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NSCLC 的细胞治疗:神话与现实之间

英文原题:Cellular Therapy in NSCLC: Between Myth and Reality.

PubMed 2023/08/30(内容时间) Curr Oncol Rep Q1 · IF 5.2(JCR 2025)

研究概要

目前有多项试验正在研究基于 T 细胞的 ACT 的三种主要形式:TIL(肿瘤浸润淋巴细胞)、基因工程 T 细胞受体(TCR)和嵌合抗原受体(CAR)T 细胞。

中文摘要

综述目的:回顾非小细胞肺癌(NSCLC)中过继性细胞疗法(ACT)的现状与治疗形式,并讨论阻碍 ACT 应用的挑战及克服这些障碍的方法。近期研究进展:多项试验正在研究基于 T 细胞的 ACT 三种主要形式:TIL(肿瘤浸润淋巴细胞)、基因工程化 T 细胞受体(TCR)和嵌合抗原受体(CAR)T 细胞。尤其是 CAR-T 疗法已改变血液系统恶性肿瘤的治疗,但其对实体瘤的疗效仍有限。主要限制包括严重毒性、肿瘤内浸润和活化受限、抗原逃逸与异质性,以及生产方面的问题。ACT 是改善转移性 NSCLC 患者结局的一种有前景工具,但要改进其应用并扩大其在 NSCLC 中的使用,仍需大量转化和临床研究。

展开英文摘要原文

PURPOSE OF REVIEW: In this paper, we review the current state and modalities of adoptive cell therapies (ACT) in non-small cell lung carcinoma (NSCLC). We also discuss the challenges hampering the use of ACT and the approaches to overcome these barriers. RECENT FINDINGS: Several trials are ongoing investigating the three main modalities of T cell-based ACT: tumor-infiltrating lymphocytes (TILs), genetically engineered T-cell receptors (TCRs), and chimeric antigen receptor (CAR) T cells. The latter, in particular, has revolutionized the treatment of hematologic malignancies. However, the efficacy against solid tumor is still sparse. Major limitations include the following: severe toxicities, restricted infiltration and activation within the tumors, antigen escape and heterogeneity, and manufacturing issues. ACT is a promising tool to improve the outcome of metastatic NSCLC, but significant translational and clinical research is needed to improve its application and expand the use in NSCLC.

论文信息

作者
Imbimbo M、Wetterwald L、Friedlaender A、Parikh K、Addeo A
单位
Oncology Department, Centre Hospitalier Universitaire Vaudois (CHUV), Rue du Bugnon 46, Lausanne University Hospital, Lausanne, Switzerland. Martina.imbimbo@chuv.ch.Switzerland
文献类型
综述
期刊
Current oncology reports2023 Oct
原文标识
PubMed 37646900 · DOI 10.1007/s11912-023-01443-z