CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:The CAR macrophage cells, a novel generation of chimeric antigen-based approach against solid tumors.
The CAR macrophage cells, a novel generation of chimeric antigen-based approach against solid tumors.
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目前,过继细胞疗法已在癌症治疗中取得许多成功,其中嵌合抗原受体(CAR)T细胞疗法尤为突出。已有FDA批准的CAR-T 药物可治疗多种血液系统恶性肿瘤,因此CAR-T 也成为治疗实体瘤的有吸引力的选择。不幸的是,由于实体瘤具有独特特征,CAR-T 在其中难以充分发挥功能。此外,该疗法存在若干有害不良反应,限制其应用,因此新疗法需要使用其他细胞,如NK细胞、NKT细胞和巨噬细胞。在这些细胞中,CAR巨噬细胞凭借突出的先天免疫特征,对实体瘤治疗更有吸引力,似乎比早期治疗方法更具优势。CAR巨噬细胞在肿瘤微环境中发挥重要作用,可直接高效清除肿瘤细胞。此外,作为先天免疫系统的一部分,CAR巨噬细胞能够到达肿瘤部位,浸润能力强,使其治疗调节作用更有效。本综述考察CAR巨噬细胞的最新进展及这一免疫治疗方法的未来方向。
Today, adoptive cell therapy has many successes in cancer therapy, and this subject is brilliant in using chimeric antigen receptor T cells. The CAR T cell therapy, with its FDA-approved drugs, could treat several types of hematological malignancies and thus be very attractive for treating solid cancer. Unfortunately, the CAR T cell cannot be very functional in solid cancers due to its unique features.
This treatment method has several harmful adverse effects that limit their applications, so novel treatments must use new cells like NK cells, NKT cells, and macrophage cells. Among these cells, the CAR macrophage cells, due to their brilliant innate features, are more attractive for solid tumor therapy and seem to be a better candidate for the prior treatment methods. The CAR macrophage cells have vital roles in the tumor microenvironment and, with their direct effect, can eliminate tumor cells efficiently.
In addition, the CAR macrophage cells, due to being a part of the innate immune system, attended the tumor sites. With the high infiltration, their therapy modulations are more effective. This review investigates the last achievements in CAR-macrophage cells and the future of this immunotherapy treatment method.
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