γδ T 细胞调节小细胞肺癌中的抗肿瘤免疫
γδ T cells modulate anti-tumor immunity in small cell lung cancer.
我们的发现表明,活化的γδ T细胞可能是SCLC治疗的有价值靶点。
英文原题:Cellular Therapy in NSCLC: Between Myth and Reality.
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。
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。
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.
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