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:Immunotherapy for Peritoneal Carcinomatosis: Challenges and Prospective Outcomes.
Immunotherapy for Peritoneal Carcinomatosis: Challenges and Prospective Outcomes.
腹膜转移,又称癌性腹膜炎(PC),是一种难治性癌症,通常对常规治疗耐药。
腹膜转移,又称腹膜癌病(PC),是一种对常规治疗通常耐药的难治性癌症。PC的典型治疗方式为肿瘤细胞减灭术(CRS)联合腹腔热灌注化疗(HIPEC)。近期该领域取得显著进展,尤其是免疫治疗作为PC替代治疗方法,令人鼓舞。卡妥索单抗是一种在欧洲获批的三功能抗体,可通过靶向EpCAM进行腹腔内(IP)免疫治疗,减少恶性腹水。腹腔内免疫治疗可打破免疫耐受,以治疗腹膜疾病;方法包括增强T细胞应答以及针对肿瘤相关抗原接种疫苗。治疗PC的有前景方法包括CAR-T细胞、疫苗疗法、联合促炎细胞因子的树突状细胞(DC)和NK细胞疗法、过继细胞转移及免疫检查点抑制剂。腹腔内给予CAR-T细胞可抑制表达癌胚抗原的肿瘤;联合抗PD-L1或抗Gr-1可增强这一效应。针对叶酸受体肿瘤的CAR-T细胞若结合CD137共刺激信号,则有助于T细胞肿瘤在体内归巢并持续存活。
Peritoneal metastasis, also known as peritoneal carcinomatosis (PC), is a refractory cancer that is typically resistant to conventional therapies. The typical treatment for PC is a combination of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). Recently, research in this area has seen significant advances, particularly in immunotherapy as an alternative therapy for PC, which is very encouraging. Catumaxomab is a trifunctional antibody intraperitoneal (IP) immunotherapy authorized in Europe that can be used to diminish malignant ascites by targeting EpCAM. Intraperitoneal (IP) immunotherapy breaks immunological tolerance to treat peritoneal illness. Increasing T-cell responses and vaccination against tumor-associated antigens are two methods of treatment. CAR-T cells, vaccine-based therapeutics, dendritic cells (DCs) in combination with pro-inflammatory cytokines and NKs, adoptive cell transfer, and immune checkpoint inhibitors are promising treatments for PC. Carcinoembryonic antigen-expressing tumors are suppressed by IP administration of CAR-T cells. This reaction was strengthened by anti-PD-L1 or anti-Gr1. When paired with CD137 co-stimulatory signaling, CAR-T cells for folate receptor cancers made it easier for T-cell tumors to find their way to and stay alive in the body.
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