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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CRISPR-Cas gene knockouts to optimize engineered T cells for cancer immunotherapy.
CRISPR-Cas gene knockouts to optimize engineered T cells for cancer immunotherapy.
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CAR-T 和转基因TCR-T(tgTCR-T)疗法分别在血液系统和实体瘤中取得了值得关注且有前景的结果,但仍面临各自挑战。因此,亟需开发新策略,以保护并更有效地释放工程化T细胞的全部功能;这些因素与过继细胞治疗的成功密切相关。近期,基于CRISPR的技术成为维持T细胞功能的重要突破。这些技术使研究者能够发现T细胞负调节因子,例如参与T细胞功能障碍发生或维持的特定细胞表面受体、细胞信号蛋白和转录因子。采用CRISPR基因失活策略靶向这些负调节因子,可防止低功能T细胞形成。本文回顾T细胞功能障碍表型的建立过程,并全面总结近期CRISPR基因失活研究;这些基因失活策略均旨在增强工程化T细胞的抗肿瘤能力。文章还梳理相关进展的发现和鉴定过程,展示了推进更优过继细胞治疗的重要进步。
While CAR-T and tgTCR-T therapies have exhibited noteworthy and promising outcomes in hematologic and solid tumors respectively, a set of distinct challenges remains. Consequently, the quest for novel strategies has become imperative to safeguard and more effectively release the full functions of engineered T cells. These factors are intricately linked to the success of adoptive cell therapy. Recently, CRISPR-based technologies have emerged as a major breakthrough for maintaining T cell functions. These technologies have allowed the discovery of T cells' negative regulators such as specific cell-surface receptors, cell-signaling proteins, and transcription factors that are involved in the development or maintenance of T cell dysfunction.
By employing a CRISPR-genic invalidation approach to target these negative regulators, it has become possible to prevent the emergence of hypofunctional T cells. This review revisits the establishment of the dysfunctional profile of T cells before delving into a comprehensive summary of recent CRISPR-gene invalidations, with each invalidation contributing to the enhancement of engineered T cells' antitumor capacities.
The narrative unfolds as we explore how these advancements were discovered and identified, marking a significant advancement in the pursuit of superior adoptive cell therapy.
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