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:Delivery Systems Developed for Treatment Combinations to Improve Adoptive Cell Therapy.
Delivery Systems Developed for Treatment Combinations to Improve Adoptive Cell Therapy.
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过继性细胞疗法(ACT)在临床上治疗血液系统恶性肿瘤已取得巨大成功。然而,由于过继细胞的扩增不足和快速耗竭、肿瘤抗原下调/丢失以及致密的肿瘤细胞外基质,采用ACT单一疗法治疗实体瘤仍面临挑战。联合细胞疗法的递送策略具有克服这些障碍的巨大潜力。疫苗、免疫检查点抑制剂、细胞因子、化疗药物和光热试剂与过继细胞联合递送,已被证明可改善过继细胞在实体瘤中的扩增/活化、减少耗竭并促进其渗透。此外,直接在体内递送核酸以工程化免疫细胞,有望克服与复杂的离体细胞工程化策略相关的诸多障碍。在此,我们讨论了这些研究进展,以及将递送技术整合到细胞疗法中的机遇与挑战,并对这些新兴领域的前景进行了批判性分析。
Adoptive cell therapy (ACT) has shown great success in the clinic for treating hematologic malignancies.
However, solid tumor treatment with ACT monotherapy is still challenging, owing to insufficient expansion and rapid exhaustion of adoptive cells, tumor antigen downregulation/loss, and dense tumor extracellular matrix. Delivery strategies for combination cell therapy have great potential to overcome these hurdles.
The delivery of vaccines, immune checkpoint inhibitors, cytokines, chemotherapeutics, and photothermal reagents in combination with adoptive cells, have been shown to improve the expansion/activation, decrease exhaustion, and promote the penetration of adoptive cells in solid tumors.
Moreover, the delivery of nucleic acids to engineer immune cells directly in vivo holds promise to overcome many of the hurdles associated with the complex ex vivo cell engineering strategies.
Here, these research advance, as well as the opportunities and challenges for integrating delivery technologies into cell therapy s are discussed, and the outlook for these emerging areas are criticlly analyzed.
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