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:Synthetic Cells and Molecules in Cellular Immunotherapy.
Synthetic Cells and Molecules in Cellular Immunotherapy.
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细胞免疫疗法通过工程化免疫细胞和设计合成分子增强机体对肿瘤的免疫反应,已成为有前景的癌症治疗策略。由于细胞毒性、外周血中数量丰富且基因工程技术成熟,T细胞目前是最常被改造的免疫细胞。以CAR-T 细胞疗法为代表的T细胞免疫疗法已改变血液系统恶性肿瘤的临床治疗,但严重不良反应及实体瘤疗效有限仍制约其应用。为应对这些限制,研究者开发了多种合成细胞与分子策略:改造T细胞以外的细胞毒性免疫细胞或辅助细胞;向工程化免疫细胞加入合成组分以调节功能、增强杀伤并限制毒性;并使用水凝胶等生物材料递送治疗细胞。本文总结这些创新策略及其局限,并展望下一代细胞免疫疗法。
Cellular immunotherapy has emerged as an exciting strategy for cancer treatment, as it aims to enhance the body's immune response to tumor cells by engineering immune cells and designing synthetic molecules from scratch.
Because of the cytotoxic nature, abundance in peripheral blood, and maturation of genetic engineering techniques, T cells have become the most commonly engineered immune cells to date. Represented by chimeric antigen receptor (CAR)-T therapy, T cell-based immunotherapy has revolutionized the clinical treatment of hematological malignancies.
However, serious side effects and limited efficacy in solid tumors have hindered the clinical application of cellular immunotherapy. To address these limitations, various innovative strategies regarding synthetic cells and molecules have been developed.
On one hand, some cytotoxic immune cells other than T cells have been engineered to explore the potential of targeted elimination of tumor cells, while some adjuvant cells have also been engineered to enhance the therapeutic effect. On the other hand, diverse synthetic cellular components and molecules are added to engineered immune cells to regulate their functions, promoting cytotoxic activity and restricting side effects.
Moreover, novel bioactive materials such as hydrogels facilitating the delivery of therapeutic immune cells have also been applied to improve the efficacy of cellular immunotherapy. This review summarizes the innovative strategies of synthetic cells and molecules currently available in cellular immunotherapies, discusses the limitations, and provides insights into the next generation of cellular immunotherapies.
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