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:Adoptive Immune Effector Cell Therapies in Cancer and Solid Organ Transplantation: A Review.
Adoptive Immune Effector Cell Therapies in Cancer and Solid Organ Transplantation: A Review.
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癌症是肾移植后最具破坏性的并发症之一,也是实体器官移植(SOT)受者发病和死亡的主要原因之一。免疫抑制虽然能够有效预防移植物排斥,但也会抑制针对致癌病毒感染和恶性肿瘤的免疫监视。过继细胞治疗,特别是免疫效应细胞疗法,长期以来一直受到癌症和移植领域关注;随着病毒特异性T细胞疗法和CAR-T 细胞疗法的发展,近年才逐渐成为焦点。尽管这些疗法主要在造血细胞移植和血液系统恶性肿瘤中得到充分描述,但在SOT领域应用,可能为治疗选择有限的患者带来巨大希望。本文简要回顾过继细胞疗法的发展,重点介绍病毒特异性T细胞疗法和CAR-T 细胞疗法;同时总结这些疗法在SOT领域的现有经验、应用挑战及未来发展方向。
Cancer is one of the most devastating complications of kidney transplantation and constitutes one of the leading causes of morbidity and mortality among solid organ transplantation (SOT) recipients. Immunosuppression, although effective in preventing allograft rejection, inherently inhibits immune surveillance against oncogenic viral infections and malignancy. Adoptive cell therapy, particularly immune effector cell therapy, has long been a modality of interest in both cancer and transplantation, though has only recently stepped into the spotlight with the development of virus-specific T-cell therapy and chimeric antigen receptor T-cell therapy.
Although these modalities are best described in hematopoietic cell transplantation and hematologic malignancies, their potential application in the SOT setting may hold tremendous promise for those with limited therapeutic options. In this review, we provide a brief overview of the development of adoptive cell therapies with a focus on virus-specific T-cell therapy and chimeric antigen receptor T-cell therapy.
We also describe the current experience of these therapies in the SOT setting as well as the challenges in their application and future directions in their development.
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