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:CAR T cell therapy in solid tumors: A review of current clinical trials.
CAR T cell therapy in solid tumors: A review of current clinical trials.
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嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤领域取得巨大进展,已获批治疗某些白血病、淋巴瘤,近期也用于骨髓瘤,整体缓解率颇高。虽然血液肿瘤CAR-T 临床研究仍在进行,研究者也在探索将CAR-T 疗法拓展至实体器官恶性肿瘤。多数癌症属于实体瘤,因此这一领域存在迫切的临床需求,亟需进一步研究和开发。本综述介绍实体瘤CAR-T 治疗当前活跃的临床试验及若干相关临床前研究,简要讨论研究结局和可能使该疗法可行的关键靶点。最后,本文概述实体瘤环境中的关键挑战,并讨论可能克服现有障碍、推动CAR-T 治疗实体瘤发展的策略。
Chimeric antigen receptor (CAR) T cell therapy has made tremendous strides in the arena of hematological malignancies with approved therapies in certain leukemias, lymphomas, and recently myeloma with overall highly favorable response rates. While numerous clinical studies are still ongoing for hematological malignancies, research is developing to translate the feasibility of CAR T therapy in solid organ malignancies. Unfortunately, the majority of diagnosed cancers are primarily solid tumors.
Thus, a highly unmet clinical need for further research and development exists in this field. This review article highlights currently active clinical trials and a few pertinent preclinical studies involving CAR T cell therapy in solid tumors while briefly discussing study outcomes and potential key targets that may allow for the feasibility of this therapy option.
Finally, we mention critical challenges existing in the solid tumor environment and discuss developing strategies that may potentially overcome the existing barriers to CAR T cell progress in solid tumors.
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