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CAR-T(CAR-T)细胞:血液系统恶性肿瘤的新型细胞治疗

英文原题:Chimeric antigen receptor T (CAR-T) cells: Novel cell therapy for hematological malignancies.

查看英文原题

Chimeric antigen receptor T (CAR-T) cells: Novel cell therapy for hematological malignancies.

PubMed 2022/12/30(内容时间) Cancer Med Q2 · IF 3.5(JCR 2025)

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中文摘要

在过去十年中,几种新型治疗方法的出现改变了人类恶性肿瘤的治疗前景。通过CAR-T 细胞进行的过继性免疫治疗,包括工程化T细胞以识别肿瘤特异性膜抗原并由此导致癌细胞死亡,已为多种人类恶性肿瘤的治疗创造了各种临床获益。特别是,基于CAR-T 细胞的免疫治疗被认为是治疗血液系统恶性肿瘤患者的关键方法,如急性淋巴细胞白血病(ALL)、多发性骨髓瘤(MM)、慢性淋巴细胞白血病(CLL)、急性髓系白血病(AML)、霍奇金淋巴瘤(HL)和非霍奇金淋巴瘤(NHL)。

然而,CAR-T 细胞治疗血液系统恶性肿瘤与多种副作用相关。该治疗方法的进一步进展仍面临广泛挑战,从生产和工程问题到应用局限性和严重毒性。

因此,需要进一步研究以提高疗效并尽量减少不良事件。在本综述中,我们总结了基于CAR-T 细胞的免疫治疗的发展以及当前用于治疗血液系统恶性肿瘤的临床抗肿瘤应用。

此外,我们将提及CAR-T 细胞治疗当前的优势、劣势、挑战和治疗局限性。

展开英文摘要原文

Over the last decade, the emergence of several novel therapeutic approaches has changed the therapeutic perspective of human malignancies. Adoptive immunotherapy through chimeric antigen receptor T cell (CAR-T), which includes the engineering of T cells to recognize tumor-specific membrane antigens and, as a result, death of cancer cells, has created various clinical benefits for the treatment of several human malignancies.

In particular, CAR-T-cell-based immunotherapy is known as a critical approach for the treatment of patients with hematological malignancies such as acute lymphoblastic leukemia (ALL), multiple myeloma (MM), chronic lymphocytic leukemia (CLL), acute myeloid leukemia (AML), Hodgkin lymphoma (HL), and non-Hodgkin's lymphoma (NHL).

However, CAR-T-cell therapy of hematological malignancies is associated with various side effects. There are still extensive challenges in association with further progress of this therapeutic approach, from manufacturing and engineering issues to limitations of applications and serious toxicities.

Therefore, further studies are required to enhance efficacy and minimize adverse events. In the current review, we summarize the development of CAR-T-cell-based immunotherapy and current clinical antitumor applications to treat hematological malignancies.

Furthermore, we will mention the current advantages, disadvantages, challenges, and therapeutic limitations of CAR-T-cell therapy.

论文信息

作者
Abbasi S、Totmaj MA、Abbasi M、Hajazimian S、Goleij P、Behroozi J、Shademan B、Isazadeh A
第一作者单位
Department of Biology, Faculty of Sciences, University of Guilan, Rasht, Iran.Iran
通讯作者单位
Immunology Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.Iran
文献类型
综述
期刊
Cancer medicine2023 Apr
原文标识
PubMed 36583504 · DOI 10.1002/cam4.5551