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:Understanding NK cell biology for harnessing NK cell therapies: targeting cancer and beyond.
Understanding NK cell biology for harnessing NK cell therapies: targeting cancer and beyond.
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基因工程免疫细胞疗法已部分改变癌症治疗格局,例如CAR-T 细胞已用于治疗部分血液系统恶性肿瘤。但若要将治疗拓展到更多癌症类型,仍需解决多项局限。自然杀伤(NK)细胞是先天免疫细胞,在肿瘤免疫监视中具有独特生物学特征。尤其是健康供者来源NK细胞可作为基因工程免疫细胞疗法的来源。因此,NK细胞、CAR-NK细胞以及可诱导NK细胞抗体依赖性细胞毒作用的抗体等NK疗法逐渐兴起。随着基因工程和细胞生物学技术进步,NK细胞疗法已成为治疗多种癌症、病毒感染和衰老相关疾病的有前景方法。本综述简要介绍NK细胞特征,总结可能从NK疗法中获益的疾病,并讨论近期过继性NK细胞输注及调节NK细胞活性药物的临床前和临床研究。
Gene-engineered immune cell therapies have partially transformed cancer treatment, as exemplified by the use of chimeric antigen receptor (CAR)-T cells in certain hematologic malignancies.
However, there are several limitations that need to be addressed to target more cancer types. Natural killer (NK) cells are a type of innate immune cells that represent a unique biology in cancer immune surveillance. In particular, NK cells obtained from heathy donors can serve as a source for genetically engineered immune cell therapies.
Therefore, NK-based therapies, including NK cells, CAR-NK cells, and antibodies that induce antibody-dependent cellular cytotoxicity of NK cells, have emerged. With recent advances in genetic engineering and cell biology techniques, NK cell-based therapies have become promising approaches for a wide range of cancers, viral infections, and senescence. This review provides a brief overview of NK cell characteristics and summarizes diseases that could benefit from NK-based therapies.
In addition, we discuss recent preclinical and clinical investigations on the use of adoptive NK cell transfer and agents that can modulate NK cell activity.
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