CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The challenge of selecting tumor antigens for chimeric antigen receptor T-cell therapy in ovarian cancer.
The challenge of selecting tumor antigens for chimeric antigen receptor T-cell therapy in ovarian cancer.
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卵巢癌(OC)是女性最常见的癌症之一,死亡率高,且可用且有效的治疗方法很少。证据表明,免疫治疗在OC中并不十分成功,因为免疫检查点阻断剂未能取得令人满意的临床结果。另一方面,作为一种有效的治疗方法,CAR-T 细胞(CAR-T 细胞)疗法已获得道德地位,尤其是在血液系统恶性肿瘤中。尽管在实体瘤中,CAR-T 细胞疗法面临各种并发症和挑战。其中一个挑战是选择合适的肿瘤抗原供CAR-T 细胞靶向,由于肿瘤细胞和正常细胞均表达抗原,使得选择变得困难。此外,肿瘤抗原表达率以及CAR-T 细胞接近所需抗原并适当刺激CAR-T 细胞,也可能是抗原选择中的其他重要问题。本综述总结了OC的CAR-T 细胞治疗中常见的肿瘤抗原及其选择挑战。
Ovarian cancer (OC) is one of the most common cancers in women, with a high mortality rate and very few available and effective treatments. Evidence shows that immunotherapy in OC has not been very successful because immune checkpoint blockers have not achieved satisfactory clinical outcomes.
On the other hand, as one of the effective treatment approaches, chimeric antigen receptor T-cell (CAR T-cell) therapy has gained a moral position, especially in blood malignancies. Although in solid tumors, CAR T-cell therapy faces various complications and challenges. One of these challenges is selecting the appropriate tumor antigen targeted by CAR T cells, making the selection difficult due to the expression of antigens by tumor cells and normal cells.
In addition, the rate of tumor antigen expression and CAR T-cell access to the desired antigen and proper stimulation of CAR T cells can be other important points in antigen selection. This review summarized common tumor antigens and the challenges of selecting them in CAR T cells therapy of OC.
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