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:Nano Drug Delivery System for Tumor Immunotherapy: Next-Generation Therapeutics.
Nano Drug Delivery System for Tumor Immunotherapy: Next-Generation Therapeutics.
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肿瘤免疫治疗是人为刺激免疫系统以增强抗癌应答,已成为强有力的癌症临床治疗策略。近年来获批的免疫治疗药物数量不断增加,许多疗法处于临床和临床前阶段。尽管取得进展,实体瘤特有的异质性和免疫抑制性微环境,使多数癌症病例的免疫治疗仍十分困难。
因此,了解如何提高肿瘤内富集程度和各种免疫治疗药物的缓解率,是提高疗效并控制不良反应的关键。随着材料科学和纳米技术发展,纳米颗粒等先进生物材料,以及T细胞递送疗法等药物递送系统,可提高免疫治疗效力,同时减少对非靶细胞的毒副作用,为改善免疫治疗效果提供创新思路。本文综述肿瘤细胞免疫逃逸机制,重点介绍当前免疫治疗(如细胞因子免疫疗法、治疗性单克隆抗体免疫疗法、PD-1/PD-L1疗法、CAR-T 疗法、肿瘤疫苗、溶瘤病毒和其他新型免疫疗法)及其挑战,并总结癌症免疫治疗中最新纳米技术应用,包括仿生纳米颗粒、自组装纳米颗粒、可变形纳米颗粒、光热效应纳米颗粒和刺激响应纳米颗粒等。
Tumor immunotherapy is an artificial stimulation of the immune system to enhance anti-cancer response. It has become a powerful clinical strategy for treating cancer. The number of immunotherapy drug approvals has been increasing in recent years, and many treatments are in clinical and preclinical stages. Despite this progress, the special tumor heterogeneity and immunosuppressive microenvironment of solid tumors made immunotherapy in the majority of cancer cases difficult.
Therefore, understanding how to improve the intratumoral enrichment degree and the response rate of various immunotherapy drugs is key to improve efficacy and control adverse reactions. With the development of materials science and nanotechnology, advanced biomaterials such as nanoparticle and drug delivery systems like T-cell delivery therapy can improve effectiveness of immunotherapy while reducing the toxic side effects on non-target cells, which offers innovative ideas for improving immunity therapeutic effectiveness.
In this review, we discuss the mechanism of tumor cell immune escape and focus on current immunotherapy (such as cytokine immunotherapy, therapeutic monoclonal antibody immunotherapy, PD-1/PD-L1 therapy, CAR-T therapy, tumor vaccine, oncolytic virus, and other new types of immunity) and its challenges as well as the latest nanotechnology (such as bionic nanoparticles, self-assembled nanoparticles, deformable nanoparticles, photothermal effect nanoparticles, stimuli-responsive nanoparticles, and other types) applications in cancer immunotherapy.
在 PubMed 查看 → 出版商原文(DOI) 全文 PDF(PMC)· 可下载 治疗专题与资料阅读指南 资料来源与翻译说明 报告译文或资料问题 →
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