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:Enhancing CAR T-cell therapies against solid tumors: Mechanisms and reversion of resistance.
Enhancing CAR T-cell therapies against solid tumors: Mechanisms and reversion of resistance.
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嵌合抗原受体(CAR)T细胞疗法属于过继性免疫细胞疗法,利用工程化免疫受体增强肿瘤特异性杀伤。迄今为止,新一代CAR-T 细胞疗法显著提升了白血病治疗的有效性和稳健性。然而,目前仅有少数CAR-T 细胞疗法获得FDA批准,且均应用于血液系统恶性肿瘤。通过CAR-T 细胞疗法靶向实体瘤仍面临诸多问题,如肿瘤异质性、抗原丢失、浸润能力不足及免疫抑制微环境。近期进展为CAR-T 细胞疗法耐药机制提供了新见解,并催生了潜在逆转疗法。在本综述中,我们主要介绍CAR-T 细胞治疗实体瘤时存在的障碍,并讨论克服这些挑战的方法。
Chimeric antigen receptor (CAR) T-cell therapy, belonging to adoptive immune cells therapy, utilizes engineered immunoreceptors to enhance tumor-specific killing. By now new generations of CAR T-cell therapies dramatically promote the effectiveness and robustness in leukemia cases.
However, only a few CAR T-cell therapies gain FDA approval till now, which are applied to hematologic cancers. Targeting solid tumors through CAR T-cell therapies still faces many problems, such as tumor heterogeneity, antigen loss, infiltration inability and immunosuppressive micro-environment.
Recent advances provide new insights about the mechanisms of CAR T-cell therapy resistance and give rise to potential reversal therapies. In this review, we mainly introduce existing barriers when treating solid tumors with CAR T-cells and discuss the methods to overcome these challenges.
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