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:Expanding CAR-T cell immunotherapy horizons through microfluidics.
Expanding CAR-T cell immunotherapy horizons through microfluidics.
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嵌合抗原受体(CAR)-T细胞疗法已经彻底改变了癌症治疗,尤其是在血液系统恶性肿瘤中。然而,其在实体瘤中的应用仍然有限,并且在安全性、可扩展性和成本方面面临挑战。为了增强当前的CAR-T 细胞疗法,整合微流控技术,利用其固有优势,如减少样本消耗、操作简便、成本效益高、自动化以及高度可扩展性,已成为一种强有力的解决方案。本综述全面概述了CAR-T 细胞逐步制造过程,指出了每个生产阶段存在的困难,并讨论了微流控及相关技术在应对这些挑战方面的成功应用。此外,本综述探讨了基于微流控的方法在推动细胞治疗应用于多种场景方面的潜力,包括实体瘤、下一代CAR构建体、T细胞受体,以及异体“现货型”CAR产品的开发。
Chimeric antigen receptor (CAR)-T cell therapies have revolutionized cancer treatment, particularly in hematological malignancies.
However, their application to solid tumors is limited, and they face challenges in safety, scalability, and cost. To enhance current CAR-T cell therapies, the integration of microfluidic technologies, harnessing their inherent advantages, such as reduced sample consumption, simplicity in operation, cost-effectiveness, automation, and high scalability, has emerged as a powerful solution.
This review provides a comprehensive overview of the step-by-step manufacturing process of CAR-T cells, identifies existing difficulties at each production stage, and discusses the successful implementation of microfluidics and related technologies in addressing these challenges.
Furthermore, this review investigates the potential of microfluidics-based methodologies in advancing cell-based therapy across various applications, including solid tumors, next-generation CAR constructs, T-cell receptors, and the development of allogeneic "off-the-shelf" CAR products.
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