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:Progress in Natural Killer T Cell-Based Immunotherapy for Cancer: Use of Allogeneic and Gene-Edited Cells.
Progress in Natural Killer T Cell-Based Immunotherapy for Cancer: Use of Allogeneic and Gene-Edited Cells.
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免疫细胞治疗在临床环境中受到关注。
免疫细胞疗法在临床环境中受到关注。然而,当前的CAR-T 细胞疗法需要基于患者细胞进行个体化制造,导致成本高、处理时间长。异体免疫细胞疗法,即使用来自其他供者的免疫细胞,正作为一种有前景的替代方案崭露头角,具有多重优势,包括现货供应、标准化生产以及可能更强的效应功能。自然杀伤T(NKT)细胞是一种无需受HLA限制即可被激活的T细胞,表明其在异体细胞免疫治疗中的潜在应用。它们对多种癌症靶点表现出细胞毒性活性。然而,其在血液中的低频率限制了其用于体外扩增以进行治疗。这促使研究人员将异体NKT细胞作为潜在治疗剂加以关注。在本研究中,我们综述了基于NKT细胞的免疫治疗研究,并聚焦于全球范围内与基于NKT细胞免疫治疗相关的临床试验最新进展。基于NKT细胞的治疗不限于特定癌症类型,在过去十年中已在全球范围内以多种方式进行了研究。一些针对NKT细胞的临床试验已显示出有前景的结果;然而,与使用T细胞和NK 细胞的试验相比,试验数量较少。使用异体NKT细胞可能革新癌症和其他疾病的治疗。然而,仍需进一步的研究和临床试验,以充分了解其疗效、安全性和长期获益。
Immune cell therapy has received attention in the clinical setting. However, current chimeric antigen receptor T cell therapies require individualized manufacturing based on patient cells, resulting in high costs and long processing times. Allogeneic immune cell therapy, which involves the use of immune cells from other donors, is emerging as a promising alternative that offers multiple advantages, including off-the-shelf availability, standardized manufacturing, and potentially stronger effector functions. Natural killer T (NKT) cells are a type of T cell that can be activated without being restricted by HLA, indicating their potential use in allogeneic cell immunotherapy. They exhibit cytotoxic activity against various cancer targets. However, their low frequency in blood limits their use in ex vivo amplification for treatment. This has led researchers to focus on allogeneic NKT cells as a potential treatment agent. In this study, we review the research on NKT cell-based immunotherapy and focus on the recent progress in clinical trials related to NKT cell-based immunotherapy worldwide. NKT cell-based therapy is not limited to specific cancer types and has been investigated in many ways worldwide over the past decade. Some clinical trials targeting NKT cells have shown promising results; however, the number of trials is low compared to those using T and natural killer cells. The use of allogeneic NKT cells may revolutionize the treatment of cancer and other diseases. However, further research and clinical trials are necessary to fully understand their efficacy, safety, and long-term benefits.
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