决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Immunotherapeutic advances in gastric cancer.
晚期胃癌造成了巨大的患者痛苦与死亡。
晚期胃癌造成了沉重的患者负担和大量死亡。尽管联合化疗不断发展,胃癌患者的生存率仍不理想。鉴于免疫治疗在晚期黑色素瘤、非小细胞肺癌、肾细胞癌及难治性霍奇金淋巴瘤等癌症中的获益证据日益增多,研究者开始探索其在胃癌治疗中的应用。目前有三类免疫疗法在胃癌中显示出前景:免疫检查点抑制剂、嵌合抗原受体(CAR)T 细胞和肿瘤疫苗。临床试验采用免疫肿瘤单药或免疫化疗联合方案,以改善患者总生存期和客观缓解率。本文综述检查点抑制剂、CAR-T 和肿瘤疫苗治疗胃癌的临床疗效。基于初步证据,作者认为免疫治疗有望改变胃癌的自然病程,并改善部分患者的结局。
Advanced gastric cancers are responsible for overwhelming human suffering and death. Despite the development of combination chemotherapies, the survival rates of patients with gastric cancer remain unsatisfactory. Given the growing evidence of the benefits of immunotherapy as an alternative treatment for other cancers such as advanced melanoma, non-small cell lung cancer, renal cell carcinoma, and refractory Hodgkin's lymphoma, researchers have begun to explore its application in the treatment of gastric cancer. Three types of immunotherapy have shown promising effects against gastric cancer: immune checkpoint inhibitors, chimeric antigen rector (CAR)-T cells, and tumor vaccines. Clinical trials have used either immuno-oncology monotherapies or combination immuno-chemotherapies to improve the overall survival times and objective response rates of patients with gastric cancer. We review the clinical efficacy of immunotherapy including checkpoint inhibitors, CAR T, and tumor vaccines, in the treatment of gastric cancer. Based on initial evidence, we believe that immunotherapy could positively impact the natural history and improve the outcomes of a subgroup of patients with gastric cancer.
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