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:Adoptive cell immunotherapy for breast cancer: harnessing the power of immune cells.
乳腺癌是全球最常见的恶性肿瘤,由于传统治疗方式的局限性,亟需开发新的治疗策略。
乳腺癌是全球最常见的恶性肿瘤,由于传统治疗方式的局限性,亟需开发新的治疗策略。免疫治疗是一种创新方法,已证明在调节患者先天免疫系统以对抗肿瘤细胞方面具有显著疗效。在精准医学时代,乳腺癌的过继性免疫治疗作为一种新兴治疗策略受到广泛关注,主要包括TIL(肿瘤浸润淋巴细胞)疗法、CAR-T/自然杀伤/M细胞疗法、T细胞受体基因工程T细胞疗法、淋巴因子激活的杀伤细胞疗法、细胞因子诱导的杀伤细胞疗法、NK 细胞疗法和γδ T细胞疗法等细胞疗法。该治疗范式基于免疫记忆和抗原特异性原理,涉及采集、处理和扩增患者的免疫细胞,然后将其回输到患者体内以激活免疫系统并预防肿瘤复发和转移。目前,多项临床试验正在评估过继性免疫治疗在乳腺癌中的可行性、有效性和安全性。然而,该治疗方法面临肿瘤异质性、免疫逃逸和治疗安全性相关挑战。本综述全面总结了乳腺癌过继性免疫治疗的最新进展,并讨论了未来的研究方向和前景,为乳腺癌免疫治疗提供了有价值的指导和见解。
Breast cancer is the most prevalent malignant neoplasm worldwide, necessitating the development of novel therapeutic strategies owing to the limitations posed by conventional treatment modalities. Immunotherapy is an innovative approach that has demonstrated significant efficacy in modulating a patient's innate immune system to combat tumor cells. In the era of precision medicine, adoptive immunotherapy for breast cancer has garnered widespread attention as an emerging treatment strategy, primarily encompassing cellular therapies such as tumor-infiltrating lymphocyte therapy, chimeric antigen receptor T/natural killer/M cell therapy, T cell receptor gene-engineered T cell therapy, lymphokine-activated killer cell therapy, cytokine-induced killer cell therapy, natural killer cell therapy, and γδ T cell therapy, among others. This treatment paradigm is based on the principles of immune memory and antigen specificity, involving the collection, processing, and expansion of the patient's immune cells, followed by their reintroduction into the patient's body to activate the immune system and prevent tumor recurrence and metastasis. Currently, multiple clinical trials are assessing the feasibility, effectiveness, and safety of adoptive immunotherapy in breast cancer. However, this therapeutic approach faces challenges associated with tumor heterogeneity, immune evasion, and treatment safety. This review comprehensively summarizes the latest advancements in adoptive immunotherapy for breast cancer and discusses future research directions and prospects, offering valuable guidance and insights into breast cancer immunotherapy.
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