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:Advances in nano-immunotherapy for hematological malignancies.
Advances in nano-immunotherapy for hematological malignancies.
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血液系统恶性肿瘤(HM)包括多种血液肿瘤,具有较高的发病率和死亡率。免疫疗法已成为治疗 HM 患者经验证且至关重要的方式。过去十年,HM 免疫治疗的认识和应用取得显著进展,但仍面临若干挑战,包括免疫相关不良反应、治疗性抗原在体内的精确分布和清除、肿瘤免疫耐受,以及肿瘤细胞在肿瘤微环境(TME)中的免疫逃逸。纳米技术能够在纳米尺度操控材料特性,有望通过改善药物靶向性和稳定性等方面克服这些障碍并改变治疗结局。纳米技术与免疫疗法的交汇催生了纳米免疫疗法这一抗肿瘤治疗分支。纳米技术已应用于CAR-T 细胞疗法、癌症疫苗、免疫检查点抑制剂及其他 HM 免疫治疗策略。本综述概述纳米免疫疗法领域的最新进展和当前挑战,并为纳米技术治疗策略在这些疾病中的潜力提供新见解。
Hematological malignancies (HMs) encompass a diverse group of blood neoplasms with significant morbidity and mortality. Immunotherapy has emerged as a validated and crucial treatment modality for patients with HMs. Despite notable advancements having been made in understanding and implementing immunotherapy for HMs over the past decade, several challenges persist. These challenges include immune-related adverse effects, the precise biodistribution and elimination of therapeutic antigens in vivo, immune tolerance of tumors, and immune evasion by tumor cells within the tumor microenvironment (TME).
Nanotechnology, with its capacity to manipulate material properties at the nanometer scale, has the potential to tackle these obstacles and revolutionize treatment outcomes by improving various aspects such as drug targeting and stability. The convergence of nanotechnology and immunotherapy has given rise to nano-immunotherapy, a specialized branch of anti-tumor therapy.
Nanotechnology has found applications in chimeric antigen receptor T cell (CAR-T) therapy, cancer vaccines, immune checkpoint inhibitors, and other immunotherapeutic strategies for HMs. In this review, we delineate recent developments and discuss current challenges in the field of nano-immunotherapy for HMs, offering novel insights into the potential of nanotechnology-based therapeutic approaches for these diseases.
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