CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Beyond direct killing-novel cellular immunotherapeutic strategies to reshape the tumor microenvironment.
Beyond direct killing-novel cellular immunotherapeutic strategies to reshape the tumor microenvironment.
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细胞免疫疗法的临床应用势头日益增强,获批适应证数量稳步增加。一类细胞疗法——嵌合抗原受体(CAR)修饰T细胞——在若干血液肿瘤适应证中取得了令人瞩目的结果。然而,现有血癌细胞疗法仍面临较高复发率,其在血液学以外领域的应用效果也不尽如人意,尤其是在实体瘤中。耐药的主要来源很大程度上是肿瘤微环境(TME)。事实上,TME会在功能上抑制、限制和排斥过继免疫细胞,从一开始就限制细胞免疫疗法的疗效。目前有许多有前景的研究工作,旨在调整细胞免疫疗法以应对这些障碍,并通过重塑肿瘤微环境改善细胞功能,从而增强其对血液系统和实体瘤恶性肿瘤的疗效。
The clinical use of cellular immunotherapies is gaining momentum and the number of approved indications is steadily increasing. One class of cellular therapies-chimeric antigen receptor (CAR)-modified T cells-has achieved impressive results in distinct blood cancer indications. These existing cellular therapies treating blood cancers face significant relapse rates, and their application beyond hematology has been underwhelming, especially in solid oncology.
Major reasons for resistance source largely in the tumor microenvironment (TME). The TME in fact functionally suppresses, restricts, and excludes adoptive immune cells, which limits the efficacy of cellular immunotherapies from the onset. Many promising efforts are ongoing to adapt cellular immunotherapies to address these obstacles, with the aim of reshaping the tumor microenvironment to ameliorate function and to achieve superior efficacy against both hematological and solid malignancies.
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