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超越肿瘤的 CAR-T 治疗:非肿瘤性疾病免疫调节治疗的希望

英文原题:CAR T treatment beyond cancer: Hope for immunomodulatory therapy of non-cancerous diseases.

查看英文原题

CAR T treatment beyond cancer: Hope for immunomodulatory therapy of non-cancerous diseases.

PubMed 2024/03/11(内容时间) Life Sci Q1 · IF 6.4(JCR 2025)

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中文摘要

将患者自身的T细胞进行工程化改造,使其能够准确识别并清除癌细胞,已有效治愈了此前无法治愈的血液系统恶性肿瘤患者。这些发现推动了在肿瘤学领域内各个方向应用嵌合抗原受体(CAR)T疗法的研究。然而,来自临床和临床前研究的证据均强调了CAR-T 疗法更广泛的潜力,其应用已超越肿瘤学范畴,延伸至自身免疫性疾病、持续性感染、心脏纤维化、年龄相关疾病及其他病症。与此同时,新型技术和平台的出现为在非肿瘤情境中利用CAR-T 疗法提供了更多途径。本综述概述了CAR-T 疗法的基本原理,阐述了其在癌症治疗应用中面临的持续挑战,总结了在非肿瘤性疾病中的最新发现,并就具有相关性的新兴技术展开了讨论。本综述深入探讨了该治疗方法在多种不同场景中的前瞻性应用。最后,本综述强调了与精准性和安全性相关的关切,同时勾勒了将CAR-T 疗法拓展至癌症治疗之外的预期发展轨迹。

展开英文摘要原文

Engineering a patient's own T cells to accurately identify and eliminate cancer cells has effectively cured individuals afflicted with previously incurable hematologic cancers.

These findings have stimulated research into employing chimeric antigen receptor (CAR) T therapy across various areas within the field of oncology.

However, evidence from both clinical and preclinical investigations emphasize the broader potential of CAR T therapy, extending beyond oncology to address autoimmune disorders, persistent infections, cardiac fibrosis, age-related ailments and other conditions. Concurrently, the advent of novel technologies and platforms presents additional avenues for utilizing CAR T therapy in non-cancerous contexts.

This review provides an overview of the rationale behind CAR T therapy, delineates ongoing challenges in its application to cancer treatment, summarizes recent findings in non-cancerous diseases, and engages in discourse regarding emerging technologies that bear relevance.

The review delves into prospective applications of this therapeutic approach across a diverse range of scenarios. Lastly, the review underscores concerns related to precision and safety, while also outlining the envisioned trajectory for extending CAR T therapy beyond cancer treatment.

论文信息

作者
Yang Z、Liu Y、Zhao H
第一作者单位
Department of Neurosurgery, 3201 Hospital of Xi'an Jiaotong University Health Science Center, Hanzhong, Shaanxi 723000, China.China
通讯作者单位
Department of Neurosurgery, the Affiliated Hospital of Qingdao University, Qingdao, Shandong 266005, China. Electronic address: yidao@qdu.edu.cn.China
文献类型
综述
期刊
Life sciences2024 May 1
原文标识
PubMed 38471620 · DOI 10.1016/j.lfs.2024.122556