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:The Landscape of Adoptive Cellular Therapies in Ovarian Cancer.
卵巢癌通常免疫原性差,对免疫检查点抑制剂 (ICI) 治疗的反应令人失望。
卵巢癌通常免疫原性较低,对免疫检查点抑制剂(ICI)治疗应答不理想。过继细胞治疗(ACT)提供了另一种利用免疫系统的方法,尤其是CAR-T 细胞在血液系统恶性肿瘤中的成功,使ACT展现出良好前景。目前ACT治疗实体器官恶性肿瘤的疗效仍有限。本文探讨ACT作为卵巢癌现行标准治疗替代或补充方案的可能性,重点介绍CAR-T、T细胞受体疗法(TCR-T)、TIL(肿瘤浸润淋巴细胞)及细胞疫苗等ACT的潜力及其挑战,并综述这些方法治疗免疫“冷”型卵巢癌的临床研究,讨论未来研究的理论依据。
Ovarian cancers are typically poorly immunogenic and have demonstrated disappointing responses to immune checkpoint inhibitor (ICI) therapy. Adoptive cellular therapy (ACT) offers an alternative method of harnessing the immune system that has shown promise, especially with the success of chimeric antigen receptor T-cell (CAR-T) therapy in haematologic malignancies. So far, ACT has led to modest results in the treatment of solid organ malignancies. This review explores the possibility of ACT as an effective alternative or additional treatment to current standards of care in ovarian cancer. We will highlight the potential of ACTs, such as CAR-T, T-cell receptor therapy (TCR-T), tumour-infiltrating lymphocytes (TILs) and cell-based vaccines, whilst also discussing their challenges. We will present clinical studies for these approaches in the treatment of immunologically 'cold' ovarian cancer and consider the rationale for future research.
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