体内 CAR 基因治疗的前景与潜在陷阱
Promises and potential pitfalls of in vivo CAR gene therapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Emerging frontiers in immuno- and gene therapy for cancer.
Emerging frontiers in immuno- and gene therapy for cancer.
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自2017年Kymriah和随后的Yescarta获得美国食品药品监督管理局批准以来,肿瘤学领域的细胞和基因治疗发展迅速,随后多个其他国家也相继批准。自这些批准以来,几种新产品已获得其他适应症的批准。与此同时,人们致力于靶向不同的癌症、改善递送物流并降低与新型细胞和基因治疗相关的成本。在此,我们重点介绍各种细胞和基因治疗相关技术和进展,这些技术和进展为了解这些新技术将如何加速这些疗法向临床转化提供了见解。
在这篇综述中,我们广泛概述了基于细胞和基因疗法的癌症治疗方法的当前状况——讨论了各种效应细胞类型及其来源,CAR和非CAR基因修饰的最新进展,并重点介绍了几种有前景的方法,以提高治疗药物产品的体内疗效和持久性。
BACKGROUND AIMS: The field of cell and gene therapy in oncology has moved rapidly since 2017 when the first cell and gene therapies, Kymriah followed by Yescarta, were approved by the Food and Drug Administration in the United States, followed by multiple other countries. Since those approvals, several new products have gone on to receive approval for additional indications. Meanwhile, efforts have been made to target different cancers, improve the logistics of delivery and reduce the cost associated with novel cell and gene therapies. Here, we highlight various cell and gene therapy-related technologies and advances that provide insight into how these new technologies will speed the translation of these therapies into the clinic. CONCLUSIONS: In this review, we provide a broad overview of the current state of cell and gene therapy-based approaches for cancer treatment - discussing various effector cell types and their sources, recent advances in both CAR and non-CAR genetic modifications, and highlighting a few promising approaches for increasing in vivo efficacy and persistence of therapeutic drug products.
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