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纳米材料助力实体瘤 CAR-T 治疗

英文原题:Nanomaterials Boost CAR-T Therapy for Solid Tumors.

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Nanomaterials Boost CAR-T Therapy for Solid Tumors.

PubMed 2024/05/21(内容时间) Adv Healthc Mater Q1 · IF 11(JCR 2025)

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中文摘要

通过嵌合抗原受体(CAR)修饰来增强肿瘤特异性的 T 细胞工程,已在治疗血液系统恶性肿瘤方面显示出疗效。然而,将 CAR-T 细胞疗法拓展至实体瘤仍受到若干挑战的阻碍:缺乏肿瘤特异性抗原、抗原异质性、复杂的免疫抑制性肿瘤微环境,以及细胞浸润的物理屏障。此外,CAR-T 细胞生产能力的限制以及这些疗法相关的高昂成本,也制约了其广泛应用。将纳米材料整合到 CAR-T 细胞的生产与应用中,为缓解这些挑战提供了一条有前景的途径。在 CAR-T 细胞生产中使用纳米材料可降低产品变异性并降低生产成本,对 CAR-T 细胞在治疗中的靶向性和持久性产生积极影响,并最大限度减少不良反应。本综述全面评估了各种纳米材料在 CAR-T 细胞生产、基因修饰以及体内递送中的应用,讨论了其潜在机制与临床应用潜力,重点关注提高 CAR-T 细胞疗法的特异性与安全性。

展开英文摘要原文

T cell engineering, particularly via chimeric antigen receptor (CAR) modifications for enhancing tumor specificity, has shown efficacy in treating hematologic malignancies. The extension of CAR-T cell therapy to solid tumors, however, is impeded by several challenges: The absence of tumor-specific antigens, antigen heterogeneity, a complex immunosuppressive tumor microenvironment, and physical barriers to cell infiltration.

Additionally, limitations in CAR-T cell manufacturing capacity and the high costs associated with these therapies restrict their widespread application. The integration of nanomaterials into CAR-T cell production and application offers a promising avenue to mitigate these challenges. Utilizing nanomaterials in the production of CAR-T cells can decrease product variability and lower production expenses, positively impacting the targeting and persistence of CAR-T cells in treatment and minimizing adverse effects.

This review comprehensively evaluates the use of various nanomaterials in the production of CAR-T cells, genetic modification, and in vivo delivery. It discusses their underlying mechanisms and potential for clinical application, with a focus on improving specificity and safety in CAR-T cell therapy.

论文信息

作者
Long J、Wang Y、Jiang X、Ge J、Chen M、Zheng B、Wang R、Wang M
第一作者单位
Shenzhen Geim Graphene Center, Tsinghua-Berkeley Shenzhen Institute & Tsinghua Shenzhen International Graduate School, Tsinghua University, 1001 Xueyuan Road, Shenzhen, 518055, China.China
通讯作者单位
Department of Pathology and Institute of Oncology, The School of Basic Medical Sciences & Diagnostic Pathology Center, Fujian Medical University, No.1 Xuefu North Road University Town, Fuzhou, 350122, China.China
文献类型
综述 · 非美国政府资助研究
期刊
Advanced healthcare materials2024 Aug
原文标识
PubMed 38483400 · DOI 10.1002/adhm.202304615