体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Radiotherapy driven immunomodulation of the tumor microenvironment and its impact on clinical outcomes: a promising new treatment paradigm.
Radiotherapy driven immunomodulation of the tumor microenvironment and its impact on clinical outcomes: a promising new treatment paradigm.
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晚期恶性肿瘤的传统治疗方法临床效果有限,因此需要开发新的疗法。然而,放疗能够诱导肿瘤免疫微环境产生促免疫原性变化,这一能力在与全身性药物联合时可加以利用。采用单克隆抗体、基因工程T细胞、细胞因子和病毒载体介导的基因疗法的放射免疫治疗举措,已显示出在多种实体恶性肿瘤治疗中的良好潜力。未来纳入生物标志物富集策略和放射生物学变量的研究,可能为基于免疫肿瘤学的个体化医疗方法融入标准治疗实践、用于治疗具有挑战性的临床人群铺平道路。
Traditional treatment approaches for advanced malignancies have been associated with limited clinical outcomes necessitating the development of novel therapies.
However, the ability of radiotherapy to induce pro-immunogenic changes in tumor immune microenvironment can be leveraged when combined with systemic agents. Radio-immunotherapeutic initiatives employing the use of monoclonal antibodies, genetically engineered T cells, cytokines and virus-vector mediated gene therapies have demonstrated promising potential for the management of various solid malignancies.
Future studies incorporating biomarker enrichment strategies and radiobiological variables could pave the way for immune-oncology based personalized medicine approaches to be integrated in standard of care practices for the treatment of challenging clinical populations.
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