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脐带血来源细胞疗法:临床开发进展

英文原题:Umbilical cord blood derived cellular therapy: advances in clinical development.

PubMed 2023/05/18(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

研究概要

尽管脐带血(CB)主要用于异基因造血细胞移植(HCT),但利用CB开发新型细胞治疗产品是一个不断增长和发展的领域。

中文摘要

尽管脐带血(CB)主要用于异基因造血细胞移植(HCT),但利用CB开发新型细胞治疗产品是一个不断增长和发展的领域。与成人血液相比,CB的特点是造血干细胞(HSCs)和祖细胞比例更高,免疫细胞较不成熟但保留高度增殖能力,以及免疫耐受性更强,在异基因应用时对HLA配型要求不那么严格。鉴于CB是FDA监管的产品,加上其独特的细胞组成,CB适合作为现成细胞疗法开发的即用型和安全起始材料。此外,存在于CB或CB组织中的非血液细胞如间充质干细胞(MSCs)在再生医学以及炎症和自身免疫性疾病中也具有潜力。在本综述中,我们将聚焦于CB来源细胞疗法在肿瘤学领域的近期临床进展,包括T细胞疗法如嵌合抗原受体(CAR)T细胞、调节性T细胞和病毒特异性T细胞;NK细胞疗法如NK细胞衔接器和CAR NK细胞;CB-HCT及其各种改良;以及MSCs在HCT中的应用。

展开英文摘要原文

While cord blood (CB) is primarily utilized in allogeneic hematopoietic cell transplantation (HCT), the development of novel cell therapy products from CB is a growing and developing field. Compared to adult blood, CB is characterized by a higher percentage of hematopoietic stem cells (HSCs) and progenitor cells, less mature immune cells that retain a high capacity of proliferation, and stronger immune tolerance that requires less stringent HLA-matching when used in the allogenic setting. Given that CB is an FDA regulated product and along with its unique cellular composition, CB lends itself as a readily available and safe starting material for the development of off-the-shelf cell therapies. Moreover, non-hematologic cells such as mesenchymal stem cell (MSCs) residing in CB or CB tissue also have potential in regenerative medicine and inflammatory and autoimmune conditions. In this review, we will focus on recent clinical development on CB-derived cellular therapies in the field of oncology, including T-cell therapies such as chimeric antigen receptor (CAR) T-cells, regulatory T-cells, and virus-specific T-cells; NK-cell therapies, such as NK cell engagers and CAR NK-cells; CB-HCT and various modifications; as well as applications of MSCs in HCT.

论文信息

作者
Wang J、Metheny L
单位
Department of Hematology/Oncology, University Hospitals Seidman Cancer Center, Cleveland, OH, United States.United States
文献类型
综述
期刊
Frontiers in oncology2023
原文标识
PubMed 37274288 · DOI 10.3389/fonc.2023.1167266