决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Advanced Cell Therapies for Glioblastoma.
在所有情形下,无论采用何种治疗组合,GBM 患者的 5 年生存率仍非常低,仅为令人痛心的 5.6%。
胶质母细胞瘤(GBM)病例如此常见,似乎本应有许多机会发现能够使肿瘤缓解的治疗方法。然而,GBM持续高发,很大程度上是因为它是成人中最耐药的肿瘤之一,这也彻底改变了治疗策略。手术切除、放疗和强化化疗等长期确立的治疗方式(包括这些方法的联合应用),都未能打破该病顽固耐药的特点。寻找治愈方法本已极具挑战,GBM对新型免疫疗法也表现出顽强抵抗。无论采用何种治疗组合,患者5年生存率仍仅为5.6%,令人痛心。当前情况显然不能接受,需要研究人员以更具创新性和效率的策略寻找新的有效疗法。受全球研究人员控制GBM努力的启发,本文全面综述目前用于GBM治疗的多种细胞疗法,包括CAR-T细胞、CAR-NK细胞、γδT细胞、NKT细胞、树突状细胞、巨噬细胞以及干细胞策略。为全面呈现这些疗法,文章讨论各自的疗效、安全性、研发阶段和作用机制,分析其面临的挑战,并评估其成为下一代免疫治疗、清除这一恶性疾病的潜力。
The sheer ubiquity of Gioblastoma (GBM) cases would lead you to believe that there should have been many opportunities for the discovery of treatments to successfully render it into remission. Unfortunately, its persistent commonality is due in large part to the fact that it is the most treatment-resistant tumors in adults. That completely changes the treatment plan of attack. Long established and accepted treatment therapies such as surgical resection, radiation, and aggressive chemotherapy, (and any combination thereof) have only confirmed that the disease lives up to its treatment-resistant reputation. To add to the seemingly insurmountable task of finding a cure, GBM has also proven to be a very stubborn and formidable opponent to newer immunotherapies. Across the board, regardless of the therapy combination, the five-year survival rate of GBM patients is still very poor at a heartbreaking 5.6%. Obviously, the present situation cannot be tolerated or deemed acceptable. The grave situation calls for researchers to be more innovative and find more efficient strategies to discover new and successful strategies to treat GBM. Inspired by researchers worldwide attempting to control GBM, we provide in this review a comprehensive overview of the many diverse cell therapies currently being used to treat GBM. An overview of the treatments include: CAR T cells, CAR NK cells, gamma-delta T cells, NKT cells, dendritic cells, macrophages, as well stem cell-based strategies. To give you the complete picture, we will discuss the efficacy, safety, and developmental stages, the mechanisms of action and the challenges of each of these therapies and detail their potential to be the next-generation immunotherapeutic to eliminate this dreadful disease.
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