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.
英文原题:Dark horse target Claudin18.2 opens new battlefield for pancreatic cancer.
Dark horse target Claudin18.2 opens new battlefield for pancreatic cancer.
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胰腺癌是致死率极高的恶性肿瘤,严重威胁人类健康和生命;预计到2030年,胰腺癌可能成为发达国家癌症死亡的第二大原因。Claudin18.2是一种在正常胃黏膜组织表达的紧密连接蛋白,参与细胞间紧密连接形成并影响细胞旁通透性。Claudin18.2在胰腺癌中高表达,并与癌症发生、进展、转移和预后相关,因此被视为潜在治疗靶点。目前已有多项靶向Claudin18.2的临床试验正在开展,涵盖胰腺癌、胃癌等实体瘤,但试验结果尚未正式公布。本文简要介绍Claudin蛋白、Claudin18在癌症中的双重作用,并总结靶向Claudin18.2的在研临床试验,以整合其靶向治疗研究进展。此外,本文介绍Claudin18.2阳性胰腺癌的临床研究进展,包括单克隆抗体、双特异性抗体、抗体药物偶联物和CAR-T 细胞疗法,希望为该类胰腺癌的临床治疗提供可行思路。
Pancreatic cancer is one of the deadliest malignant tumors, which is a serious threat to human health and life, and it is expected that pancreatic cancer may be the second leading cause of cancer death in developed countries by 2030. Claudin18. 2 is a tight junction protein expressed in normal gastric mucosal tissues, which is involved in the formation of tight junctions between cells and affects the permeability of paracellular cells. Claudin18. 2 is highly expressed in pancreatic cancer and is associated with the initiation, progression, metastasis and prognosis of cancer, so it is considered a potential therapeutic target.
Up to now, a number of clinical trials for Claudin18. 2 are underway, including solid tumors such as pancreatic cancers and gastric cancers, and the results of these trials have not yet been officially announced. This manuscript briefly describes the Claudia protein, the dual roles of Cluadin18 in cancers, and summarizes the ongoing clinical trials targeting Claudin18. 2 with a view to integrating the research progress of Claudin18. 2 targeted therapy.
In addition, this manuscript introduces the clinical research progress of Claudin18. 2 positive pancreatic cancer, including monoclonal antibodies, bispecific antibodies, antibody-drug conjugates, CAR-T cell therapy, and hope to provide feasible ideas for the clinical treatment of Claudin18. 2 positive pancreatic cancer.
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