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.
英文原题:Advances in Promoting the Efficacy of Chimeric Antigen Receptor T Cells in the Treatment of Hepatocellular Carcinoma.
Advances in Promoting the Efficacy of Chimeric Antigen Receptor T Cells in the Treatment of Hepatocellular Carcinoma.
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HCC是全球最常见且致命的癌症之一,起源于肝细胞,占原发性肝癌的90%以上。目前广泛使用的治疗方式远不能满足肝癌患者的需求。近年来兴起的CAR-T 细胞疗法在淋巴瘤和血液系统肿瘤中显示出良好疗效,但在应用于HCC临床治疗时仍有许多挑战需要克服,包括渗透屏障、肝细胞癌微环境活性的抑制、CAR-T 细胞有限的存活和杀伤能力以及不可避免的副作用等。因此,许多研究已开始着手解决CAR-T 细胞在HCC中疗效欠佳的问题,其中许多方案具有良好的前景。本综述聚焦于过去五年中旨在促进CAR-T 细胞疗法治疗HCC疗效的进展。
HCC, one of the most common and deadly cancers worldwide, develops from hepatocytes and accounts for more than 90% of primary liver cancers. The current widely used treatment modalities are far from meeting the needs of liver cancer patients. CAR-T cell therapy, which has recently emerged, has shown promising efficacy in lymphoma and hematologic cancers, but there are still many challenges to overcome in its application to the clinical treatment of HCC, including osmotic barriers, the inhibition of hepatocellular carcinoma microenvironment activity, the limited survival and killing ability of CAR-T cells, and inevitable side effects, among others.
As a result, a number of studies have begun to address the suboptimal efficacy of CAR-T cells in HCC, and many of these schemes hold good promise. This review focuses on advances in the past five years aimed at promoting the efficacy of CAR-T cell therapy for treatment of HCC.
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