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.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Novel insights into TCR-T cell therapy in solid neoplasms: optimizing adoptive immunotherapy.
本综述阐述了目前对 TCR-T 细胞疗法在实体瘤中的认识,并为拓展其临床应用、提升疗效提供了新的视角。
T细胞过继免疫治疗已显示出抗癌疗效。过去几十年来,基因修饰T细胞,特别是CAR-T 细胞,推动血液系统恶性肿瘤治疗取得显著进展。此外,针对实体瘤治疗开展的多种抗原研究,也引发了临床对表达工程化T细胞受体(TCR)的T细胞潜力的关注。TCR-T细胞能够识别细胞内抗原家族,并保留天然TCR在靶表位亲和力和信号转导方面的固有特性。近期研究深入揭示了TCR-T细胞治疗多种难治性实体瘤的能力和治疗靶点,同时也暴露出实现持久疗效的挑战。本文介绍可用肿瘤抗原的筛选和鉴定,以及TCR-T疗法所需TCR的获取与优化;并总结TCR-T细胞从实验室研究到临床应用的完整流程。最后,提出通过联合疗法或开发TCR-T衍生产品改善癌症治疗效果的未来展望。总之,本文概述了目前对TCR-T细胞治疗实体瘤的认识,并为拓展其临床应用和提高疗效提供新视角。
Adoptive immunotherapy in the T cell landscape exhibits efficacy in cancer treatment. Over the past few decades, genetically modified T cells, particularly chimeric antigen receptor T cells, have enabled remarkable strides in the treatment of hematological malignancies. Besides, extensive exploration of multiple antigens for the treatment of solid tumors has led to clinical interest in the potential of T cells expressing the engineered T cell receptor (TCR). TCR-T cells possess the capacity to recognize intracellular antigen families and maintain the intrinsic properties of TCRs in terms of affinity to target epitopes and signal transduction. Recent research has provided critical insight into their capability and therapeutic targets for multiple refractory solid tumors, but also exposes some challenges for durable efficacy. In this review, we describe the screening and identification of available tumor antigens, and the acquisition and optimization of TCRs for TCR-T cell therapy. Furthermore, we summarize the complete flow from laboratory to clinical applications of TCR-T cells. Last, we emerge future prospects for improving therapeutic efficacy in cancer world with combination therapies or TCR-T derived products. In conclusion, this review depicts our current understanding of TCR-T cell therapy in solid neoplasms, and provides new perspectives for expanding its clinical applications and improving therapeutic efficacy.
MEMBER ACCOUNT
登录成功会直接打开下一页。