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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:THE ROLE OF IMMUNOTHERAPY IN CANCER TREATMENT: CHECKPOINT INHIBITORS, CAR-T CELLS, AND VACCINES.
THE ROLE OF IMMUNOTHERAPY IN CANCER TREATMENT: CHECKPOINT INHIBITORS, CAR-T CELLS, AND VACCINES.
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免疫疗法促使癌症患者的免疫系统激活,以寻找并消灭癌细胞。作为癌症治疗的一个领域,其重要性日益增加,并在治疗多种癌症方面展现了有希望的结果。检查点阻断(CPB)疗法可能激发被抑制的免疫反应,从而提供持久的治疗效果。
然而,缺乏肿瘤反应性免疫浸润可能是缓解率仍然较低的原因。使用嵌合抗原受体(CAR)修饰的T细胞来对抗癌症可能对免疫学产生重大影响。
本研究探索了在免疫疗法中使用检查点抑制剂、CAR-T 细胞和疫苗来治疗癌症。用于CPB的药物旨在减少免疫抑制,使CAR-T 细胞和树突状细胞(DC)疫苗更有效,这提供了一些乐观预期,即这种效果可能会增强,两者在特定癌症中均已证明具有治疗效力。
然而,药物引起的副作用和肿瘤微环境的免疫抑制倾向意味着治疗效果仍然不足。当前临床前试验的结果表明,针对淋巴细胞活化基因3(LAG3)、T细胞免疫球蛋白和黏蛋白结构域包含蛋白3(TIM3)、细胞毒性T淋巴细胞相关蛋白4(CTLA-4)以及程序性细胞死亡蛋白1(PD-1)的新型疗法可作为辅助疗法来改造肿瘤微环境。
Immunotherapy causes cancer patients' immune systems to activate in search of and eliminate cancer cells. As a therapeutic area for cancer, it has expanded in importance and demonstrated promising results in treating many cancers. Checkpoint blockade (CPB) therapy may stimulate a suppressed immune response to provide long-lasting therapeutic results.
However, the absence of a tumor-reactive immune infiltration is probably why response rates are still low. Using chimeric antigen receptor (CAR)-modified T cells to fight cancer may significantly impact immunology.
This study explored using checkpoint inhibitors, car-T cells, and vaccines in immunotherapy to treat cancers. Drugs used for CPB aim to reduce immunological suppression, allowing for more effective CAR T cells and dendritic cell (DC) vaccines, providing some optimism that this may be increased, both of which have proven therapeutic efficacy in specific cancers.
However, drug-induced side effects and the tumor microenvironment's propensity for immunosuppression mean treatment effectiveness is still inadequate. The outcomes of current preclinical tests suggest that novel therapies targeting lymphocyte-activation gene 3 (LAG3), T cell immunoglobulin and mucin-domain containing-3 (TIM3), cytotoxic T lymphocyte-associated protein 4 (CTLA-4), and programmed cell death protein 1 (PD-1) could be used as adjuvant therapies to modify the tumor microenvironment.
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