不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:'Off the shelf' immunotherapies: Generation and application of pluripotent stem cell-derived immune cells.
'Off the shelf' immunotherapies: Generation and application of pluripotent stem cell-derived immune cells.
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近年来,基于免疫细胞的疗法在难治性恶性肿瘤治疗方面取得了巨大进展。携带嵌合抗原受体的原代 T 细胞和 NK 细胞尤其在白血病和淋巴瘤患者中取得了巨大的临床成功。然而,这些效应细胞的自体来源意味着单批次经过繁琐工程化改造的细胞只能治疗某一特定患者,导致成本高、产品质量不均一以及治疗延迟的风险,从而使绝大多数患者难以获得这些疗法。解决这些棘手障碍需要开发能够大量“现货”供应的通用型免疫细胞产品。多能干细胞(PSCs)由于其独特的自我更新能力和多向分化潜能,为生成均一且可规模化的工程化免疫细胞提供了无限的细胞来源。本综述讨论了 PSC 衍生免疫细胞分化方法开发的主要进展及其在治疗血液系统恶性肿瘤和实体瘤方面的治疗潜力。我们还探讨了 PSC 衍生免疫细胞作为其他疾病替代治疗策略的潜力,例如自身免疫性疾病、纤维化、感染等。
In recent years, great strides have been made toward the development of immune cell-based therapies in the treatment of refractory malignancies. Primary T cells and NK cells armed with chimeric antigen receptors have achieved tremendous clinical success especially in patients with leukaemia and lymphoma.
However, the autologous origin of these effector cells means that a single batch of laboriously engineered cells treats only a certain patient, leading to high cost, ununiform product quality, and risk of delay in treatment, and therefore results in restricted accessibility of these therapies to the overwhelming majority of the patients. Addressing these tricky obstacles calls for the development of universal immune cell products that can be provided 'off the shelf' in a large amount.
Pluripotent stem cells (PSCs), owing to their unique capacity of self-renewal and the potential of multi-lineage differentiation, offer an unlimited cell source to generate uniform and scalable engineered immune cells. This review discusses the major advances in the development of PSC-derived immune cell differentiation approaches and their therapeutic potential in treating both hematologic malignancies and solid tumours.
We also consider the potency of PSC-derived immune cells as an alternative therapeutic strategy for other diseases, such as autoimmune diseases, fibrosis, infections, et al.
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