CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CAR-T cell combination therapy: the next revolution in cancer treatment.
CAR-T cell combination therapy: the next revolution in cancer treatment.
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近几十年来,免疫疗法的出现,尤其是嵌合抗原受体(CAR)-T细胞疗法,彻底改变了癌症治疗。大量研究的有希望结果表明,CAR-T 细胞疗法在治疗血液癌症方面具有显著的能力和成功的表现。
然而,实体瘤的异质性和免疫抑制性肿瘤微环境(TME)通过制造各种障碍,挑战了这些抗肿瘤斗士的有效性。尽管这种治疗方法取得了有希望的结果,包括肿瘤消退和患者改善,但对其在临床中广泛使用的疗效和安全性仍存在一些担忧。复杂的抑制性肿瘤微环境、肿瘤抗原异质性、细胞运输困难、CAR-T 细胞耗竭以及肿瘤部位细胞毒性降低,限制了CAR-T 细胞疗法的适用性,并凸显了改进该治疗性能的必要性。考虑到这一点,在过去十年中,人们做出了许多努力,将其他癌症治疗方法与结核病联合使用,以提高CAR-T 细胞疗法的有效性,尤其是在实体瘤中。与单一疗法相比,联合疗法在肿瘤消退和更好的癌症控制方面取得了有希望的结果。
因此,本研究旨在全面讨论与CAR-T 细胞疗法联合使用的不同癌症治疗方法及其治疗结果,这可能为在不久的将来改善癌症治疗提供有益的视角。
In recent decades, the advent of immune-based therapies, most notably Chimeric antigen receptor (CAR)-T cell therapy has revolutionized cancer treatment. The promising results of numerous studies indicate that CAR-T cell therapy has had a remarkable ability and successful performance in treating blood cancers.
However, the heterogeneity and immunosuppressive tumor microenvironment (TME) of solid tumors have challenged the effectiveness of these anti-tumor fighters by creating various barriers. Despite the promising results of this therapeutic approach, including tumor degradation and patient improvement, there are some concerns about the efficacy and safety of the widespread use of this treatment in the clinic.
Complex and suppressing tumor microenvironment, tumor antigen heterogeneity, the difficulty of cell trafficking, CAR-T cell exhaustion, and reduced cytotoxicity in the tumor site limit the applicability of CAR-T cell therapy and highlights the requiring to improve the performance of this treatment.
With this in mind, in the last decade, many efforts have been made to use other treatments for cancer in combination with tuberculosis to increase the effectiveness of CAR-T cell therapy, especially in solid tumors. The combination therapy results have promising consequences for tumor regression and better cancer control compared to single therapies.
Therefore, this study aimed to comprehensively discuss different cancer treatment methods in combination with CAR-T cell therapy and their therapeutic outcomes, which can be a helpful perspective for improving cancer treatment in the near future.
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