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CAR-T 在癌症治疗中的应用及最新进展

英文原题:CAR-T in cancer therapeutics and updates.

PubMed 2024/01/09(内容时间) J Natl Cancer Cent Q1 · IF 25.2(JCR 2025)

研究概要

嵌合抗原受体(CAR)T细胞疗法已成为癌症治疗中的一项突破性方法,利用免疫系统的能力来对抗恶性肿瘤。

中文摘要

嵌合抗原受体(CAR)T细胞疗法已成为癌症治疗领域的一项突破性方法,利用免疫系统的能力来对抗恶性肿瘤。这种创新疗法包括从患者血液中提取T细胞,通过基因修饰使其靶向特定的癌细胞,然后将其回输到患者体内。经过基因修饰的T细胞随后寻找并消灭癌细胞,提供了一种有前景的治疗策略。自2017年首次获批以来,CAR-T疗法已取得了显著进展和更新。值得注意的是,最初为血液系统恶性肿瘤开发的CAR-T疗法已将其应用范围扩展至实体瘤。目前,临床试验正在进行中,以探索CAR-T疗法治疗各种实体瘤的疗效,如肺癌、乳腺癌和卵巢癌。这些试验具有巨大的潜力,有望彻底改变癌症治疗,并为难以治疗的实体瘤患者提供新的希望。在这篇小型综述中,我们概述了CAR-T疗法的机制,强调其靶向癌细胞的作用及潜在的治疗获益。此外,我们讨论了CAR-T疗法的最新进展和更新,特别是其在治疗实体瘤中的应用,并重点介绍了旨在拓宽其治疗范围的正在进行的临床试验。CAR-T疗法不断演变的发展格局标志着癌症治疗学的一个有前景的方向,具有彻底改变血液系统恶性肿瘤和实体瘤治疗的潜力。

展开英文摘要原文

Chimeric antigen receptor (CAR) T-cell therapy has emerged as a groundbreaking approach in cancer treatment, utilizing the immune system's capabilities to combat malignancies. This innovative therapy involves extracting T-cells from a patient's blood, genetically modifying them to target specific cancer cells, and reinfusing them back into the patient's body. The genetically modified T-cells then seek out and eliminate cancer cells, offering a promising therapeutic strategy. Since its initial approval in 2017, CAR-T therapy has witnessed remarkable advancements and updates. Notably, CAR-T therapy, which was initially developed for hematological malignancies, has expanded its scope to target solid tumors. Currently, clinical trials are underway to explore the efficacy of CAR-T therapy in treating various solid tumors, such as lung cancer, breast cancer, and ovarian cancer. These trials hold great potential to revolutionize cancer treatment and provide new hope to patients with challenging-to-treat solid tumors. In this mini-review, we present an overview of CAR-T therapy's mechanisms, emphasizing its role in targeting cancer cells and the potential therapeutic benefits. Additionally, we discuss the recent progress and updates in CAR-T therapy, particularly its application in treating solid tumors, and highlight the ongoing clinical trials aimed at broadening its therapeutic horizon. The evolving landscape of CAR-T therapy signifies a promising direction in cancer therapeutics, with the potential to revolutionize the treatment of both hematological and solid tumor malignancies.

论文信息

作者
Zhu S
单位
Cellular Biomedical Group, Inc., Shanghai, China.China
期刊
Journal of the National Cancer Center2024 Sep
原文标识
PubMed 39281717 · DOI 10.1016/j.jncc.2024.01.001