肿瘤细胞治疗研究
英文原题:Emerging Approaches for Solid Tumor Treatment Using CAR-T Cell Therapy.
Emerging Approaches for Solid Tumor Treatment Using CAR-T Cell Therapy.
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癌症免疫治疗在临床环境中变得越来越重要,尤其是对于对常规化疗(包括靶向治疗)耐药的癌症。嵌合抗原受体(CAR)-T细胞疗法使用患者自体T细胞,并结合工程化T细胞受体,已显示出显著结果,迄今为止已获得五项美国食品药品监督管理局(FDA)批准。CAR-T 细胞在血液系统恶性肿瘤中非常有效,如弥漫性大B细胞淋巴瘤(DLBCL)、B细胞急性淋巴细胞白血病(B-ALL)和多发性骨髓瘤(MM);然而,其在治疗实体瘤中的有效性尚未得到明确评估。因此,许多研究和临床探索正在涌现,以提高CAR-T 细胞在实体瘤中的疗效。新的治疗方法包括以多种方式修饰CAR,或开发与免疫检查点抑制剂和化疗的联合疗法。在这篇综述中,我们重点关注CAR-T 细胞疗法在实体瘤中的挑战和最新进展。
Cancer immunotherapy is becoming more important in the clinical setting, especially for cancers resistant to conventional chemotherapy, including targeted therapy. Chimeric antigen receptor (CAR)-T cell therapy, which uses patient's autologous T cells, combined with engineered T cell receptors, has shown remarkable results, with five US Food and Drug Administration (FDA) approvals to date.
CAR-T cells have been very effective in hematologic malignancies, such as diffuse large B cell lymphoma (DLBCL), B cell acute lymphoblastic leukemia (B-ALL), and multiple myeloma (MM); however, its effectiveness in treating solid tumors has not been evaluated clearly.
Therefore, many studies and clinical investigations are emerging to improve the CAR-T cell efficacy in solid tumors. The novel therapeutic approaches include modifying CARs in multiple ways or developing a combination therapy with immune checkpoint inhibitors and chemotherapies. In this review, we focus on the challenges and recent advancements in CAR-T cell therapy for solid tumors.
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