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CAR-T 细胞治疗实体瘤的当前挑战与治疗进展

英文原题:Current challenges and therapeutic advances of CAR-T cell therapy for solid tumors.

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Current challenges and therapeutic advances of CAR-T cell therapy for solid tumors.

PubMed 2024/04/15(内容时间) Cancer Cell Int Q1 · IF 7(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T细胞用于血液系统恶性肿瘤管理已成为显著治疗突破。然而,CAR-T 治疗实体瘤的应用和疗效仍有限,主要原因包括缺乏肿瘤特异性靶抗原、存在免疫抑制性肿瘤微环境、T细胞侵入和增殖受限,以及严重毒性。本综述回顾CAR-T 的发展历程及其治疗实体瘤的最新进展。近期研究显示,优化CAR-T 细胞设计、采用逻辑门控CAR-T 细胞以及改良治疗药物递送方式,均可提高CAR-T 疗效。此外,联合治疗也是提高CAR-T 疗效的有前景策略。目前,多项CAR-T 治疗实体瘤临床试验正在积极开展。总之,CAR-T 治疗实体瘤既有潜力也面临挑战。随着CAR-T 技术不断发展,未来还将出现更多创新方法克服这些挑战,最终提高实体瘤患者的治疗应答。

展开英文摘要原文

The application of chimeric antigen receptor (CAR) T cells in the management of hematological malignancies has emerged as a noteworthy therapeutic breakthrough. Nevertheless, the utilization and effectiveness of CAR-T cell therapy in solid tumors are still limited primarily because of the absence of tumor-specific target antigen, the existence of immunosuppressive tumor microenvironment, restricted T cell invasion and proliferation, and the occurrence of severe toxicity.

This review explored the history of CAR-T and its latest advancements in the management of solid tumors. According to recent studies, optimizing the design of CAR-T cells, implementing logic-gated CAR-T cells and refining the delivery methods of therapeutic agents can all enhance the efficacy of CAR-T cell therapy.

Furthermore, combination therapy shows promise as a way to improve the effectiveness of CAR-T cell therapy. At present, numerous clinical trials involving CAR-T cells for solid tumors are actively in progress.

In conclusion, CAR-T cell therapy has both potential and challenges when it comes to treating solid tumors. As CAR-T cell therapy continues to evolve, further innovations will be devised to surmount the challenges associated with this treatment modality, ultimately leading to enhanced therapeutic response for patients suffered solid tumors.

论文信息

作者
Chen T、Wang M、Chen Y、Liu Y
第一作者单位
Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China.China
通讯作者单位
Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No. 17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, China. liuyutao@cicams.ac.cn.China
文献类型
综述
期刊
Cancer cell international2024 Apr 15
原文标识
PubMed 38622705 · DOI 10.1186/s12935-024-03315-3