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:Potential of gamma/delta T cells for solid tumor immunotherapy.
需要更全面的研究来建立标准化治疗方案,旨在提高接受T细胞免疫治疗的肿瘤患者的生活质量和生存率。
γδ T 细胞具有独特的杀伤肿瘤机制,使其在多种肿瘤治疗细胞疗法中极具前景且独树一帜。本综述聚焦于 γδ T 细胞对主要组织相容性复合体(MHC)非依赖性抗原的识别及其与实体瘤细胞的相互作用。本文全面综述了人 γδ T 细胞亚型的分类、其特征及功能机制,以及其对肿瘤细胞的调节作用。同时探讨了 γδ T 细胞在肿瘤发生和迁移中的参与,涵盖潜在治疗靶点如凋亡相关分子、TNF 受体超家族成员 6(FAS)/FAS 配体(FASL)通路、嗜乳脂蛋白 3A-嗜乳脂蛋白 2A1(BTN3A-BTN2A1)复合物,以及与 CD4、CD8 和自然杀伤(NK)细胞的相互作用。此外,免疫检查点抑制剂如程序性细胞死亡蛋白 1/程序性细胞死亡 1 配体 1(PD-1/PD-L1)具有增强 γδ T 细胞细胞毒性的潜力。此外,对 γδ T 细胞治疗产品及其相应临床试验的综述表明,嵌合抗原受体(CAR)γδ T 细胞疗法作为一种具有令人鼓舞的临床前结果的策略颇具前景。然而,与生产和临床方面相关的实际问题仍需解决,且需要进一步研究以探究 CAR T 细胞的长期临床副作用。总之,需要更全面的研究来建立标准化治疗方案,旨在提高接受 γδ T 细胞免疫治疗的肿瘤患者的生活质量和生存率。
Gamma/delta T ( T)cells possess a unique mechanism for killing tumors, making them highly promising and distinguished among various cell therapies for tumor treatment. This review focuses on the major histocompatibility complex (MHC)-independent recognition of antigens and the interaction between T cells and solid tumor cells. A comprehensive review is provided regarding the classification of human gamma-delta T cell subtypes, the characteristics and mechanisms underlying their functions, as well as their r545egulatory effects on tumor cells. The involvement of T cells in tumorigenesis and migration was also investigated, encompassing potential therapeutic targets such as apoptosis-related molecules, the TNF receptor superfamily member 6(FAS)/FAS Ligand (FASL) pathways, butyrophilin 3A-butyrophilin 2A1 (BTN3A-BTN2A1) complexes, and interactions with CD4, CD8, and natural killer (NK) cells. Additionally, immune checkpoint inhibitors such as programmed cell death protein 1/Programmed cell death 1 ligand 1 (PD-1/PD-L1) have the potential to augment the cytotoxicity of T cells. Moreover, a review on gamma-delta T cell therapy products and their corresponding clinical trials reveals that chimeric antigen receptor (CAR) gamma-delta T therapy holds promise as an approach with encouraging preclinical outcomes. However, practical issues pertaining to manufacturing and clinical aspects need resolution, and further research is required to investigate the long-term clinical side effects of CAR T cells. In conclusion, more comprehensive studies are necessary to establish standardized treatment protocols aimed at enhancing the quality of life and survival rates among tumor patients utilizing T cell immunotherapy.
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