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CAR-T 细胞疗法与肿瘤免疫治疗潜力的探索(综述)

英文原题:Investigating chimeric antigen receptor T cell therapy and the potential for cancer immunotherapy (Review).

查看英文原题

Investigating chimeric antigen receptor T cell therapy and the potential for cancer immunotherapy (Review).

PubMed 2023/10/12(内容时间) Mol Clin Oncol Q4 · IF 1.9(JCR 2025)

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中文摘要

免疫疗法已成为重要的治疗选择,尤其适用于对传统疗法耐药的癌症。一项重大突破是嵌合抗原受体(CAR)T细胞疗法的开发。该疗法通过工程改造患者T细胞,使其表达可识别特定肿瘤抗原的受体。CAR-T 在弥漫大B细胞淋巴瘤、B细胞急性淋巴细胞白血病及多发性骨髓瘤等血液系统恶性肿瘤中取得了令人瞩目的疗效。尽管取得重大成功,CAR-T 用于实体瘤仍面临挑战,疗效有限。

因此,研究人员正积极探索提高CAR-T 疗效的新策略,重点包括增强CAR-T 向肿瘤迁移,同时避免其发生耗竭和功能障碍。本综述旨在全面分析CAR-T 细胞疗法在癌症治疗中的成就与局限。理解其成功经验和面临的障碍,有助于推动这一有前景领域的进一步发展。

总体而言,免疫治疗,尤其是CAR-T 细胞疗法,为癌症治疗开辟了新的可能性,使此前难治恶性肿瘤患者看到希望。然而,要充分实现其潜力,仍需持续研究并采用创新策略,以克服实体瘤带来的挑战,并最大限度发挥CAR-T 在临床中的疗效。

展开英文摘要原文

Immunotherapy has emerged as a crucial treatment option, particularly for types of cancer that display resistance to conventional therapies. A remarkable breakthrough in this field is the development of chimeric antigen receptor (CAR) T cell therapy. CAR T cells are generated by engineering the T cells of a patient to express receptors that can recognize specific tumor antigens. This groundbreaking approach has demonstrated impressive outcomes in hematologic malignancies, including diffuse large B cell lymphoma, B cell acute lymphoblastic leukemia and multiple myeloma.

Despite these significant successes, CAR T cell therapy has encountered challenges in its application against solid tumors, leading to limited success in these cases. Consequently, researchers are actively exploring novel strategies to enhance the efficacy of CAR T cells. The focus lies on augmenting CAR T cell trafficking to tumors while preventing the development of CAR T cell exhaustion and dysfunction.

The present review aimed to provide a comprehensive analysis of the achievements and limitations of CAR T cell therapy in the context of cancer treatment. By understanding both the successes and hurdles, further advancements in this promising area of research can be developed.

Overall, immunotherapy, particularly CAR T cell therapy, has opened up novel possibilities for cancer treatment, offering hope to patients with previously untreatable malignancies.

However, to fully realize its potential, ongoing research and innovative strategies are essential in overcoming the challenges posed by solid tumors and maximizing CAR T cell efficacy in clinical settings.

论文信息

作者
Poojary R、Song AF、Song BS、Song CS、Wang L、Song J
单位
Department of Microbial Pathogenesis and Immunology, Texas A&M University Health Science Center, Bryan, TX 77807-3260, USA.United States
文献类型
综述
期刊
Molecular and clinical oncology2023 Dec
原文标识
PubMed 37920415 · DOI 10.3892/mco.2023.2691