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:Advancements in adoptive CAR immune cell immunotherapy synergistically combined with multimodal approaches for tumor treatment.
Advancements in adoptive CAR immune cell immunotherapy synergistically combined with multimodal approaches for tumor treatment.
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过继性免疫治疗,尤其是涉及嵌合抗原受体(CAR)-T细胞的治疗,已获得美国食品药品监督管理局(FDA)批准用于多种血液系统恶性肿瘤的治疗,在临床前研究中展现出对癌症的良好疗效。然而,复杂且资源密集的自体细胞处理过程,包括采集、扩增、工程改造、分离和回输,阻碍了该治疗模式的疗效。此外,由于物理屏障的阻碍、细胞因子释放综合征的潜在风险以及免疫抑制性和异质性肿瘤微环境诱导的细胞耗竭,传统CAR-T 疗法目前仅限于应对实体瘤。因此,将过继性免疫治疗与协同性多模式治疗(如化疗、放疗和疫苗治疗等)进行策略性整合,成为克服这些固有挑战的关键途径。这种协同策略是解决上述局限性的关键,从而有助于实现更精准的个性化治疗,并具有更高的治疗疗效。这种协同策略不仅有助于缓解过继性免疫治疗相关的限制,还能增强临床适用性,从而推动治疗精准性和有效性的前沿发展。
Adoptive immunotherapy, notably involving chimeric antigen receptor (CAR)-T cells, has obtained Food and Drug Administration (FDA) approval as a treatment for various hematological malignancies, demonstrating promising preclinical efficacy against cancers.
However, the intricate and resource-intensive autologous cell processing, encompassing collection, expansion, engineering, isolation, and administration, hamper the efficacy of this therapeutic modality.
Furthermore, conventional CAR T therapy is presently confined to addressing solid tumors due to impediments posed by physical barriers, the potential for cytokine release syndrome, and cellular exhaustion induced by the immunosuppressive and heterogeneous tumor microenvironment. Consequently, a strategic integration of adoptive immunotherapy with synergistic multimodal treatments, such as chemotherapy, radiotherapy, and vaccine therapy etc. , emerges as a pivotal approach to surmount these inherent challenges.
This collaborative strategy holds the key to addressing the limitations delineated above, thereby facilitating the realization of more precise personalized therapies characterized by heightened therapeutic efficacy. Such synergistic strategy not only serves to mitigate the constraints associated with adoptive immunotherapy but also fosters enhanced clinical applicability, thereby advancing the frontiers of therapeutic precision and effectiveness.
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