment. They may need to undergo surgery, chemotherapy, radiation therapy, and take targeted drugs. Even after the lengthy treatment process, they still face the risk of diminishing effectiveness and potential cancer recurrence.

Cell therapy represents a significant breakthrough in current medical science and is increasingly becoming a focal point in medicine. Its potential impact transcends the scope of traditional medicine, ushering in a new era of healthcare. This revolutionary therapeutic approach aims to utilize the natural abilities of cells to repair, replace, or regenerate damaged tissues, providing a novel treatment for a range of challenging diseases and injuries.

Cell therapy finds wide applicability across various domains and can be broadly categorized into autologous cell therapy and allogeneic cell therapy, each with numerous specific treatment methods. This article will briefly discuss the fundamental concepts, applications, advantages, and challenges of these two types of cell therapy.

1.What is cell therapy

 

The basic principle of cell therapy is to extract either a patient’s cells (autologous cells) or cells from another individual (allogeneic cells), culture them in virtro, and then infuse the cells into the patient’s body after growing a large number of cells, aiming to treat or prevent diseases [1]. The main difference between autologous and allogeneic cell therapy lies in whether the cells are derived from the patient’s or another individual’s body.

Immunotherapy is one of the therapies we often hear about and is a novel and promising approach in the field of cancer treatment today. By activating specific cells in the immune system, like natural killer cells, to combat tumor cells. The Taiwan Ministry of Health and Welfare supports the exploration of the potential of immunotherapy through clinical trials and laboratory research. Clinical trials will enable the medical community to gain a deeper understanding of the effectiveness and safety of this treatment method, providing better treatment options for patients. Meanwhile, researchers help continually improve and optimize the techniques of immunotherapy, ensuring its success in practice, with the hope of eliminating cancer cells and reducing cancer recurrence rates. Medical institutions and research teams in  Taiwan and other countries, such as Japan, the United States, etc., are tirelessly working to explore new possibilities for the development and application of immunotherapy, bringing hope and a better quality of life to patients.

A team specialized in executing cell therapy.

2. What are the differences between autologous cell therapy and allogenic cell therapy?[2]

 

A. Autologous Cell Therapy

 

(1) Principle:

Autologous cell therapy utilizes the patient’s cells, which are typically collected from the patient’s body, such as from blood, bone marrow, adipose tissue, or other tissues.

(2) Advantage:

Due to the cells being from the patient’s own body, the risk of immune rejection is reduced, as these cells are typically viewed as part of the body.

(3) Disadvantage:

Some patients may be unable to provide an adequate quantity or quality of cells due to disease or other factors, which could limit the effectiveness of treatment. This limitation may be especially relevant for elderly patients, as the functionality and activity of autologous cells can be influenced by age and health status. Regarding treatment costs, the utilization of cell therapy involves specialized technological expertise, and each treatment session needs to be planned according to each patient’s condition, lacking standardized processes, which increases the complexity and consequently the cost of treatment.

 

A patient is drawing blood for autologous cell therapy.

B. Allogeneic Cell Therapy

 

(1) Principle:

Allogeneic cell therapy utilizes cells from other compatible individuals. These cells undergo screening and matching to ensure compatibility.

(2) Advantage:

Allogeneic cell therapy can provide a broader range of cell sources, unrestricted by the patient’s condition, and can be manufactured in batches, thereby enhancing the accessibility of treatment.

(3) Disadvantage:

Despite undergoing compatibility screening, allogeneic cell therapy carries a certain risk of immune rejection, which may trigger the body’s immune system and potentially increase the treatment time and costs.

In addition to the challenges mentioned above, the field of cell therapy is subject to strict government regulations [3] to ensure the safety and efficacy of treatments. This may involve lengthy approval processes and large-scale applications may be limited by government regulations.

In conclusion, addressing these challenges requires interdisciplinary collaboration, including expertise from fields such as basic science, clinical medicine, biomanufacturing, and law. With advancements in technology and collaboration across relevant fields, we can overcome these challenges and advance the development of cell therapy.

 

»Click for cell therapy consultation«

 

The process of isolating cells before executing allogeneic cell therapy.

4. Conclusion 

 

Autologous cell therapy and allogeneic cell therapy, as key technologies in contemporary medicine, each face a series of challenges. Technical challenges include cell quality and survival rates, while factors such as immune rejection, legal issues, safety, and treatment costs are also significant considerations. Post-treatment effectiveness must also be factored into risk assessment.

To overcome technical challenges, scientists need to continually improve standards for cell preparation and application to ensure consistency and efficacy. Additionally, clinical applications need to address immune rejection and legal issues while finding safer, more feasible treatment options. Particularly for allogeneic cell therapy, deeper research into the immune system’s response mechanisms is necessary to mitigate or prevent immune rejection. Furthermore, ensuring the safety and long-term efficacy of allogeneic cell therapy is also imperative.

Overall, both therapeutic approaches require a balance between technology and regulations to achieve broader applications. With the continuous development of scientific technology, it is believed that these challenges will gradually be overcome, providing more possibilities for future medical treatments.

 

A patient is consulting a physician about questions related to cell therapy.

5. FAQ

 

Q1. Which type of treatment—autologous cell therapy or allogeneic cell therapy—is suitable for me?

Due to the differences in individual health conditions, it is recommended to discuss treatment options with your attending physician. Consult with your attending physician to evaluate the therapy that is suitable for you.

 

Q2. How much does cell therapy cost?

The total cost of cell therapy typically ranges around 2 million, varying depending on individual conditions. The high cost of cell therapy is attributed to the expensive research and development of cell technology, ensuring that the produced cells meet national Good Tissue Practice (GTP) standards, as well as expenses related to equipment, personnel, customization, and other factors.

 

Q3. Does health insurance cover cell therapy?

Currently, cell therapy is at your own expense, and it is not covered by health insurance.

 

6. Reference

 

  1. About cell therapy|Ministry of Health and Welfare
  2. What is cell therapy|Ministry of Health and Welfare
  3. Cell Therapy Technologies Information Hub|Ministry of Health and Welfare