决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Revolutionizing Glioblastoma Treatment: A Comprehensive Overview of Modern Therapeutic Approaches.
胶质母细胞瘤是成人中最常见的恶性原发性脑肿瘤,平均生存期为 12.1 至 14.6 个月。
胶质母细胞瘤是成人中最常见的原发性恶性脑肿瘤,平均生存期为 12.1–14.6 个月。目前标准治疗包括手术、放疗和化疗,但疗效仍不理想。随着生物技术快速发展,治疗选择已不再局限于标准疗法。新方法可通过靶向个体细胞和抗原,更精准地对抗癌症。胶质母细胞瘤治疗新方法包括伽玛刀治疗、质子束治疗、肿瘤治疗电场、EGFR 和 VEGF 抑制剂、多种受体酪氨酸激酶抑制剂及 PI3K 通路抑制剂。此外,对免疫系统在肿瘤发生中作用的认识不断加深,加上识别肿瘤特异性抗原的能力提高,推动了靶向 GBM 和免疫细胞的免疫疗法开发,包括 CAR-T、CAR-NK 细胞、树突状细胞和免疫检查点抑制剂。本文所述每种方法均有利弊,也面临诸多问题,如难以有效穿越血脑屏障、各种神经和全身副作用,以及肿瘤逃逸机制。本文旨在介绍胶质母细胞瘤当前的新型治疗方法。
Glioblastoma is the most common malignant primary brain tumor in the adult population, with an average survival of 12.1 to 14.6 months. The standard treatment, combining surgery, radiotherapy, and chemotherapy, is not as efficient as we would like. However, the current possibilities are no longer limited to the standard therapies due to rapid advancements in biotechnology. New methods enable a more precise approach by targeting individual cells and antigens to overcome cancer. For the treatment of glioblastoma, these are gamma knife therapy, proton beam therapy, tumor-treating fields, EGFR and VEGF inhibitors, multiple RTKs inhibitors, and PI3K pathway inhibitors. In addition, the increasing understanding of the role of the immune system in tumorigenesis and the ability to identify tumor-specific antigens helped to develop immunotherapies targeting GBM and immune cells, including CAR-T, CAR-NK cells, dendritic cells, and immune checkpoint inhibitors. Each of the described methods has its advantages and disadvantages and faces problems, such as the inefficient crossing of the blood-brain barrier, various neurological and systemic side effects, and the escape mechanism of the tumor. This work aims to present the current modern treatments of glioblastoma.
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