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:Off-the-Shelf Chimeric Antigen Receptor Immune Cells from Human Pluripotent Stem Cells.
Off-the-Shelf Chimeric Antigen Receptor Immune Cells from Human Pluripotent Stem Cells.
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自体嵌合抗原受体(CAR)T细胞拓展了抗癌治疗的范围和治疗潜力。然而,自体CAR-T 治疗一直面临挑战,原因在于每位患者的制造过程繁琐,以及工艺复杂性带来的成本问题。此外,部分患者中免疫抑制性肿瘤微环境导致T细胞功能障碍。考虑到自体供者面临的技术挑战,开发安全高效的同种异体CAR-T 疗法将解决这些问题。自多能干细胞(PSC)生成免疫细胞的技术出现以来,大量研究聚焦于从通用供者PSC衍生CAR免疫细胞的现货型制备,这简化了制造过程并使CAR-T 产品标准化。在本综述中,我们将讨论从PSC生成免疫细胞的进展,以及CAR-T、CAR-巨噬细胞和CAR-自然杀伤(NK)细胞在癌症治疗中的潜力和前景。PSC衍生免疫细胞与CAR工程的结合将为开发下一代癌症免疫治疗铺平道路。
Autologous chimeric antigen receptor (CAR) T cells have expanded the scope and therapeutic potential of anti-cancer therapy. Nevertheless, autologous CAR-T therapy has been challenging due to labor some manufacturing processes for every patient, and the cost due to the complexity of the process.
Moreover, T cell dysfunction results from the immunosuppressive tumor microenvironment in certain patients. Considering technical challenges in autologous donors, the development of safe and efficient allogeneic CAR-T therapy will address these issues. Since the advent of the generation of immune cells from pluripotent stem cells (PSCs), numerous studies focus on the off-the-shelf generation of CAR-immune cells derived from the universal donor PSCs, which simplifies the manufacturing process and standardizes CAR-T products.
In this review, we will discuss advances in the generation of immune cells from PSCs, together with the potential and perspectives of CAR-T, CAR-macrophages, and CAR-natural killer (NK) cells in cancer treatment. The combination of PSC-derived immune cells and CAR engineering will pave the way for developing next-generation cancer immunotherapy.
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