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:Advancing cellular immunotherapy with macrophages.
Advancing cellular immunotherapy with macrophages.
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基于细胞的免疫疗法已成为癌症治疗中令人振奋的途径,尤其是 CAR-T 细胞,在治疗血液系统恶性肿瘤方面取得了巨大成功。然而,基于 T 细胞的方法在治疗实体瘤方面成功有限,这激发了人们对可用于实体瘤免疫治疗的替代细胞类型的兴趣。近年来的研究指出巨噬细胞可能是一种潜在解决方案,因为它们能够浸润实体瘤、表现出强大的抗肿瘤反应,并在肿瘤微环境中长期持续存在。尽管早期基于体外激活巨噬细胞的治疗尝试未能转化为临床成功,但随着近年来表达嵌合抗原受体的巨噬细胞(CAR-M)的发展,该领域已发生革命性变化。虽然 CAR-M 疗法已达到临床试验阶段,但在该疗法成为现实之前,仍有一些挑战需要克服。在此,我们综述基于巨噬细胞的细胞疗法的演变,并评估近年来的研究和发展,强调巨噬细胞作为细胞治疗药物的潜力。此外,我们还讨论以巨噬细胞作为治疗干预基础所面临的挑战和机遇。
Cell-based immunotherapies have become an exciting avenue for cancer treatment, particularly CAR T cells, which have shown great success in treating hematological malignancies.
However, the limited success of T cell-based approaches in treating solid tumors has sparked interest in alternative cell types that could be used for solid tumor immunotherapy. Recent research has pointed to macrophages as a potential solution, given their ability to infiltrate solid tumors, exhibit a strong anti-tumor response, and persist long-term in the tumor microenvironment.
Although early attempts with ex-vivo activated macrophage-based therapies failed to translate into clinical success, the field has revolutionized with the recent development of chimeric antigen receptor-expressing macrophages (CAR-M). While CAR-M therapy has reached the clinical trial stage, several challenges still need to be overcome before the therapy can become a reality.
Here we review the evolution of macrophage-based cell therapy and evaluate recent studies and developments, emphasizing the potential of macrophages as cellular therapeutics.
Furthermore, we also discuss the challenges and opportunities associated with using macrophages as a basis for therapeutic interventions.
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