决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Development of Cancer Immunotherapies.
Development of Cancer Immunotherapies.
癌症免疫治疗,即利用免疫系统的组成部分来靶向和消灭癌症,在过去几十年中已成为一个非常活跃的研究领域,并且是几种癌症类型的常见治疗策略。
癌症免疫治疗,即利用免疫系统的组分来靶向和消灭癌症,在过去几十年中已成为一个高度活跃的研究领域,并且是多种癌症类型的常见治疗策略。利用免疫系统实现这一目标的理念起源于100多年前,当时一位名叫William Coley的医生在观察到部分既往患者在诊断为常见细菌感染——丹毒后进入缓解期,随后成功用活菌和减毒细菌的组合治疗了数位癌症患者,这种组合后来被称为“Coley毒素”。然而,直到二十世纪末,癌症免疫治疗才被开发用于广泛使用,从而改变了众多癌症类型的治疗格局。阐明免疫细胞分子和细胞功能的关键研究,如IL-2的发现和单克隆抗体的制备,促进了研究免疫系统的新技术的发展,并最终推动了美国食品药品监督管理局在1980年代和1990年代批准了多种癌症免疫治疗,包括结核疫苗-卡介苗、IL-2和靶向CD20的单克隆抗体。首个治疗性癌症疫苗Sipuleucel-T获批用于治疗转移性去势抵抗性前列腺癌,以及过去十年中免疫检查点抑制剂和CAR-T 细胞疗法的突破性成功和获批,推动了新型癌症免疫治疗策略研究的兴趣和探索的爆发式增长。从抗体到过继性T细胞疗法,多种治疗模式正在被研究,用于广泛癌症的通用治疗以及个性化医疗。本章将聚焦于癌症免疫治疗开发的最新进展、当前策略和未来展望。
Cancer immunotherapy, or the utilization of components of the immune system to target and eliminate cancer, has become a highly active area of research in the past several decades and a common treatment strategy for several cancer types. The concept of harnessing the immune system for this purpose originated over 100 years ago when a physician by the name of William Coley successfully treated several of his cancer patients with a combination of live and attenuated bacteria, later known as "Coley's Toxins", after observing a subset of prior patients enter remission following their diagnosis with the common bacterial infection, erysipelas. However, it was not until late in the twentieth century that cancer immunotherapies were developed for widespread use, thereby transforming the treatment landscape of numerous cancer types. Pivotal studies elucidating molecular and cellular functions of immune cells, such as the discovery of IL-2 and production of monoclonal antibodies, fostered the development of novel techniques for studying the immune system and ultimately the development and approval of several cancer immunotherapies by the United States Food and Drug Association in the 1980s and 1990s, including the tuberculosis vaccine-Bacillus Calmette-Guérin, IL-2, and the CD20-targeting monoclonal antibody. Approval of the first therapeutic cancer vaccine, Sipuleucel-T, for the treatment of metastatic castration-resistant prostate cancer and the groundbreaking success and approval of immune checkpoint inhibitors and chimeric antigen receptor T cell therapy in the last decade, have driven an explosion of interest in and pursuit of novel cancer immunotherapy strategies. A broad range of modalities ranging from antibodies to adoptive T cell therapies is under investigation for the generalized treatment of a broad spectrum of cancers as well as personalized medicine. This chapter will focus on the recent advances, current strategies, and future outlook of immunotherapy development for the treatment of cancer.
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