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:The landscape of chimeric antigen receptor T cell therapy in breast cancer: Perspectives and outlook.
The landscape of chimeric antigen receptor T cell therapy in breast cancer: Perspectives and outlook.
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CAR-T(CAR-T)细胞疗法是一种革命性的过继性细胞疗法,能够改造并重定向T细胞以靶向特定的肿瘤细胞。自2017年CAR-T 细胞疗法首次获批用于B细胞来源的恶性肿瘤以来,该疗法在血液肿瘤中取得了前所未有的进展,并在近年来极大地重塑了癌症治疗的格局。目前,越来越多的证据表明,CAR-T 细胞疗法可能成为实体瘤的一种可行治疗策略。然而,由于免疫抑制性肿瘤微环境(TME)和异质性肿瘤抗原的存在,CAR-T 细胞疗法应用于实体瘤需要克服更具挑战性的障碍。乳腺癌具有高度侵袭性、恶性程度高和预后差的特点。本综述重点阐述了CAR-T 细胞疗法在乳腺癌中的潜在靶点,总结了CAR-T 细胞疗法面临的挑战,并提出了克服这些挑战的策略,为乳腺癌治疗提供了新的思路。
Chimeric antigen receptor-T (CAR-T) cell therapy is a revolutionary adoptive cell therapy, which could modify and redirect T cells to specific tumor cells. Since CAR-T cell therapy was first approved for B cell-derived malignancies in 2017, it has yielded unprecedented progress in hematological tumors and has dramatically reshaped the landscape of cancer therapy in recent years. Currently, cumulative evidence has demonstrated that CAR-T cell therapy could be a viable therapeutic strategy for solid cancers.
However, owing to the immunosuppressive tumor microenvironment (TME) and heterogenous tumor antigens, the application of CAR-T cell therapy against solid cancers requires circumventing more challenging obstacles. Breast cancer is characterized by a high degree of invasiveness, malignancy, and poor prognosis.
The review highlights the underlying targets of CAR-T cell therapy in breast cancer, summarizes the challenges associated with CAR-T cell therapy, and proposes the strategies to overcome these challenges, which provides a novel approach to breast cancer treatment.
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