决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Current Landscape of Immunotherapy for Advanced Sarcoma.
Current Landscape of Immunotherapy for Advanced Sarcoma.
不同亚型肉瘤在生物学行为和微环境方面存在显著异质性,这影响了它们对免疫治疗的应答。
不同肉瘤亚型在生物学行为和微环境方面存在显著异质性,这会影响其对免疫治疗的应答。肺泡软组织肉瘤、滑膜肉瘤和未分化多形性肉瘤免疫原性较强,对免疫检查点抑制剂的应答也较好。总体而言,免疫治疗联合化疗和/或酪氨酸激酶抑制剂的方案似乎优于单药治疗。治疗性疫苗和多种过继细胞疗法,尤其是工程化T细胞受体(TCR)、CAR-T细胞和TIL(肿瘤浸润淋巴细胞)疗法,正成为晚期实体瘤的新型免疫治疗方式。肿瘤淋巴细胞浸润以及其他预后和预测性生物标志物仍在研究中。
There is substantial heterogeneity between different subtypes of sarcoma regarding their biological behavior and microenvironment, which impacts their responsiveness to immunotherapy. Alveolar soft-part sarcoma, synovial sarcoma and undifferentiated pleomorphic sarcoma show higher immunogenicity and better responses to checkpoint inhibitors. Combination strategies adding immunotherapy to chemotherapy and/or tyrosine-kinase inhibitors globally seem superior to single-agent schemes. Therapeutic vaccines and different forms of adoptive cell therapy, mainly engineered TCRs, CAR-T cells and TIL therapy, are emerging as new forms of immunotherapy for advanced solid tumors. Tumor lymphocytic infiltration and other prognostic and predictive biomarkers are under research.
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