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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:A new era of cancer immunotherapy: combining revolutionary technologies for enhanced CAR-M therapy.
A new era of cancer immunotherapy: combining revolutionary technologies for enhanced CAR-M therapy.
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过去十年,嵌合抗原受体(CAR)T 细胞疗法在血液癌症中的应用取得显著进展,但其治疗实体瘤的效果仍不足,因此需要探索能够克服当前 CAR-T 细胞所面临重大挑战的替代免疫疗法。随着巨噬细胞进入 CAR 实体瘤免疫治疗视野,这一策略展现出前景:巨噬细胞具有强大的吞噬能力、抗原呈递功能,可改造肿瘤微环境并刺激适应性免疫反应。本文全面审视 CAR-M 疗法的最新进展,涵盖基础科学研究和临床试验,并分析阻碍其充分发挥潜力的主要障碍及可能的克服策略。原位基因改造、合成生物学技术和生物材料支持的基因转移等革命性技术,为操控肿瘤相关巨噬细胞提供了更丰富的手段。我们认为,结合这些先进方法将推动 CAR-M 疗法进入新阶段,实现更好的疗效、安全性和可及性。
Significant advancements have been made in the application of chimeric antigen receptor (CAR)-T treatment for blood cancers during the previous ten years.
However, its effectiveness in treating solid tumors is still lacking, necessitating the exploration of alternative immunotherapies that can overcome the significant challenges faced by current CAR-T cells.
CAR-based immunotherapy against solid tumors shows promise with the emergence of macrophages, which possess robust phagocytic abilities, antigen-presenting functions, and the ability to modify the tumor microenvironment and stimulate adaptive responses. This paper presents a thorough examination of the latest progress in CAR-M therapy, covering both basic scientific studies and clinical trials.
This study examines the primary obstacles hindering the realization of the complete potential of CAR-M therapy, as well as the potential strategies that can be employed to overcome these hurdles.
With the emergence of revolutionary technologies like in situ genetic modification, synthetic biology techniques, and biomaterial-supported gene transfer, which provide a wider array of resources for manipulating tumor-associated macrophages, we suggest that combining these advanced methods will result in the creation of a new era of CAR-M therapy that demonstrates improved efficacy, safety, and availability.
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