工程化益生菌用于肿瘤靶向联合化学免疫治疗
Engineered probiotics for tumor-targeted combination chemoimmunotherapy.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Strategies and rules for tuning TCR-derived therapy.
Strategies and rules for tuning TCR-derived therapy.
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T细胞工程化已革新癌症免疫治疗。尤其是使用携带工程化T细胞受体(TCR-T)的T细胞,为实体瘤治疗提供了有利途径。然而,临床缓解率有限、脱靶效应和肿瘤免疫抑制微环境等重大挑战,阻碍该方法转化至临床。本综述旨在指导TCR-T研究者:获得特异性TCR序列后,在实体瘤治疗中需考虑几个关键问题:(1)是否需要进行亲和力成熟;如需进行,应采用哪些参数判断疗效是否提高;(2)可加入哪些改造以对抗肿瘤抑制性微环境、增强特异性T细胞功能,这些改造的安全性如何;(3)未来TCR-T细胞疗法有哪些新形式和可能性。
Manipulation of T cells has revolutionized cancer immunotherapy.
Notably, the use of T cells carrying engineered T cell receptors (TCR-T) offers a favourable therapeutic pathway, particularly in the treatment of solid tumours.
However, major challenges such as limited clinical response efficacy, off-target effects and tumour immunosuppressive microenvironment have hindered the clinical translation of this approach. In this review, we mainly want to guide TCR-T investigators on several major issues they face in the treatment of solid tumours after obtaining specific TCR sequences: (1) whether we have to undergo affinity maturation or not, and what parameter we should use as a criterion for being more effective.
(2) What modifications can be added to counteract the tumour inhibitory microenvironment to make our specific T cells to be more effective and what is the safety profile of such modifications? (3) What are the new forms and possibilities for TCR-T cell therapy in the future?
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