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肺癌 CAR-NK 细胞疗法的进展:未来会是更好的选择吗

英文原题:Advances in CAR-NK cell therapy for lung cancer: is it a better choice in the future?

查看英文原题

Advances in CAR-NK cell therapy for lung cancer: is it a better choice in the future?

PubMed 2024/05/28(内容时间) Front Oncol Q2 · IF 3.4(JCR 2025)

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中文摘要

肺癌仍是全球癌症相关死亡的主要原因之一,亟须开发创新治疗策略。嵌合抗原受体(CAR)自然杀伤(NK)细胞疗法是肿瘤学领域一种有前景的进展,提供了靶向并高度特异性清除肿瘤细胞的新方法,且免疫相关不良反应风险较低。本文回顾 CAR-NK 细胞治疗肺癌的机制、潜在靶点和最新进展,包括 CAR-NK 细胞的设计与工程化、临床前研究及早期临床试验结果。我们强调 NK 细胞的独特优势,例如其固有识别和杀伤癌细胞的能力;与 CAR-T 细胞疗法相比,其诱发移植物抗宿主病(GVHD)和细胞因子释放综合征(CRS)的可能性较低。近期研究结果显示,CAR-NK 细胞在肺癌模型中具有显著抗肿瘤活性,且体内外靶向能力和持续存留能力均有所改善。最后,我们讨论优化 CAR-NK 细胞疗法所面临的挑战,包括潜在耐药机制。本文以 CAR-NK 研究未来方向及其对肺癌治疗的意义作结,并强调该领域持续创新与合作的重要性。

展开英文摘要原文

Lung cancer remains one of the leading causes of cancer-related mortality worldwide necessitating the development of innovative therapeutic strategies. Chimeric antigen receptor (CAR) natural killer (NK) cell therapy represents a promising advancement in the field of oncology offering a novel approach to target and eliminate tumor cells with high specificity and reduced risk of immune-related adverse effects.

This paper reviews the mechanism, potential targets, and recent advances in CAR-NK cell therapy for lung cancer, including the design and engineering of CAR-NK cells, preclinical studies, and the outcomes of early-phase clinical trials.

We highlight the unique advantages of using NK cells, such as their innate ability to recognize and kill cancer cells and their reduced potential for inducing graft-versus-host disease (GvHD) and cytokine release syndrome (CRS) compared to CAR T-cell therapies. Results from recent studies demonstrate significant antitumor activity in lung cancer models with improved targeting and persistence of CAR-NK cells observed in vitro and in vivo .

Finally, we discuss the challenges in optimizing CAR-NK cell therapies, including the potential resistance mechanisms. The paper concludes with an outlook on the future directions of CAR-NK cell research and its implications for lung cancer treatment emphasizing the importance of continued innovation and collaboration in the field.

论文信息

作者
Liu F、Miao X、Han L、Song X
第一作者单位
The Third Department of Geriatrics, Weifang People's Hospital, Weifang, Shandong, China.China
通讯作者单位
Department of Gastroenterology, Weifang People's Hospital, Weifang, Shandong, China.China
文献类型
综述
期刊
Frontiers in oncology2024
原文标识
PubMed 38863635 · DOI 10.3389/fonc.2024.1390006