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:CAR-Based Immunotherapy of Solid Tumours-A Survey of the Emerging Targets.
CAR-Based Immunotherapy of Solid Tumours-A Survey of the Emerging Targets.
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CAR-T 细胞免疫疗法已彻底改变B细胞和浆细胞来源癌症的治疗。然而,实体瘤给CAR工程化免疫细胞治疗带来了更大的挑战。在一篇配套综述中,我们调查了针对表达30种不同靶点的实体瘤患者开展CAR免疫疗法临床试验所产生的数据。该分析证实,这种方法的疗效远低于其在血液系统恶性肿瘤中取得的疗效,同时也报告了显著毒性事件。本文考察约60种其他候选靶点,目前尚无此类靶点的临床数据,但临床前数据已支持将其作为CAR靶抗原推进临床评估。
Immunotherapy with CAR T-cells has revolutionised the treatment of B-cell and plasma cell-derived cancers.
However, solid tumours present a much greater challenge for treatment using CAR-engineered immune cells. In a partner review, we have surveyed data generated in clinical trials in which patients with solid tumours that expressed any of 30 discrete targets were treated with CAR-based immunotherapy. That exercise confirms that efficacy of this approach falls well behind that seen in haematological malignancies, while significant toxic events have also been reported.
Here, we consider approximately 60 additional candidates for which such clinical data are not available yet, but where pre-clinical data have provided support for their advancement to clinical evaluation as CAR target antigens.
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