免疫检查点阻断通过扩增效应 CD8⁺ T 细胞克隆增强淋巴细胞清除性化疗诱导的抗肿瘤免疫
Immune Checkpoint Blockade Augments Lymphodepleting Chemotherapy-Induced Antitumor Immunity by Expanding Effector CD8+ T-cell Clones.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Tumor-Infiltrating Lymphocyte and Other Cell Therapies for Metastatic Melanoma.
Tumor-Infiltrating Lymphocyte and Other Cell Therapies for Metastatic Melanoma.
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在过去十年中,由于免疫检查点抑制剂和靶向治疗的开发与获批,晚期黑色素瘤患者的生存期延长取得了重大进展。然而,对于无应答或复发的患者,其预后仍然很差。基于临床试验数据,过继性细胞疗法具有很大前景。在转移性黑色素瘤患者中,对单药抗程序性细胞死亡1治疗进展或无应答者,输注TIL(肿瘤浸润淋巴细胞)可使多达一半的患者产生应答,其中多达20%可获得持久完全缓解。利用来源于肿瘤特异性T细胞的T细胞受体或嵌合抗原受体对周围血T细胞进行基因修饰,有可能进一步改善这一难治人群的治疗结局。在这篇综述中,我们将讨论过继性T细胞疗法在黑色素瘤中的历史发展、当前状况和未来前景。
Major progress in prolonging survival of patients with advanced melanoma has been made in the past decade because of the development and approval of immune checkpoint inhibitor and targeted therapies.
However, for nonresponding or relapsing patients, their prognosis is still dismal. Based on clinical trial data, treatment with adoptive cell therapies holds great promise. In patients with metastatic melanoma progressing on or nonresponsive to single-agent anti-programmed cell death 1, infusion of tumor-infiltrating lymphocytes can produce responses in up to half of patients, with durable complete responses in up to 20%.
Genetic modification of peripheral blood T cells with T-cell receptors derived from tumor-specific T cells, or with chimeric antigen receptors, has the potential to further improve treatment outcomes in this refractory population. In this review, we will discuss the historical development, current status, and future perspectives of adoptive T-cell therapies in melanoma.
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