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:Activation of cancer immunotherapy by nanomedicine.
Activation of cancer immunotherapy by nanomedicine.
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癌症是全球最难治疗的疾病之一。近年来,免疫疗法在癌症治疗方面取得显著进展,多种肿瘤免疫治疗药物已获美国食品药品监督管理局批准。目前免疫疗法仍面临许多挑战,例如特异性不足、细胞毒性和耐药等。纳米颗粒尺寸小、表面功能稳定,在抗肿瘤治疗中具有重要作用。聚合物胶束、脂质体、纳米乳剂、树枝状大分子和无机纳米颗粒等纳米载体,已广泛用于克服癌症治疗中的毒性、靶向特异性不足和生物利用度低等问题。尽管纳米医学研究广泛,目前获批使用的纳米药物仍很少。为应对挑战,仍需进一步探索纳米医学在免疫治疗中的瓶颈及解决方案。本文首先概述几类癌症免疫治疗策略及其优缺点,随后介绍纳米药物类型、药物递送策略和应用进展,最后重点总结纳米药物在免疫治疗及CAR-T 细胞疗法中的应用前景,以探讨利用纳米医学提高免疫治疗疗效和安全性的可能。
Cancer is one of the most difficult diseases to be treated in the world. Immunotherapy has made great strides in cancer treatment in recent years, and several tumor immunotherapy drugs have been approved by the U. S. Food and Drug Administration. Currently, immunotherapy faces many challenges, such as lacking specificity, cytotoxicity, drug resistance, etc. Nanoparticles have the characteristics of small particle size and stable surface function, playing a miraculous effect in anti-tumor treatment.
Nanocarriers such as polymeric micelles, liposomes, nanoemulsions, dendrimers, and inorganic nanoparticles have been widely used to overcome deficits in cancer treatments including toxicity, insufficient specificity, and low bioavailability. Although nanomedicine research is extensive, only a few nanomedicines are approved to be used.
Either Bottlenecks or solutions of nanomedicine in immunotherapy need to be further explored to cope with challenges. In this review, a brief overview of several types of cancer immunotherapy approaches and their advantages and disadvantages will be provided. Then, the types of nanomedicines, drug delivery strategies, and the progress of applications are introduced.
Finally, the application and prospect of nanomedicines in immunotherapy and Chimeric antigen receptor T-cell therapy (CAR-T) are highlighted and summarized to address the problems of immunotherapy the overall goal of this article is to provide insights into the potential use of nanomedicines and to improve the efficacy and safety of immunotherapy.
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