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:Tumor Microenvironment Immunosuppression: A Roadblock to CAR T-Cell Advancement in Solid Tumors.
Tumor Microenvironment Immunosuppression: A Roadblock to CAR T-Cell Advancement in Solid Tumors.
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嵌合抗原受体(CAR)T细胞是癌症免疫治疗的一项重要进展,在血液系统恶性肿瘤中已取得显著成功。然而,在实体瘤中,肿瘤微环境(TME)中特有的免疫抑制因素会导致CAR-T 细胞疗效不佳。本文综述TME中的细胞群、细胞因子/趋化因子谱,以及代谢相关免疫抑制因素。免疫抑制性TME会导致CAR-T 细胞耗竭,并妨碍其有效浸润实体瘤。本文还回顾了近期旨在克服TME免疫抑制作用的CAR-T 细胞开发进展。克服TME免疫抑制限制的新发现,可能推动CAR-T 细胞治疗实体瘤取得成功。
Chimeric antigen receptor (CAR) T cells are an exciting advancement in cancer immunotherapy, with striking success in hematological cancers.
However, in solid tumors, the unique immunosuppressive elements of the tumor microenvironment (TME) contribute to the failure of CAR T cells. This review discusses the cell populations, cytokine/chemokine profile, and metabolic immunosuppressive elements of the TME.
This immunosuppressive TME causes CAR T-cell exhaustion and influences failure of CAR T cells to successfully infiltrate solid tumors. Recent advances in CAR T-cell development, which seek to overcome aspects of the TME immunosuppression, are also reviewed. Novel discoveries overcoming immunosuppressive limitations of the TME may lead to the success of CAR T cells in solid tumors.
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