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 T-cells to treat brain tumors.
CAR T-cells to treat brain tumors.
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CAR-T 疗法在血液系统恶性肿瘤中取得巨大成功,促使研究者广泛关注将此类治疗拓展至实体瘤,包括脑肿瘤。然而,实体器官肿瘤尚未取得类似成功。由于免疫抑制性肿瘤微环境、血脑屏障和肿瘤抗原异质性等因素,CAR-T 细胞治疗脑肿瘤的疗效有限。尽管存在这些问题,CAR-T 细胞疗法仍有望成为脑肿瘤的一种治疗方式。本文综述成人和儿童脑肿瘤,包括胶质母细胞瘤、弥漫性中线胶质瘤和髓母细胞瘤,这些疾病预后仍然很差。我们介绍利用不同临床前模型开展脑肿瘤CAR-T 治疗所获得的认识,以及正在进行的临床试验结果。此外,还概述限制CAR-T 治疗脑肿瘤成功的挑战,并总结克服这些障碍的进展。
Tremendous success using CAR T therapy in hematological malignancies has garnered significant interest in developing such treatments for solid tumors, including brain tumors. This success, however, has yet to be mirrored in solid organ neoplasms.
CAR T function has shown limited efficacy against brain tumors due to several factors including the immunosuppressive tumor microenvironment, blood-brain barrier, and tumor-antigen heterogeneity. Despite these considerations, CAR T-cell therapy has the potential to be implemented as a treatment modality for brain tumors.
Here, we review adult and pediatric brain tumors, including glioblastoma, diffuse midline gliomas, and medulloblastomas that continue to portend a grim prognosis.
We describe insights gained from different preclinical models using CAR T therapy against various brain tumors and results gathered from ongoing clinical trials.
Furthermore, we outline the challenges limiting CAR T therapy success against brain tumors and summarize advancements made to overcome these obstacles.
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