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:iPSC-Derived Natural Killer Cell Therapies - Expansion and Targeting.
iPSC-Derived Natural Killer Cell Therapies - Expansion and Targeting.
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利用同种异体自然杀伤(NK)细胞疗法治疗癌症发展迅速,尤其是在血液系统恶性肿瘤的治疗中。基于NK细胞的过继转移治疗复发/难治性恶性肿瘤的临床试验已使用外周血、脐带血和多能干细胞来源的NK细胞,每种方法都在持续进行临床开发。提高这些疗法的效力依赖于基因修饰,以改善肿瘤靶向性并增强NK细胞的扩增和持久性。诱导多能干细胞(iPSC)来源的NK细胞允许常规靶向引入基因修饰,并从克隆起始细胞群体扩增所得的NK细胞。在这篇综述中,我们讨论并总结了新型iPSC来源NK细胞疗法开发中的重要进展,重点关注改善癌症靶向性。随后我们讨论扩增iPSC来源NK细胞方法的改进,以及如何增强iPSC-NK细胞的持久性。最后,我们描述这些进展如何在未来的NK细胞治疗产品中结合,用于治疗血液系统恶性肿瘤和实体瘤。
Treatment of cancer with allogeneic natural killer (NK) cell therapies has seen rapid development, especially use against hematologic malignancies. Clinical trials of NK cell-based adoptive transfer to treat relapsed or refractory malignancies have used peripheral blood, umbilical cord blood and pluripotent stem cell-derived NK cells, with each approach undergoing continued clinical development.
Improving the potency of these therapies relies on genetic modifications to improve tumor targeting and to enhance expansion and persistence of the NK cells. Induced pluripotent stem cell (iPSC)-derived NK cells allow for routine targeted introduction of genetic modifications and expansion of the resulting NK cells derived from a clonal starting cell population. In this review, we discuss and summarize recent important advances in the development of new iPSC-derived NK cell therapies, with a focus on improved targeting of cancer.
We then discuss improvements in methods to expand iPSC-derived NK cells and how persistence of iPSC-NK cells can be enhanced.
Finally, we describe how these advances may combine in future NK cell-based therapy products for the treatment of both hematologic malignancies and solid tumors.
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