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CAR-T 细胞治疗后恶性肿瘤的耐药与复发

英文原题:Resistance and recurrence of malignancies after CAR-T cell therapy.

查看英文原题

Resistance and recurrence of malignancies after CAR-T cell therapy.

PubMed 2021/12/11(内容时间) Exp Cell Res Q2 · IF 3.5(JCR 2025)

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中文摘要

CAR-T(CAR-T)细胞疗法的出现开启了癌症治疗的新时代,尤其是血液系统恶性肿瘤的治疗。然而,部分患者在接受CAR-T 细胞治疗后仍会出现耐药和复发。CAR-T 细胞效力不足和肿瘤逃逸已成为这种前景广阔的免疫疗法在B细胞恶性肿瘤长期疾病控制中的主要挑战。在实体瘤治疗中,CAR-T 细胞还必须克服来自肿瘤或免疫抑制性肿瘤环境的诸多障碍,这些已成为CAR-T 疗法进步的阻碍。因此,了解患者CAR-T 治疗后失败的机制十分必要。在本综述中,我们描述了CAR-T 细胞治疗后耐药和复发的一些机制,并相应地提出了合理的治疗策略。

展开英文摘要原文

The emergence of chimeric antigen receptor T (CAR-T) cell therapy has ushered a new era in cancer therapy, especially the treatment of hematological malignancies.

However, resistance and recurrence still occur in some patients after CAR-T cell treatment. CAR-T cell inefficiency and tumor escape have emerged as the main challenges for the long-term disease control of B cell malignancies by this promising immunotherapy. In solid tumor treatment, CAR-T cells must also overcome many hurdles from the tumor or immune-suppressed tumor environment, which have become obstacles to the advancement of CAR-T therapy.

Therefore, an understanding of the mechanisms underlying post-CAR treatment failure in patients is necessary. In this review, we characterize some mechanisms of resistance and recurrence after CAR-T cell therapy and correspondingly suggest reasonable treatment strategies.

论文信息

作者
Zeng W、Zhang P
第一作者单位
National Center for International Research of Bio-targeting Theranostics, Guangxi Key Laboratory of Bio-targeting Theranostics, Collaborative Innovation Center for Targeting Tumor Diagnosis and Therapy, Guangxi Talent Highland of Bio-targeting Theranostics, Guangxi Medical University, Nanning, Guangxi, 530021, China.China
通讯作者单位
National Center for International Research of Bio-targeting Theranostics, Guangxi Key Laboratory of Bio-targeting Theranostics, Collaborative Innovation Center for Targeting Tumor Diagnosis and Therapy, Guangxi Talent Highland of Bio-targeting Theranostics, Guangxi Medical University, Nanning, Guangxi, 530021, China; Zhejiang Provincial Key Laboratory of Pancreatic Disease, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang Province, 310003, China; Institute of Translational Medicine, Zhejiang University Medical School, Hangzhou, Zhejiang Province, 310058, China. Electronic address: pzhangbcmedu@gmail.com.China
文献类型
非美国政府资助研究 · 综述
期刊
Experimental cell research2022 Jan 15
原文标识
PubMed 34906583 · DOI 10.1016/j.yexcr.2021.112971