体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:What will (and should) be improved in CAR immunotherapy?
What will (and should) be improved in CAR immunotherapy?
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嵌合抗原受体(CAR)可能是癌症治疗中最成功的方案之一,尤其是对于血液系统疾病,已有若干先进治疗药品(ATMP)在全球范围内获得药品监管机构批准。但是,尽管在肿瘤学和细胞/基因治疗领域取得了前所未有的成功,在这一复杂疗法的多个方面仍有许多可以(并且应该)改进的地方:从嵌合分子的设计到工程化T细胞的临床使用方案,甚至包括目前限制这些有希望疗法发展的监管规则。在本章中,我们将尝试总结为将CAR免疫治疗扩展到肿瘤血液学之外而可以(并且可能应该)改进的主要方面。
Chimeric antigen receptor (CAR) is probably one of the most successful proposals for cancer treatment, especially hematological diseases for which several Advanced Therapies Medicinal Products (ATMP) have been approved worldwide by drug agencies.
But, despite this unprecedented success in the oncology and cell/gene therapy fields, there are a lot of aspects that could (and should) be improved in the multiple aspects that involve this complex therapy: from the design of the chimeric molecule to the clinical protocols of use of the engineered T-cells, including even the regulatory rules that they are currently restricting the development of these hopeful therapies.
In this chapter, we will try to summarize the main aspects that can (and probably should) be improved for the expansion of immunotherapy with CAR proposals beyond onco-hematology.
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