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:Recent advances in immunotherapy in cancer treatment.
Recent advances in immunotherapy in cancer treatment.
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免疫疗法已成为一种变革性癌症治疗方法,利用人体自身免疫系统识别并清除癌细胞。本综述概述癌症生物学中免疫疗法的最新进展及相关方面,从已确立的免疫检查点抑制剂和 CAR-T 细胞,到新兴创新方法及其临床转化面临的挑战。综述探讨了免疫检查点抑制剂,并阐释程序性细胞死亡蛋白 1(PD-1)、程序性死亡配体 1(PD-L1)和细胞毒性 T 淋巴细胞相关蛋白 4(CTLA-4)抑制剂的作用机制。近期临床成功和正在开展的试验显示,免疫检查点抑制剂对多种恶性肿瘤有效,凸显了其带来持久缓解并改善患者结局的潜力。CAR-T 细胞疗法是免疫治疗中的突破性路径,通过基因改造患者 T 细胞,使其表达嵌合抗原受体(CAR),以靶向识别癌细胞。
此外,综述还涉及免疫治疗面临的挑战,包括耐药机制和不良反应。关于通过联合治疗、适应性治疗策略和新兴技术克服耐药的深入讨论,体现了持续提高免疫治疗长期疗效的努力。
总之,本综述全面概述癌症生物学免疫治疗的最新进展,强调这些疗法对患者结局的变革性影响、面临的挑战,以及未来研究和临床应用的有前景方向。
Immunotherapy has emerged as a transformative approach in cancer treatment, leveraging the body's own immune system to recognize and eradicate cancer cells. This review provides an overview of the recent advances and aspects in immunotherapy in cancer biology, from established therapies like checkpoint inhibitors and CAR-T cells to emerging innovative approaches and the challenges associated with their clinical translation.
The exploration includes an examination of checkpoint inhibitors, elucidating the mechanisms behind programmed cell death protein 1 (PD-1), programmed death-ligand 1 (PD-L1), and cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) inhibitors.
Recent clinical successes and ongoing trials demonstrate the efficacy of checkpoint inhibitors across diverse malignancies, underscoring the potential for durable responses and improved patient outcomes. CAR-T cell therapy represents a groundbreaking avenue in immunotherapy, involving the genetic modification of a patient's T cells to express chimeric antigen receptors (CARs) for targeted cancer cell recognition.
Furthermore, the review touches on the challenges associated with immunotherapy, including resistance mechanisms and adverse effects. Insightful discussions on overcoming resistance through combination therapies, adaptive treatment strategies, and emerging technologies underscore the ongoing efforts to enhance the long-term efficacy of immunotherapeutic interventions.
In summary, this extensive review provides a comprehensive overview of recent advances in immunotherapy in cancer biology, highlighting the transformative impact of these therapies on patient outcomes, the challenges faced, and the promising directions for future research and clinical applications.
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