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:Revolutionizing Cancer Treatment: Recent Advances in Immunotherapy.
肿瘤免疫治疗已成为肿瘤学中一种变革性方法,利用机体免疫系统特异性靶向并摧毁恶性细胞。
癌症免疫治疗已成为肿瘤学中的变革性方法,利用人体免疫系统特异性靶向并破坏恶性细胞。本综述探讨多种免疫治疗策略的范围及影响,包括单克隆抗体、嵌合抗原受体(CAR)T细胞疗法、免疫检查点抑制剂、细胞因子治疗和治疗性疫苗。利妥昔单抗和曲妥珠单抗等单克隆抗体通过靶向治疗减少脱靶效应,革新了淋巴瘤和乳腺癌治疗模式。CAR-T细胞疗法为难治性血液系统恶性肿瘤提供了潜在治愈选择,但实体瘤治疗仍面临挑战。免疫检查点抑制剂重新定义了黑色素瘤和肺癌等癌症的管理方式;然而,免疫相关不良事件管理及持久应答仍是关键关注领域。细胞因子治疗持续在调节免疫反应中发挥重要作用,细胞因子工程的进展提高了特异性并降低全身毒性。治疗性疫苗,尤其是基于mRNA的疫苗,是个体化癌症治疗的前沿方向,旨在针对肿瘤特异性抗原诱发强劲且持久的免疫反应。尽管取得进展,该领域仍面临免疫耐药、肿瘤异质性和免疫抑制性肿瘤微环境等重大挑战。未来研究应借助新兴技术应对这些障碍,包括新一代抗体、基于规律成簇间隔短回文重复序列(CRISPR)的基因编辑及AI驱动药物发现。整合这些新方法,有望提供更持久、毒性更低且高度个体化的治疗选择,最终改善患者结局和生存。
Cancer immunotherapy has emerged as a transformative approach in oncology, utilizing the body's immune system to specifically target and destroy malignant cells. This review explores the scope and impact of various immunotherapeutic strategies, including monoclonal antibodies, chimeric antigen receptor (CAR)-T cell therapy, checkpoint inhibitors, cytokine therapy, and therapeutic vaccines. Monoclonal antibodies, such as Rituximab and Trastuzumab, have revolutionized treatment paradigms for lymphoma and breast cancer by offering targeted interventions that reduce off-target effects. CAR-T cell therapy presents a potentially curative option for refractory hematologic malignancies, although challenges remain in effectively treating solid tumors. Checkpoint inhibitors have redefined the management of cancers like melanoma and lung cancer; however, managing immune-related adverse events and ensuring durable responses are critical areas of focus. Cytokine therapy continues to play a vital role in modulating the immune response, with advancements in cytokine engineering improving specificity and reducing systemic toxicity. Therapeutic vaccines, particularly mRNA-based vaccines, represent a frontier in personalized cancer treatment, aiming to generate robust, long-lasting immune responses against tumor-specific antigens. Despite these advancements, the field faces significant challenges, including immune resistance, tumor heterogeneity, and the immunosuppressive tumor microenvironment. Future research should address these obstacles through emerging technologies, such as next-generation antibodies, Clustered Regularly Interspaced Short Palindromic Repeat (CRISPR)-based gene editing, and AI-driven drug discovery. By integrating these novel approaches, cancer immunotherapy holds the promise of offering more durable, less toxic, and highly personalized treatment options, ultimately improving patient outcomes and survival rates.
MEMBER ACCOUNT
登录成功会直接打开下一页。