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基于嵌合抗原受体的 NK 细胞免疫疗法在癌症中的应用:从实验室到临床

英文原题:Chimeric antigen receptor-based natural killer cell immunotherapy in cancer: from bench to bedside.

查看英文原题

Chimeric antigen receptor-based natural killer cell immunotherapy in cancer: from bench to bedside.

PubMed 2024/01/15(内容时间) Cell Death Dis Q1 · IF 12.2(JCR 2025)

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中文摘要

免疫治疗在过去的几十年中在抗击癌症方面迅速发展。嵌合抗原受体(CAR)工程化T细胞在某些血液系统恶性肿瘤中已展现出显著的成功,尽管它们仍面临某些局限性,包括高成本和毒性作用。NK 细胞(NK细胞)作为免疫系统的重要组成部分,在癌症发生过程中充当“第一响应者”。在这篇文献综述中,我们提供了对NK细胞发育、功能及其在疾病治疗中应用的最新理解。此外,我们探讨了利用工程化NK细胞疗法(如CAR-NK细胞)的理论依据,并讨论了CAR-T 与CAR-NK细胞之间的差异。我们还提供了关于工程化NK细胞CAR设计中涉及的关键要素和策略的见解。此外,我们强调了目前遇到的挑战,并讨论了NK细胞研究和应用中的未来方向,包括临床前研究和正在进行的临床试验。基于NK细胞突出的抗肿瘤潜力,它们很可能在未来引领癌症治疗的突破性进展。

展开英文摘要原文

Immunotherapy has rapidly evolved in the past decades in the battle against cancer. Chimeric antigen receptor (CAR)-engineered T cells have demonstrated significant success in certain hematologic malignancies, although they still face certain limitations, including high costs and toxic effects.

Natural killer cells (NK cells), as a vital component of the immune system, serve as the "first responders" in the context of cancer development. In this literature review, we provide an updated understanding of NK cell development, functions, and their applications in disease therapy.

Furthermore, we explore the rationale for utilizing engineered NK cell therapies, such as CAR-NK cells, and discuss the differences between CAR-T and CAR-NK cells.

We also provide insights into the key elements and strategies involved in CAR design for engineered NK cells.

In addition, we highlight the challenges currently encountered and discuss the future directions in NK cell research and utilization, including pre-clinical investigations and ongoing clinical trials. Based on the outstanding antitumor potential of NK cells, it is highly likely that they will lead to groundbreaking advancements in cancer treatment in the future.

论文信息

作者
Zhang B、Yang M、Zhang W、Liu N、Wang D、Jing L、Xu N、Yang N
第一作者单位
Institute of Biomedical Research, Yunnan University, Kunming, 650500, China. zhangb@ynu.edu.cn.China
通讯作者单位
Department of Oncology, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, 530000, China. dr.rentao@163.com.China
文献类型
综述 · 非美国政府资助研究
期刊
Cell death & disease2024 Jan 15
原文标识
PubMed 38221520 · DOI 10.1038/s41419-024-06438-7