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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Education and Empowering Special Forces to Eradicate Secret Defectors: Immune System-Based Treatment Approaches for Mature T- and NK-Cell Malignancies.
Education and Empowering Special Forces to Eradicate Secret Defectors: Immune System-Based Treatment Approaches for Mature T- and NK-Cell Malignancies.
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成熟T细胞和NK细胞白血病/淋巴瘤(MTCL/L)是一组异质性疾病,目前包括30种不同的肿瘤类型,整体较为罕见,且分子特征复杂。因此,迄今一线治疗手段(包括化疗)临床应答有限,预后令人失望。近期癌症免疫疗法迅速发展,使实体瘤及复发/难治性B细胞恶性肿瘤患者能够获得持久临床应答。本文系统梳理目前可用的不同免疫治疗策略,重点强调利用免疫系统防御机制攻击“自身失控细胞”时面临的特殊障碍。文章总结抗体药物偶联物、单克隆及双特异性抗体、免疫检查点阻断和CAR-T 细胞等平台的临床前与临床探索,并指出未来需要克服的挑战及应实现的目标,以期在T、NK细胞肿瘤中取得与B细胞肿瘤相似的成功。
Mature T- and NK-cell leukemia/lymphoma (MTCL/L) constitute a heterogeneous group of, currently, 30 distinct neoplastic entities that are overall rare, and all present with a challenging molecular markup.
Thus, so far, the use of first-line cancer treatment modalities, including chemotherapies, achieve only limited clinical responses associated with discouraging prognoses. Recently, cancer immunotherapy has evolved rapidly, allowing us to help patients with, e. g.
, solid tumors and also relapsed/refractory B-cell malignancies to achieve durable clinical responses. In this review, we systematically unveiled the distinct immunotherapeutic approaches available, emphasizing the special impediments faced when trying to employ immune system defense mechanisms to target 'one of their own-gone mad'.
We summarized the preclinical and clinical efforts made to employ the various platforms of cancer immunotherapies including antibody-drug conjugates, monoclonal as well as bispecific antibodies, immune-checkpoint blockades, and CAR T cell therapies.
We emphasized the challenges to, but also the goals of, what needs to be done to achieve similar successes as seen for B-cell entities.
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