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CAR-T 细胞治疗中的 T 细胞耗竭及克服策略

英文原题:T-cell exhaustion in CAR-T-cell therapy and strategies to overcome it.

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T-cell exhaustion in CAR-T-cell therapy and strategies to overcome it.

PubMed 2023/03/20(内容时间) Immunology Q2 · IF 5.4(JCR 2025)

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中文摘要

肿瘤免疫疗法已在临床实践中取得良好疗效,受到越来越多关注。细胞毒性T细胞无疑在肿瘤免疫治疗中发挥重要作用。作为一种革命性的肿瘤免疫疗法,CAR-T 细胞疗法在血液系统癌症治疗中取得突破。然而,T细胞在体内易发生耗竭,尤其是在进入实体瘤后。T细胞耗竭可能导致CAR-T 治疗实体瘤效果不佳。本文综述T细胞耗竭的原因及其发生发展过程,并讨论如何通过调节T细胞耗竭改善CAR-T 疗效。

展开英文摘要原文

Tumour immunotherapy has achieved good therapeutic effects in clinical practice and has received increased attention. Cytotoxic T cells undoubtedly play an important role in tumour immunotherapy. As a revolutionary tumour immunotherapy approach, chimeric antigen receptor T-cell (CAR-T-cell) therapy has made breakthroughs in the treatment of haematological cancers.

However, T cells are easily exhausted in vivo, especially after they enter solid tumours. The exhaustion of T cells can lead to poor results of CAR-T-cell therapy in the treatment of solid tumours.

Here, we review the reasons for T-cell exhaustion and how T-cell exhaustion develops.

We also review and discuss ways to improve CAR-T-cell therapy effects by regulating T-cell exhaustion.

论文信息

作者
Yin X、He L、Guo Z
单位
Jiangsu Key Laboratory for Molecular and Medical Biotechnology, College of Life Sciences, Nanjing Normal University, Nanjing, 210023, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Immunology2023 Aug
原文标识
PubMed 36942414 · DOI 10.1111/imm.13642