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:CAR T cell therapy and the tumor microenvironment: Current challenges and opportunities.
CAR T cell therapy and the tumor microenvironment: Current challenges and opportunities.
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嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤患者中已展现出显著疗效,但其成功受到肿瘤微环境(TME)固有障碍的制约,尤其是在实体瘤中,该疗法尚未取得突破。本文就TME中构成CAR-T 细胞疗法疗效障碍的特征进行更新综述并展望未来方向,包括代谢燃料竞争、浸润的物理屏障以及免疫抑制因素。随后我们讨论正在临床前开发或临床研究中、旨在克服这些障碍的新颖且有前景的策略。
Chimeric antigen receptor (CAR) T cell therapy has demonstrated remarkable outcomes in individuals with hematological malignancies, but its success has been hindered by barriers intrinsic to the tumor microenvironment (TME), particularly for solid tumors, where it has yet to make its mark. In this article, we provide an updated review and future perspectives on features of the TME that represent barriers to CART cell therapy efficacy, including competition for metabolic fuels, physical barriers to infiltration, and immunosuppressive factors.
We then discuss novel and promising strategies to overcome these obstacles that are in preclinical development or under clinical investigation.
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