CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Localized Chemotherapy Based on Injectable Hydrogel Boosts the Antitumor Activity of Adoptively Transferred T Lymphocytes In Vivo.
Localized Chemotherapy Based on Injectable Hydrogel Boosts the Antitumor Activity of Adoptively Transferred T Lymphocytes In Vivo.
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抗原特异性T细胞的过继转移已成功应用于血液系统恶性肿瘤的治疗。然而,其在实体瘤治疗中的应用因免疫抑制性肿瘤微环境而受到限制。在此背景下,开发了一种预处理策略,利用负载多柔比星的热响应性水凝胶(DOX@Gel)重编程免疫抑制性肿瘤微环境。与单独基于水凝胶的化疗或单独过继性T细胞治疗相比,该联合方案表现出增强的抗肿瘤疗效。除了直接杀伤肿瘤细胞外,局部化疗释放肿瘤相关抗原,从而增强内源性及过继转移T细胞的增殖和效应功能。此外,DOX@Gel显著减少肿瘤微环境中髓源性抑制细胞和Treg的数量。这表明DOX@Gel可促进过继转移T细胞对抗实体瘤的疗效,克服过继性T细胞治疗的关键局限性。
The adoptive transfer of antigen-specific T cells has been successfully applied in the treatment of hematological malignancies.
However, its application in the treatment of solid tumors has been overshadowed by the immunosuppressive tumor microenvironment. In this context, a preprocessing strategy is developed to reprogram the immunosuppressive tumor microenvironment using a thermoresponsive hydrogel loaded with doxorubicin (DOX@Gel). Compared with hydrogel-based chemotherapy alone or adoptive T cell therapy alone, this combination exhibits enhanced anti-tumor efficacy.
In addition to the direct killing of tumor cells, the local chemotherapy releases tumor-associated antigens which enhance the proliferation and effector function of endogenous and adoptively transferred T cells.
Moreover, DOX@Gel significantly reduces the numbers of both myeloid derived suppressor cells and Tregs in tumor microenvironment. It is suggested that DOX@Gel promotes the efficacy of adoptively transferred T cells against solid tumors, overcoming the key limitations of adoptive T cell therapy.
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