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CAR-NK 细胞:淋巴瘤中有前景的细胞免疫治疗

英文原题:CAR-NK cells: a promising cellular immunotherapy in lymphoma.

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CAR-NK cells: a promising cellular immunotherapy in lymphoma.

PubMed 2022/12/05(内容时间) Expert Opin Biol Ther Q2 · IF 4(JCR 2025)

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研究概要

CAR-NK 细胞在肿瘤治疗中显示出有前景的结果,尤其是 B 细胞淋巴瘤,其 GVHD、细胞因子释放综合征和神经毒性风险远低于 CAR-T 细胞。需要进一步研究以克服 CAR-NK 细胞治疗的障碍,无论是在总体上还是在 T 细胞淋巴瘤等癌症中。

研究思路结论见上方概要

肿瘤免疫治疗的新方法,如嵌合抗原受体(CAR)-T细胞,在破坏恶性细胞方面已显示出有前景的结果。然而,CAR-T 细胞治疗的局限性和副作用,如移植物抗宿主病(GVHD)、神经毒性和细胞因子释放综合征,促使研究人员探索更安全的替代细胞,如自然杀伤(NK)细胞。涵盖领域:NK细胞能够有效识别血液系统恶性细胞并将其破坏。许多临床和临床前研究探讨了CAR-NK细胞治疗淋巴瘤及其他血液系统恶性肿瘤的疗效。已发表的临床试验和临床前研究结果表明,CAR-NK细胞可能是治疗淋巴瘤的合适选择。在这篇综述中,我们讨论了CAR-NK细胞的特征、它们在治疗B细胞和T细胞淋巴瘤中的作用,以及使用它们所面临的挑战。我们还重点介绍了使用CAR-NK细胞治疗淋巴瘤的临床试验。

展开英文摘要原文

INTRODUCTION: New methods in cancer immunotherapy, such as chimeric antigen receptor (CAR)-T cells, have shown promising results in destroying malignant cells.

However, limitations and side effects of CAR-T cell therapy, such as graft-versus-host disease (GVHD), neurotoxicity, and cytokine release syndrome, have motivated researchers to investigate safer alternative cells like natural killer (NK) cells. AREA COVERED: NK cells can effectively recognize hematologic malignant cells and destroy them.

Many clinical and preclinical studies investigate the efficacy of CAR-NK cells in treating lymphoma and other hematologic malignancies. The results of published clinical trials and preclinical studies have shown that CAR-NK cells could be an appropriate choice for treating lymphoma. In this review, we discuss the characteristics of CAR-NK cells, their role in treating B-cell and T-cell lymphoma, and the challenges faced by using them.

We also highlight clinical trials using CAR-NK cells for treating lymphoma. EXPERT OPINION: CAR-NK cells have shown promising results in cancer therapy, especially B-cell lymphoma, with a much lower risk for GVHD, cytokine release syndrome, and neurotoxicity than CAR-T cells.

Further investigations are required to overcome the obstacles of CAR-NK cell therapy, both generally, and in cancers like T-cell lymphoma.

论文信息

作者
Khanmohammadi S、Rezaei N
单位
Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.Iran
文献类型
综述
期刊
Expert opinion on biological therapy2023 Jan
原文标识
PubMed 36453808 · DOI 10.1080/14712598.2022.2154601