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:Novel Targets, Novel Treatments: The Changing Landscape of Non-Small Cell Lung Cancer.
Novel Targets, Novel Treatments: The Changing Landscape of Non-Small Cell Lung Cancer.
非小细胞肺癌(NSCLC)的治疗已经发生了范式转变。
非小细胞肺癌(NSCLC)的治疗已经发生了范式转变。曾经,这种疾病的潜在疗法有限,但随着分子检测指导管理以及靶向治疗用于治疗具有特定驱动突变的肿瘤,患者的治疗选择呈爆炸式增长。新的体外诊断技术允许对疾病进行早期、非侵入性检测,而新兴的体内成像技术则有助于更好地检测和监测。检查点抑制剂免疫疗法的发展可以说是肺癌治疗中最大的进步,因为绝大多数NSCLC肿瘤都可以用这些疗法治愈。特定的靶向疗法,包括针对KRAS、EGFR、RTK等的疗法,也改善了携带可操作突变的个体的预后。新的和新兴的疗法,如双特异性抗体、CAR T细胞疗法和分子靶向放疗,为那些现有疗法均被证明无效的患者带来了希望。在这篇综述中,我们提供了据我们所知关于肺癌新兴诊断和治疗策略的最新调查,为临床医生提供目前可用以及即将到来的治疗选择的全面参考。
Treatment of non-small cell lung cancer (NSCLC) has undergone a paradigm shift. Once a disease with limited potential therapies, treatment options for patients have exploded with the availability of molecular testing to direct management and targeted therapies to treat tumors with specific driver mutations. New in vitro diagnostics allow for the early and non-invasive detection of disease, and emerging in vivo imaging techniques allow for better detection and monitoring. The development of checkpoint inhibitor immunotherapy has arguably been the biggest advance in lung cancer treatment, given that the vast majority of NSCLC tumors can be treated with these therapies. Specific targeted therapies, including those against KRAS, EGFR, RTK, and others have also improved the outcomes for those individuals bearing an actionable mutation. New and emerging therapies, such as bispecific antibodies, CAR T cell therapy, and molecular targeted radiotherapy, offer promise to patients for whom none of the existing therapies have proved effective. In this review, we provide the most up-to-date survey to our knowledge regarding emerging diagnostic and therapeutic strategies for lung cancer to provide clinicians with a comprehensive reference of the options for treatment available now and those which are soon to come.
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