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:Recent progress in antibody-based therapeutics for triple-negative breast cancer.
Recent progress in antibody-based therapeutics for triple-negative breast cancer.
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目前,TNBC 的治疗仍是亟待解决的重大挑战。
引言:三阴性乳腺癌(TNBC)是一种高度侵袭性乳腺癌亚型,不表达雌激素受体(ER)、孕激素受体或人表皮生长因子受体2(HER2),具有高转移性且预后不良。目前标准治疗仍局限于全身化疗、放疗和手术切除,亟需更有效疗法。综述范围:TNBC的免疫原性为靶向免疫治疗提供了机会。本综述聚焦抗体类药物治疗方式的最新进展,包括血管生成抑制剂、免疫检查点抑制剂、抗体药物偶联物、免疫偶联物、T细胞重定向双特异性抗体及CAR-T 细胞,并讨论其在TNBC中的作用机制。专家观点:TNBC目前仍是重大治疗挑战。新型免疫疗法为改善这一侵袭性疾病的管理提供了有希望的机会。
INTRODUCTION: Triple-negative breast cancer (TNBC) is a subtype of severely aggressive breast cancer that lacks the expression of oestrogen receptor (ER), progesterone receptor and human epidermal growth factor receptor 2 (HER2) and is highly metastatic and related to a poor prognosis. Current standard treatments are still limited to systemic chemotherapy, radiotherapy, and surgical resection. More effective treatments are urgently needed. AREAS COVERED: The immunogenicity of TNBC has provided opportunities for the development of targeted immunotherapy.
In this review, we focus on the recent development in antibody-based drug modalities, including angiogenesis inhibitors, immune checkpoint inhibitors, antibody-drug conjugates, immunoconjugates, T cell-redirecting bispecific antibodies and CAR-T cells, and their mechanisms of action in TNBC. EXPERT OPINION: At present, the treatment of TNBC is still a major challenge that needs to be addressed. Novel immunotherapies are promising opportunities for improving the management of this aggressive disease.
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