In vitro assays
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Immunophenotyping assay
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ratio of CD4 and CD8
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Easy and quick
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Cannot be used a predictive biomarker due to variations from each individual.
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Cannot reflect the phenotyping in vivo
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Proliferation and Cytokine secretion assay
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IL-2 and IFN-gamma productions
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Easy and quick
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Cannot reflect the proliferation and cytokine productions in vivo
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Cytotoxicity by standard 51Cr-release assay
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4-hour killing of tumor cells
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Easy and quick
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Short -term in vitro activation
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No interaction with host real tumor cells
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Long-term killing assay
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Number of CAR-T cells
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Reflects the CAR-T expansion and tumor killing in 1- or 2-week in vitro assay
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Time-consuming
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Number of artificial tumor cells
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Artificial modified tumor cell lines
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Slow and variable
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Technically complex
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Available in vitro Strategies for clinical use CAR-T cells
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Vector copy number (VCN) and CAR expression
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Technically convenient
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Cannot be used as predictive biomarker due to variations from each individual.
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In vivo assays
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NSG mouse model
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Tumor size and tumor growth
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Predicts persistence of CAR cells
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No host immune system
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Mouse survival
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Predicts CAR-T killing capability
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No tumor microenvironment (TME)
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Body weight
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Easy to use
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Expensive
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Labor-intensive
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Syngeneic transplantable model
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Tumor size
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Intact host immune system
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Slow and complex
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Mouse survival
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Some TME development
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Model is variable
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Body weight
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Expensive
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Biodistribution of CAR cells
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Labor-intensive
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