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:T Cell Based Immunotherapy for Cancer: Approaches and Strategies.
T Cell Based Immunotherapy for Cancer: Approaches and Strategies.
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T细胞可识别癌细胞或抗原呈递细胞表面由主要组织相容性复合体(MHC)分子呈递的抗原,是杀伤癌细胞的关键。识别并靶向癌症特异性抗原或过表达的自身抗原,是引导T细胞攻击肿瘤、促使肿瘤消退的重要环节。这可通过鉴定癌细胞中的突变蛋白或过表达自身蛋白实现,由此指导T细胞受体识别癌细胞。T细胞免疫治疗主要分为HLA限制性和非HLA限制性两种策略。过去十年间,利用天然或基因工程改造的T细胞靶向血液系统恶性肿瘤和实体瘤抗原,相关疗法取得显著进展。但特异性有限、持久性不足和毒性问题仍限制其成功率。本文综述T细胞作为癌症治疗工具的总体情况,重点介绍其优势以及开发有效T细胞癌症免疫疗法的未来策略,并讨论鉴定T细胞及其对应抗原面临的挑战,例如细胞频率偏低。文章还评估T细胞免疫治疗现状及潜在未来策略,包括联合治疗和优化T细胞特性,以克服现有限制并改善临床结局。
T cells are critical in destroying cancer cells by recognizing antigens presented by MHC molecules on cancer cells or antigen-presenting cells. Identifying and targeting cancer-specific or overexpressed self-antigens is essential for redirecting T cells against tumors, leading to tumor regression. This is achieved through the identification of mutated or overexpressed self-proteins in cancer cells, which guide the recognition of cancer cells by T-cell receptors.
There are two main approaches to T cell-based immunotherapy: HLA-restricted and HLA-non-restricted Immunotherapy. Significant progress has been made in T cell-based immunotherapy over the past decade, using naturally occurring or genetically engineered T cells to target cancer antigens in hematological malignancies and solid tumors.
However, limited specificity, longevity, and toxicity have limited success rates. This review provides an overview of T cells as a therapeutic tool for cancer, highlighting the advantages and future strategies for developing effective T cell cancer immunotherapy.
The challenges associated with identifying T cells and their corresponding antigens, such as their low frequency, are also discussed. The review further examines the current state of T cell-based immunotherapy and potential future strategies, such as the use of combination therapy and the optimization of T cell properties, to overcome current limitations and improve clinical outcomes.
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