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基于 T 细胞的肿瘤免疫治疗:方法与策略

英文原题:T Cell Based Immunotherapy for Cancer: Approaches and Strategies.

查看英文原题

T Cell Based Immunotherapy for Cancer: Approaches and Strategies.

PubMed 2023/04/13(内容时间) Vaccines (Basel) Q2 · IF 3.5(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Want MY、Bashir Z、Najar RA
第一作者单位
Department of Immunology, Division of Translational Immuno-Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, NY 14263, USA.United States
通讯作者单位
Department of Pediatrics, Lung Biology and Disease Program, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, USA.United States
文献类型
综述
期刊
Vaccines2023 Apr 13
原文标识
PubMed 37112747 · DOI 10.3390/vaccines11040835