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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The Role of Tumor-Associated Antigen HER2/neu in Tumor Development and the Different Approaches for Using It in Treatment: Many Choices and Future Directions.
The Role of Tumor-Associated Antigen HER2/neu in Tumor Development and the Different Approaches for Using It in Treatment: Many Choices and Future Directions.
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过去十年间,HER2 阳性癌症的治疗发生了显著变化。多种有前景的新方法已加入抗癌治疗手段,包括单克隆抗体、酪氨酸激酶抑制剂、抗体药物偶联物、疫苗,以及在血液系统恶性肿瘤取得巨大成功后尤为受到关注的 T 细胞过继治疗。同样重要的是,确定适合接受 HER2 靶向治疗患者的新方法,使可从这些治疗中获益的人数增加了一倍。然而,尽管起初前景令人振奋,该领域仍面临耐药和肿瘤复发等问题,需要进一步开发更有效的新药。本综述讨论癌症治疗中靶向 HER2 分子的不同方法及其优缺点,概述 HER2 靶向疗法耐药的不同机制以及克服耐药的方法。
The treatment of HER2-positive cancers has changed significantly over the past ten years thanks to a significant number of promising new approaches that have been added to our arsenal in the fight against cancer, including monoclonal antibodies, inhibitors of tyrosine kinase, antibody-drug conjugates, vaccination, and particularly, adoptive-T-cell therapy after its great success in hematological malignancies.
Equally important is the new methodology for determining patients eligible for targeted HER2 therapy, which has doubled the number of patients who can benefit from these treatments.
However, despite the initial enthusiasm, there are still several problems in this field represented by drug resistance and tumor recurrence that require the further development of new more efficient drugs. In this review, we discuss various approaches for targeting the HER2 molecule in cancer treatment, highlighting their benefits and drawbacks, along with the different mechanisms responsible for resistance to HER2-targeted therapies and how to overcome them.
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