CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Development of Stem Cell-Derived Immune Cells for Off-the-Shelf Cancer Immunotherapies.
Development of Stem Cell-Derived Immune Cells for Off-the-Shelf Cancer Immunotherapies.
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基于细胞的癌症免疫疗法已经彻底改变了血液系统恶性肿瘤的治疗。具体而言,自体嵌合抗原受体工程化T(CAR-T)细胞疗法在前所未有的临床缓解率之后,已获批用于治疗白血病、淋巴瘤和多发性骨髓瘤。当前CAR-T 细胞产品广泛使用的一个关键障碍是其自体性质,这使得这些细胞产品具有患者选择性、成本高昂且制造困难。异体细胞产品可以规模化生产并易于给药,但面临移植物抗宿主病(GvHD)——一种治疗性细胞攻击宿主组织的危及生命的不良事件——以及异体排斥——宿主免疫细胞清除治疗性细胞,从而限制其抗肿瘤疗效——的关键问题。在这篇综述中,我们讨论了开发干细胞工程化异体细胞疗法以克服当前自体和异体细胞疗法局限性的最新进展,特别关注干细胞工程化的常规T细胞、非常规T(iNKT、MAIT和T)细胞以及自然杀伤(NK)细胞。
Cell-based cancer immunotherapy has revolutionized the treatment of hematological malignancies. Specifically, autologous chimeric antigen receptor-engineered T (CAR-T) cell therapies have received approvals for treating leukemias, lymphomas, and multiple myeloma following unprecedented clinical response rates. A critical barrier to the widespread usage of current CAR-T cell products is their autologous nature, which renders these cellular products patient-selective, costly, and challenging to manufacture.
Allogeneic cell products can be scalable and readily administrable but face critical concerns of graft-versus-host disease (GvHD), a life-threatening adverse event in which therapeutic cells attack host tissues, and allorejection, in which host immune cells eliminate therapeutic cells, thereby limiting their antitumor efficacy.
In this review, we discuss recent advances in developing stem cell-engineered allogeneic cell therapies that aim to overcome the limitations of current autologous and allogeneic cell therapies, with a special focus on stem cell-engineered conventional T cells, unconventional T (iNKT, MAIT, and T) cells, and natural killer (NK) cells.
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