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CAR-T 治疗卵巢癌的前景与挑战

英文原题:Prospects and challenges of CAR-T in the treatment of ovarian cancer.

查看英文原题

Prospects and challenges of CAR-T in the treatment of ovarian cancer.

PubMed 2024/04/19(内容时间) Int Immunopharmacol Q1 · IF 5.6(JCR 2025)

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中文摘要

卵巢癌是女性第七常见癌症,也是全球致死性最高的妇科恶性肿瘤。由于缺乏可靠筛查技术,且起病隐匿、症状非特异,患者常延迟诊断,确诊时通常已处晚期并累及腹膜。晚期肿瘤通常采用化疗联合肿瘤细胞减灭术治疗。然而,卵巢癌治疗手段仍有限,凸显了对精准靶向、持续释放药物的未满足需求。表达嵌合抗原受体(CAR)的基因工程T细胞是一种有前景的新疗法,可选择性靶向特定抗原,并在许多患者中诱导强效、持久抗肿瘤应答。CAR-T 细胞疗法治疗血液系统恶性肿瘤已显示显著疗效,目前也正在研究其治疗卵巢癌等多种实体瘤的潜力。当前众多研究者正开发靶向卵巢癌的新型CAR-T 细胞,并在临床前研究中评估候选细胞。鉴于表达CAR的T细胞可诱导强效、持久的抗肿瘤作用,该疗法用于卵巢癌治疗具有重要潜力。本文综述CAR-T 细胞在卵巢癌治疗中的应用。

展开英文摘要原文

Ovarian cancer ranks as the seventh most prevalent cancer among women and is considered the most lethal gynecological malignancy on a global scale. The absence of reliable screening techniques, coupled with the insidious onset of nonspecific symptoms, often results in a delayed diagnosis, typically at an advanced stage characterized by peritoneal involvement. Management of advanced tumors typically involves a combination of chemotherapy and cytoreductive surgery.

However, the therapeutic arsenal for ovarian cancer patients remains limited, highlighting the unmet need for precise, targeted, and sustained-release pharmacological agents. Genetically engineered T cells expressing chimeric antigen receptors (CARs) represent a promising novel therapeutic modality that selectively targets specific antigens, demonstrating robust and enduring antitumor responses in numerous patients. CAR T cell therapy has exhibited notable efficacy in hematological malignancies and is currently under investigation for its potential in treating various solid tumors, including ovarian cancer.

Currently, numerous researchers are engaged in the development of novel CAR-T cells designed to target ovarian cancer, with subsequent evaluation of these candidate cells in preclinical studies. Given the ability of chimeric antigen receptor (CAR) expressing T cells to elicit potent and long-lasting anti-tumor effects, this therapeutic approach holds significant promise for the treatment of ovarian cancer. This review article examines the utilization of CAR-T cells in the context of ovarian cancer therapy.

论文信息

作者
Chen B、Liu J
单位
Harbin Medical University, Harbin, Heilongjiang, China. Electronic address: 1372551244@qq.com.China
文献类型
综述
期刊
International immunopharmacology2024 May 30
原文标识
PubMed 38640714 · DOI 10.1016/j.intimp.2024.112112