Both T-cells and CAR-T cells can become "exhausted" in the hostile tumor microenvironment. Mehrotra's lab looks at ways to boost these cells so that they can fight cancer for a longer time.
"The whole tumor microenvironment is conducive for the tumor itself, but not for the other cells which are trying to get in there," Mehrotra said.
Just like people, cells are constantly subjected to stress -- stress from biochemical reactions that have become unbalanced and mechanical stress from moving. Transient stress can be good. Stressing your muscles through exercise strengthens them, and transient stress on cells can prompt them to a response that ultimately strengthens them.
"But if this stress stays there, which it does in the tumor microenvironment, the cells are just in continuous stress, and that will then lead to a very different phenotype and death," Mehrotra said.