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:Combination therapy with CAR T cells and oncolytic viruses: a new era in cancer immunotherapy.
嵌合抗原受体(CAR)T 细胞疗法是一种令人鼓舞且快速发展的平台,用于治疗人体内多种类型的肿瘤。
嵌合抗原受体(CAR)T 细胞疗法是一种令人鼓舞且快速发展的平台,用于治疗人体多种肿瘤。尽管 CAR-T 治疗血液系统恶性肿瘤(尤其 B 细胞淋巴瘤和急性淋巴细胞白血病)近期取得成功,但在实体瘤中的应用仍面临障碍,原因包括抗原表达异质性以及免疫抑制性肿瘤微环境的形成。溶瘤病毒疗法(OV)是一种新型癌症治疗方式,利用具有复制能力或经基因工程改造的病毒选择性地在肿瘤细胞中复制。OV 有望与 CAR-T 协同,弥补 CAR-T 治疗实体瘤面临的局限并克服这些障碍。此外,OV 还可通过工程化装载有效载荷,使病毒在肿瘤微环境中特异递送治疗药物,增强 CAR-T 细胞的细胞毒活性。本文全面综述 CAR-T 细胞免疫疗法与溶瘤病毒疗法联合治疗实体瘤的研究结果,并简要介绍该领域仍存挑战及未来展望。
Chimeric antigen receptor (CAR) T-cell therapy is an encouraging and fast-growing platform used for the treatment of various types of tumors in human body. Despite the recent success of CAR T-cell therapy in hematologic malignancies, especially in B-cell lymphoma and acute lymphoblastic leukemia, the application of this treatment approach in solid tumors faced several obstacles resulted from the heterogeneous expression of antigens as well as the induction of immunosuppressive tumor microenvironment. Oncolytic virotherapy (OV) is a new cancer treatment modality by the use of competent or genetically engineered viruses to replicate in tumor cells selectively. OVs represent potential candidates to synergize the current setbacks of CAR T-cell application in solid tumors and then and overcome them. As well, the application of OVs gives researches the ability to engineer the virus with payloads in the way that it selectively deliver a specific therapeutic agents in tumor milieu to reinforce the cytotoxic activity of CAR T cells. Herein, we made a comprehensive review on the outcomes resulted from the combination of CAR T-cell immunotherapy and oncolytic virotherapy for the treatment of solid cancers. In the current study, we also provided brief details on some challenges that remained in this field and attempted to shed a little light on the future perspectives.
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