肿瘤细胞治疗研究
英文原题:CAR T-Cell-Based gene therapy for cancers: new perspectives, challenges, and clinical developments.
CAR T-Cell-Based gene therapy for cancers: new perspectives, challenges, and clinical developments.
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嵌合抗原受体(CAR)-T细胞疗法是癌症免疫细胞治疗中一个逐步兴起的新支柱。它在B细胞白血病或淋巴瘤患者中已取得显著的临床疗效。遗憾的是,要克服其在其他血液系统恶性肿瘤和实体瘤治疗中的无效性,仍有许多挑战需要解决。CAR-T 细胞疗法的主要障碍是相关的严重危及生命的毒性,如细胞因子释放综合征,以及有限的抗肿瘤疗效。在这篇综述中,我们简要讨论癌症免疫治疗和T细胞的基因工程,并详细讨论当前CAR-T 细胞策略在提高治疗实体瘤和血液系统恶性肿瘤疗效方面的创新。此外,我们还讨论了CAR-T 细胞疗法当前的挑战以及新的CAR-T 细胞衍生纳米囊泡疗法。最后,也包括了克服当前与CAR-T 细胞疗法相关的临床挑战的策略。
Chimeric antigen receptor (CAR)-T cell therapy is a progressive new pillar in immune cell therapy for cancer. It has yielded remarkable clinical responses in patients with B-cell leukemia or lymphoma. Unfortunately, many challenges remain to be addressed to overcome its ineffectiveness in the treatment of other hematological and solidtumor malignancies.
The major hurdles of CAR T-cell therapy are the associated severe life-threatening toxicities such as cytokine release syndrome and limited anti-tumor efficacy. In this review, we briefly discuss cancer immunotherapy and the genetic engineering of T cells and, In detail, the current innovations in CAR T-cell strategies to improve efficacy in treating solid tumors and hematologic malignancies.
Furthermore, we also discuss the current challenges in CAR T-cell therapy and new CAR T-cell-derived nanovesicle therapy.
Finally, strategies to overcome the current clinical challenges associated with CAR T-cell therapy are included as well.
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