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基于 CAR-T 细胞的癌症基因治疗:新视角、挑战与临床进展

英文原题:CAR T-Cell-Based gene therapy for cancers: new perspectives, challenges, and clinical developments.

查看英文原题

CAR T-Cell-Based gene therapy for cancers: new perspectives, challenges, and clinical developments.

PubMed 2022/07/22(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Jogalekar MP、Rajendran RL、Khan F、Dmello C、Gangadaran P、Ahn BC
第一作者单位
Helen Diller Family Comprehensive Cancer Center, University of California San Francisco, San Francisco, CA, United States.United States
通讯作者单位
Department of Nuclear Medicine, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.South Korea
文献类型
综述 · 非美国政府资助研究
期刊
Frontiers in immunology2022
原文标识
PubMed 35936003 · DOI 10.3389/fimmu.2022.925985