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:Facing challenges with hope: universal immune cells for hematologic malignancies.
Facing challenges with hope: universal immune cells for hematologic malignancies.
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自从allo-HSCT广泛用于治疗血液系统恶性肿瘤以来,许多患者已获得良好的总体生存率。然而,allo-HSCT后的GVHD和免疫抑制药物的并发症是非复发死亡和生活质量差的主要原因。此外,供者淋巴细胞输注(DLIs)和CAR-T 细胞治疗仍会发生GVHD和输注诱导的毒性。由于通用免疫细胞具有特殊的免疫耐受特性和抗肿瘤能力,通用免疫细胞治疗可能强烈减少GVHD,同时减少肿瘤负荷。然而,通用免疫细胞治疗的广泛应用主要受限于扩增和持久性疗效差。许多策略已被应用于提高通用免疫细胞增殖和持久性疗效,包括使用通用细胞系、信号调节和CAR技术。在这篇综述中,我们总结了通用免疫细胞治疗血液系统恶性肿瘤的当前进展,并讨论了未来展望。
Many patients have achieved a favorable overall survival rate since allogenic hematopoietic stem cell transplantation (allo-HSCT) has been widely implemented to treat hematologic malignancies.
However, graft-versus-host disease (GVHD) and complications of immunosuppressive drugs after allo-HSCT are the main causes of non-relapse mortality and a poor quality of life.
In addition, GVHD and infusion-induced toxicity still occur with donor lymphocyte infusions (DLIs) and chimeric antigen receptor (CAR) T-cell therapy. Because of the special immune tolerance characteristics and anti-tumor ability of universal immune cells, universal immune cell therapy may strongly reduce GVHD, while simultaneously reducing tumor burden.
Nevertheless, widespread application of universal immune cell therapy is mainly restricted by poor expansion and persistence efficacy. Many strategies have been applied to improve universal immune cell proliferation and persistence efficacy, including the use of universal cell lines, signaling regulation and CAR technology. In this review we have summarized current advances in universal immune cell therapy for hematologic malignancies with a discussion of future perspectives.
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