← 返回

纳米光遗传学免疫治疗

英文原题:Nano-optogenetic immunotherapy.

查看英文原题

Nano-optogenetic immunotherapy.

PubMed 2022/09/01(内容时间) Clin Transl Med Q1 · IF 7.9(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

过去5年,基于嵌合抗原受体(CAR)T细胞的免疫疗法日益用于癌症临床治疗。CAR-T 治疗利用基因修饰T细胞,使其在细胞表面表达合成CAR分子。截至目前,美国食品药品监督管理局已批准多达6种CAR-T 细胞产品,用于治疗白血病、淋巴瘤和多发性骨髓瘤;另有数百种CAR-T 产品正在实体瘤临床试验中。在基础研究和临床应用中,CAR-T 免疫治疗均已取得令人振奋的进展,带来显著缓解或抑制癌症的效果。

然而,CAR-T 免疫治疗仍有重要安全问题,例如抗原特异性不足所致的“靶向肿瘤、同时误伤肿瘤外正常组织”细胞毒性。此外,输注的CAR-T 细胞若发生不受控的大规模活化,可能引起严重全身炎症,导致细胞因子释放综合征和神经毒性。为应对这些挑战,需要将纳米技术、光遗传学与免疫工程相结合,开发可在时间和空间上精确控制的CAR-T 细胞,使治疗性免疫细胞能够通过无线光信号调节活性,从而在肿瘤微环境中实现个体化治疗。

展开英文摘要原文

Chimeric antigen receptor (CAR) T cell-based immunotherapy has been increasingly used in the clinic for cancer intervention over the past 5 years. CAR T-cell therapy takes advantage of genetically-modified T cells to express synthetic CAR molecules on the cell surface. To date, up to six CAR T cell therapy products have been approved by the Food and Drug Administration for the treatment of leukaemia, lymphoma, and multiple myeloma.

In addition, hundreds of CAR-T products are currently under clinical trials to treat solid tumours. In both the fundamental research and clinical applications, CAR T cell immunotherapy has achieved exciting progress with remarkable remission or suppression of cancers.

However, CAR T cell-based immunotherapy still faces significant safety issues, as exemplified by "on-target off-tumour" cytotoxicity due to lack of strict antigen specificity.

In addition, uncontrolled massive activation of infused CAR T cells may create severe systemic inflammation with cytokine release syndrome and neurotoxicity. These challenges call for a need to combine nanotechnology and optogenetics with immunoengineering to develop spatiotemporally-controllable CAR T cells, which enable wireless photo-tunable activation of therapeutic immune cells to deliver personalised therapy in the tumour microenvironment.

论文信息

作者
Huang K、Liu X、Han G、Zhou Y
第一作者单位
Department of Biochemistry and Molecular Biotechnology, University of Massachusetts Chan Medical School, Worcester, Massachusetts, USA.United States
通讯作者单位
Center for Translational Cancer Research, Institute of Biosciences and Technology, Texas A&M University, Houston, Texas, USA.United States
文献类型
非美国政府资助研究 · 美国 NIH 资助研究 · 美国政府(非公共卫生署)资助研究
期刊
Clinical and translational medicine2022 Sep
原文标识
PubMed 36101937 · DOI 10.1002/ctm2.1020