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实体瘤中的 CAR-T 细胞治疗:重点关注障碍与克服挑战的策略

英文原题:CAR T cell therapy in solid tumors; with an extensive focus on obstacles and strategies to overcome the challenges.

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CAR T cell therapy in solid tumors; with an extensive focus on obstacles and strategies to overcome the challenges.

PubMed 2021/10/19(内容时间) Int Immunopharmacol Q1 · IF 5.6(JCR 2025)

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中文摘要

CAR-T 细胞疗法在血液系统恶性肿瘤中的应用取得了令人瞩目的成果,这激发了人们前所未有的热情,希望将这一引人注目的策略应用于其他类型的人类恶性肿瘤。尽管研究人员投入了大量精力以充分发挥这些细胞在实体瘤中的最大疗效,但很少有文章对相关障碍和机遇进行综述。本综述旨在提供 CAR-T 细胞疗法在多种实体瘤中近期进展的全面文献;同时,讨论来自国际研究实验室关于该主题的原始数据。尽管结果令人鼓舞,但该策略仍面临若干根本性障碍。本综述讨论了最重要的缺陷,并回答了以下问题:实体瘤的固有特征、肿瘤微环境相关挑战以及免疫相关不良反应该如何限制 CAR-T 细胞取得令人满意的结果。最后一部分特别关注已被采用以克服这些挑战的创新性和当代策略。最后,我们评述了未来研究方面,在这些方面 CAR-T 细胞疗法的疗效以及安全性可能得到改善。

展开英文摘要原文

The application of the CAR T cell therapy in hematologic malignancies holds prosperous results that intensified the unprecedented enthusiasm to employ this fascinating strategy in other types of human malignancies. Although the researchers invested a great deal of effort to exploit the utmost efficacy of these cells in the context of solid tumors, few articles reviewed obstacles and opportunities. The current review aims to provide comprehensive literature of recent advances of CAR T cell therapy in a wide range of solid tumors; and also, to discuss the original data obtained from international research laboratories on this topic.

Despite promising results, several radical obstacles are on the way of this approach. This review discusses the most important drawbacks and also responds to questions on how the intrinsic features of solid tumors in addition to the tumor microenvironment-related challenges and the immune-relating adverse effects can curb satisfactory outcomes of CAR T cells. The last section allocates a special focus on innovative and contemporary policies which have already been adopted to surmount these challenges.

Finally, we comment on the future research aspects in which the efficacy, as well as the safety of CAR T cell therapy, might be improved.

论文信息

作者
Khorasani ABS、Sanaei MJ、Pourbagheri-Sigaroodi A、Ghaffari SH、Bashash D
第一作者单位
Department of Hematology, School of Medical Sciences, Tarbiat Modares University, Tehran, Iran.Iran
通讯作者单位
Department of Hematology and Blood Banking, School of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: D.bashash@sbmu.ac.ir.Iran
文献类型
综述
期刊
International immunopharmacology2021 Dec
原文标识
PubMed 34678690 · DOI 10.1016/j.intimp.2021.108260