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CAR-T 治疗要点及长期免疫治疗中的相关微生物挑战

英文原题:Essentials of CAR-T Therapy and Associated Microbial Challenges in Long Run Immunotherapy.

查看英文原题

Essentials of CAR-T Therapy and Associated Microbial Challenges in Long Run Immunotherapy.

PubMed 2024/01/01(内容时间) J Cell Immunol

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中文摘要

嵌合抗原受体(CAR)T 细胞疗法有望改善血液系统恶性肿瘤患者的结局,但血液癌症实现长期完全缓解仍面临挑战,原因包括严重危及生命的毒性、抗肿瘤疗效有限、抗原逃逸、细胞迁移受限以及肿瘤浸润不足。此外,CAR-T 细胞与宿主肿瘤微环境之间的相互作用会显著影响 CAR-T 功能。为克服这些重大障碍,需要开发新方法和策略,以制备抗肿瘤活性更强、毒性更低的 CAR-T 细胞。尽管 CAR-T 研究取得进展,微生物耐药仍是重大阻碍。本综述讨论 CAR-T 结构和不同代际的基础知识、相关挑战,以及 CAR-T 细胞疗法潜在感染风险。

展开英文摘要原文

Chimeric antigen receptor (CAR)-T cell therapy has shown potential in improving outcomes for individuals with hematological malignancies.

However, achieving long-term full remission for blood cancer remains challenging due to severe life-threatening toxicities such as limited anti-tumor efficacy, antigen escape, trafficking restrictions, and limited tumor invasion.

Furthermore, the interactions between CAR-T cells and their host tumor microenvironments have a significant impact on CAR-T function. To overcome these considerable hurdles, fresh methodologies and approaches are needed to produce more powerful CAR-T cells with greater anti-tumor activity and less toxicity. Despite advances in CAR-T research, microbial resistance remains a significant obstacle. In this review, we discuss and describe the basics of CAR-T structures, generations, challenges, and potential risks of infections in CAR-T cell therapy.

论文信息

作者
Kalim M、Jing R、Li X、Jiang Z、Zheng N、Wang Z、Wei G、Lu Y
单位
Houston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.United States
期刊
Journal of cellular immunology2024
原文标识
PubMed 38883270 · DOI 10.33696/immunology.6.189