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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Natural killer cells: Innate immune system as a part of adaptive immunotherapy in hematological malignancies.
Natural killer cells: Innate immune system as a part of adaptive immunotherapy in hematological malignancies.
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自然杀伤(NK)细胞是系统发育上古老的防御系统的一部分,其特征是对生理应激细胞(如肿瘤细胞和病毒感染细胞)具有强大的细胞溶解功能。与已经建立的基于T淋巴细胞的免疫治疗相比,其在血液系统恶性肿瘤治疗中的应用可能在多个方面更具优势。鉴于作用机制不同,同种异体NK细胞产品可以以非个体化的方式生产,而没有发生可怕的移植物抗宿主病的风险。先进的制造工艺能够相对容易地生产出大量且临床数量充足的NK细胞,无需后续操作或经过基因修饰即可使用,这可以解决NK细胞产品缺乏特异性的问题并提高临床疗效。本综述总结了NK细胞的基本特征,并对其来源进行了快速概述。介绍了血液系统恶性肿瘤临床试验的结果,并讨论了如何改善NK细胞治疗临床结局的策略。
Natural killer (NK) cells are part of a phylogenetically old defense system, which is characterized by its strong cytolytic function against physiologically stressed cells such as tumor cells and virus-infected cells. Their use in the treatment of hematological malignancies may be more advantageous in several ways when compared with the already established T lymphocyte-based immunotherapy. Given the different mechanisms of action, allogeneic NK cell products can be produced in a non-personal based manner without the risk of the formidable graft-versus-host disease.
Advanced manufacturing processes are capable of producing NK cells relatively easily in large and clinically sufficient numbers, useable without subsequent manipulations or after genetic modifications, which can solve the lack of specificity and improve clinical efficacy of NK cell products.
This review summarizes the basic characteristics of NK cells and provides a quick overview of their sources. Results of clinical trials in hematological malignancies are presented, and strategies on how to improve the clinical outcome of NK cell therapy are discussed.
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