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提高 CAR-T 细胞治疗安全性与疗效的新技术

英文原题:Novel technologies for improving the safety and efficacy of CAR-T cell therapy.

查看英文原题

Novel technologies for improving the safety and efficacy of CAR-T cell therapy.

PubMed 2022/10/29(内容时间) Int J Hematol Q3 · IF 1.9(JCR 2025)

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中文摘要

CAR-T(CAR-T)细胞疗法在血液系统B细胞恶性肿瘤治疗中已显示出显著疗效。然而,由于肿瘤抗原的异质性和免疫抑制性肿瘤微环境,CAR-T 细胞疗法对实体瘤的疗效有限。因此,迫切需要新技术来提高CAR-T 细胞疗法的疗效。此外,由于CAR-T 细胞常引起严重副作用,需要能够控制CAR-T 细胞活性的系统,以避免或减轻这些副作用的发生和强度。在此,我们描述近期出现的增强和/或调控CAR-T 细胞功能的方法。这些方法促进了疗效和安全性改善的CAR-T 疗法的发展,预期这些疗法将与其他疗法(如免疫检查点抑制剂、化疗、分子靶向药物和放疗)联合应用于多种癌症类型的临床治疗。

展开英文摘要原文

Chimeric antigen receptor-T (CAR-T) cell therapy has shown significant therapeutic efficacy in the treatment of hematological B-cell malignancies.

However, the efficacy of CAR-T cell therapy against solid tumors is limited due to the heterogeneity of tumor antigens and the immunosuppressive tumor microenvironment.

Therefore, there is strong demand for novel technologies to improve the efficacy of CAR-T cell therapy.

In addition, as CAR-T cells often cause severe side effects, systems to control the activity of CAR-T cells so as to avoid or lessen the occurrence and intensity of these side effects are needed.

Here, we describe recently emerging approaches to enhance and/or regulate CAR-T cell functions. These approaches have led to the development of CAR-T therapies with improved efficacy and safety, which are expected to be clinically applied to a variety of cancer types in combination with other therapies, such as immune checkpoint inhibitors, chemotherapy, molecular targeted drugs, and radiation therapy.

论文信息

作者
Ohta K、Sakoda Y、Tamada K
单位
Department of Immunology, Yamaguchi University Graduate School of Medicine, Ube, Yamaguchi, Japan. kohta111@yamaguchi-u.ac.jp.Japan
文献类型
综述
期刊
International journal of hematology2023 May
原文标识
PubMed 36309630 · DOI 10.1007/s12185-022-03478-7