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.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Targeted Therapy and Immunotherapy for Heterogeneous Breast Cancer.
Targeted Therapy and Immunotherapy for Heterogeneous Breast Cancer.
乳腺癌(BC)是全球女性中最常见的恶性肿瘤,也是一种分子高度异质性的疾病。
乳腺癌(BC)是全球女性最常见的恶性肿瘤,具有分子异质性。其异质性体现为多种形态和行为各异的细胞类型。临床诊断广泛使用分子分型,包括检测雌激素受体(ER)、孕激素受体(PR)、人表皮生长因子受体2(HER2)、表皮生长因子受体(EGFR)、血管内皮生长因子受体(VEGFR)及乳腺癌易感基因(BRCA)突变等,以反映肿瘤异质性。治疗策略因分子亚型而异。除激素(内分泌)治疗、放疗和化疗等传统治疗外,靶向治疗和免疫治疗等创新方法推动了乳腺癌治疗的发展。其中,单克隆抗体、小分子抑制剂、抗体偶联药物和靶向递送系统都是有前景的治疗工具;免疫检查点抑制剂、CAR-T细胞治疗、癌症疫苗和靶向肿瘤微环境的疗法,则进一步深化了对乳腺癌的认识,并有助于开发新治疗策略。
Breast cancer (BC) is the most common malignancy in women worldwide, and it is a molecularly diverse disease. Heterogeneity can be observed in a wide range of cell types with varying morphologies and behaviors. Molecular classifications are broadly used in clinical diagnosis, including estrogen receptor (ER), progesterone receptor (PR), human epidermal growth factor receptor 2 (HER2), epidermal growth factor receptor (EGFR), vascular endothelial growth factor receptor (VEGFR), and breast cancer gene (BRCA) mutations, as indicators of tumor heterogeneity. Treatment strategies differ according to the molecular subtype. Besides the traditional treatments, such as hormone (endocrine) therapy, radiotherapy, and chemotherapy, innovative approaches have accelerated BC treatments, which contain targeted therapies and immunotherapy. Among them, monoclonal antibodies, small-molecule inhibitors and antibody-drug conjugates, and targeted delivery systems are promising armamentarium for breast cancer, while checkpoint inhibitors, CAR T cell therapy, cancer vaccines, and tumor-microenvironment-targeted therapy provide a more comprehensive understanding of breast cancer and could assist in developing new therapeutic strategies.
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