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:Targeted therapies in non-small cell lung cancer and the potential role of AI interventions in cancer treatment.
在这一阶段,化疗仅带来 15% 的 5 年生存率。
非小细胞肺癌是最常见的肺癌,近四分之三患者确诊时已处于晚期。在这一阶段,化疗的5年生存率仅为15%。患者的症状及对特定癌症治疗的反应存在差异,肿瘤治疗容易达不到预期效果,使癌症治疗更加复杂。免疫治疗是一项突破性疗法,包括使用靶向新型免疫检查点CTLA-4和PD-1/PD-L1的药物及联合治疗。此外,工程化CAR-T和CAR-NK细胞也可能有效促进针对肿瘤的免疫应答。通过树突状细胞载体递送新抗原的个体化癌症疫苗同样可能成为有效的治疗策略。CRISPR/Cas9介导的T细胞基因编辑等基因工程进展,可增强T细胞效应功能,也带来新的希望。本综述概述癌症免疫治疗近期进展及其在临床一线和二线治疗中的应用,并探讨利用机器学习技术和人工智能早期检测肿瘤的可能性。
Non-small cell lung cancer is the most prevalent lung cancer, and almost three-fourths of patients are diagnosed in the advanced stage directly. In this stage, chemotherapy gives only a 15% 5-year survival rate. As people have varied symptoms and reactions to a specific cancer type, treatment for the tumor is likely to fall short, complicating cancer therapy. Immunotherapy is a breakthrough treatment involving drugs targeting novel immune checkpoint inhibitors like CTLA-4 and PD-1/PD-L1, along with combination therapies. In addition, the utility of engineered CAR-T and CAR-NK cells can be an effective strategy to promote the immune response against tumors. The concept of personalized cancer vaccines with the discovery of neoantigens loaded on dendritic cell vectors can also be an effective approach to cure cancer. Advances in genetic engineering tools like CRISPR/Cas9-mediated gene editing of T cells to enhance their effector function is another ray of hope. This review aims to provide an overview of recent developments in cancer immunotherapy, which can be used in first- and second-line treatments in the clinical space. Further, the intervention of artificial intelligence to detect cancer tumors at an initial stage with the help of machine learning techniques is also explored.
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