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:Nanomaterials Boost CAR-T Therapy for Solid Tumors.
Nanomaterials Boost CAR-T Therapy for Solid Tumors.
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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。
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.
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