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:Small-molecule agents for cancer immunotherapy.
Small-molecule agents for cancer immunotherapy.
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以免疫检查点阻断和CAR-T 细胞疗法显著的临床获益为代表的肿瘤免疫治疗,正在革新肿瘤治疗。它们可在多种癌症中诱导长期肿瘤消退和总生存期获益。随着我们对肿瘤免疫微环境认识的进步,用于免疫治疗的小分子药物开发取得了显著进展。靶向PRR相关通路、免疫检查点、致癌信号、代谢通路、细胞因子/趋化因子信号和免疫相关激酶的小分子已被广泛研究。小分子免疫治疗药物的单药治疗及其与其他抗肿瘤方式的联合正在积极的临床研究中,以克服免疫耐受并规避免疫检查点抑制剂耐药。在此,我们综述了通过靶向特定通路用于肿瘤免疫治疗的小分子药物的最新进展,并重点介绍其在近期临床研究中的进展。
Cancer immunotherapy, exemplified by the remarkable clinical benefits of the immune checkpoint blockade and chimeric antigen receptor T-cell therapy, is revolutionizing cancer therapy. They induce long-term tumor regression and overall survival benefit in many types of cancer. With the advances in our knowledge about the tumor immune microenvironment, remarkable progress has been made in the development of small-molecule drugs for immunotherapy.
Small molecules targeting PRR-associated pathways, immune checkpoints, oncogenic signaling, metabolic pathways, cytokine/chemokine signaling, and immune-related kinases have been extensively investigated. Monotherapy of small-molecule immunotherapeutic drugs and their combinations with other antitumor modalities are under active clinical investigations to overcome immune tolerance and circumvent immune checkpoint inhibitor resistance.
Here, we review the latest development of small-molecule agents for cancer immunotherapy by targeting defined pathways and highlighting their progress in recent clinical investigations.
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