单细胞追踪揭示黑色素瘤 TIL 治疗过程中肿瘤反应性 T 细胞的可塑性
Single-cell tracking reveals tumor-reactive T cell plasticity during melanoma TIL therapy.
TIL(肿瘤浸润淋巴细胞)过继细胞治疗可在转移性黑色素瘤中诱导持久缓解,然而在体外扩增过程中及回输后,调控肿瘤反应性T细胞命运的克隆和转录动态仍知之甚少。
英文原题:Adoptive cell transfer therapy for melanoma.
约20%的患者可实现持久完全缓解,并且他们可能被治愈。
TIL(肿瘤浸润淋巴细胞)过继性细胞转移(ACT)治疗黑色素瘤是最成功的癌症免疫治疗范例之一。约20%的患者可获得持久完全缓解,并可能被治愈。然而,获得持久获益的患者比例并不高,且其复杂的操作流程阻碍了其推广。因此,迄今为止已开展大量努力以增强TIL治疗的疗效并简化其方案,从而建立了一种简单有效的现行TIL治疗方法,并已推广至其他机构和国 家。此外,TIL治疗以及利用来自持久缓解者的临床样本所开展的转化研究,阐明了未来开发更有效癌症免疫治疗的重要要素。本综述介绍了黑色素瘤ACT的简要历史、改进尝试以及转化研究揭示的重要发现。
Adoptive cell transfer (ACT) of tumor-infiltrating lymphocytes (TILs) for melanoma is an example of the most successful cancer immune therapy. It achieves a durable complete response about ~20% of patients, and they might be cured. However, the ratio of patients with durable benefits is not high, and its complicated procedure prevents its diffusion. Therefore, many efforts to enhance the effect and simplify the protocol of TIL therapy have been made so far, resulting in the establishment of a simple and effective current TIL therapy that has been propagated to other institutes and countries. Moreover, TIL therapy and translational research using clinical samples derived from durable responders elucidate the important element for developing more effective cancer immune therapies in the future. This review introduced the brief history, attempts for the improvement and important findings elucidated by translational research of ACT for melanoma.
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