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CAR-T 细胞在恶性肿瘤中的治疗潜力:范围综述

英文原题:Therapeutic potential of CAR T cell in malignancies: A scoping review.

查看英文原题

Therapeutic potential of CAR T cell in malignancies: A scoping review.

PubMed 2021/12/09(内容时间) Biomed Pharmacother

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中文摘要

尽管过去几年癌症治疗取得了巨大进展,但癌症仍然是一种难以治愈的复杂疾病。传统癌症治疗,包括化疗、放疗和手术,治疗效果不佳,这凸显了采用活化细胞疗法等创新疗法的重要性。CAR-T 细胞是已开发用于引导T淋巴细胞靶向癌症的最普遍的活化细胞疗法之一(CAR-T 细胞)。尽管CAR-T 细胞疗法在血液系统恶性肿瘤患者中取得了显著成功,但其对实体瘤的效果不佳。CAR-T 细胞必须克服多种障碍才能对实体瘤获得完全缓解,包括在肿瘤内的生长、稳定性、运输和命运。

因此,新型治疗方法将需要克服CAR-T 细胞在实体瘤中面临的挑战。将CAR-T 细胞与化疗、放疗、免疫检查点抑制剂和溶瘤病毒等其他治疗方法联合使用,可以促进CAR-T 细胞疗法治疗实体瘤的有效性。

然而,需要更多研究来确定这些疗法的安全性和有效性。CAR-T 细胞治疗的成功率因疾病类型而异,但预计在白血病患者中可高达90%。

然而,由于这种免疫疗法仍处于起步阶段,关于其疗效还有很多需要了解。本综述对CAR-T 细胞疗法及其作为癌症治疗方法的成功与失败进行了深入 examination。我们还讨论了与CAR-T 细胞的联合疗法。

展开英文摘要原文

Although tremendous advancements in cancer therapy over the last several years, cancer still is a complex illness to cure. Traditional cancer treatments, including chemotherapy, radiotherapy, and surgery, have a poor therapeutic effect, emphasizing the significance of employing innovative treatments like activated cell therapy. Chimeric antigen receptor T cell is one of the most prevalent types of activated cell therapy have been developed to direct T lymphocytes toward cancers (CAR-T cells). CAR-T cells therapy has illustrated poor impact versus solid tumors despite the remarkable success in patients suffering from hematological malignancies.

CAR-T cells must overcome various hurdles to obtain full responses to solid tumors, including growth, stability, trafficking, and destiny inside tumors. As a result, novel treatment methods will entail overcoming the challenges that CAR-T cells face in solid tumors. The use of CAR-T cells in combination with other therapeutic approaches such as chemotherapy, radiotherapy, immuno-checkpoint inhibitors, and oncolytic viruses can promote the effectiveness of CAR-T cell therapy for the treatment of solid tumors.

However, more research is needed to determine the safety and effectiveness of these therapies. CAR-T cell treatment success rates vary by type of disease, but are predicted to reach up to 90% in patients with leukemia.

However, since this kind of immunotherapy is still in its infancy, there is much to learn about its efficacy. This review provided an in-depth examination of CAR-T cell therapy and its success and failure as a cancer treatment approach.

We also discuss combination therapies with CAR-T Cell.

论文信息

作者
Mehrabadi AZ、Ranjbar R、Farzanehpour M、Shahriary A、Dorostkar R、Hamidinejad MA、Ghaleh HEG
第一作者单位
Applied Virology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Iran
通讯作者单位
Applied Virology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. Electronic address: h.smaili69@yahoo.com.Iran
文献类型
范围综述
期刊
Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2022 Feb
原文标识
PubMed 34894519 · DOI 10.1016/j.biopha.2021.112512