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CAR-T 细胞治疗脑膜瘤:当前研究、进展及对未来方向的见解

英文原题:CAR-T-cell therapy in meningioma: current investigations, advancements and insight into future directions.

查看英文原题

CAR-T-cell therapy in meningioma: current investigations, advancements and insight into future directions.

PubMed 2024/08/22(内容时间) Ann Med Surg (Lond) Q2 · IF 1.6(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

脑膜瘤是最常见的中枢神经系统(CNS)肿瘤,治疗面临重大挑战,尤其是非典型型和间变型脑膜瘤,标准疗法往往达不到预期效果。嵌合抗原受体(CAR)T 细胞治疗是一种突破性的免疫治疗方式,在血液系统恶性肿瘤中取得了巨大成功,但用于胶质母细胞瘤等 CNS 实体瘤时仍有障碍。本文全面综述 CAR-T 治疗脑膜瘤的疗效,重点讨论脑膜瘤的免疫原性潜力,以及该疗法临床应用所面临的挑战。通过广泛的文献回顾,本文探讨了脑膜瘤 CAR-T 靶向的潜在抗原,并阐明肿瘤与免疫微环境之间的相互作用。文中讨论了肿瘤异质性、穿越血脑屏障、脱靶效应和肿瘤复发等挑战,以及克服这些障碍的潜在策略。本文还考察了 CAR-T 治疗的近期进展,包括新靶抗原的识别和提高治疗效力的工程化方法。

此外,文章强调需要持续研究脑膜瘤中的肿瘤-免疫动态,并指出亟需开展临床试验以验证 CAR-T 治疗在这一疾病场景下的安全性和疗效。通过应对这些挑战,CAR-T 治疗有望革新脑膜瘤治疗,为患者带来新的希望。

展开英文摘要原文

Meningiomas, the most common tumors of the central nervous system (CNS), present significant challenges in treatment, particularly for atypical and anaplastic subtypes where standard therapies often fall short of therapeutic expectations. Chimeric antigen receptor (CAR) T-cell therapy, a groundbreaking immunotherapy approach, has demonstrated great success in hematological malignancies but faces obstacles in solid tumors, including CNS tumors like glioblastomas. This article provides a comprehensive review of the efficacy of CAR-T therapy in meningiomas, highlighting the tumor's immunogenic potential and the challenges associated with applying this therapy in clinical practice.

Through an extensive literature review, the study explores potential antigens for CAR-T targeting in meningiomas, shedding light on the tumor-immune microenvironment interactions. Challenges such as tumor heterogeneity, blood-brain barrier penetration, off-target effects, and tumor recurrence are discussed, alongside potential strategies to overcome these obstacles.

The study also investigates recent advancements in CAR-T therapy, including the identification of novel target antigens and the development of engineering approaches to enhance therapeutic efficacy.

Furthermore, the article highlights the importance of ongoing research efforts in exploring the tumor-immune dynamics in meningiomas and underscores the urgent need for clinical trials to validate the safety and efficacy of CAR-T therapy in this context. By addressing these challenges, CAR-T therapy holds the promise of revolutionizing meningioma treatment, offering new hope for patients suffering from this disease.

论文信息

作者
Rath S、Shafeea MS、Abdul Hussein AF、Shamil Hashim A、Hassanaien S、Pastrana-Brandes S、Chaurasia B
第一作者单位
All India Institute of Medical Sciences, Bhubaneswar, India.India
通讯作者单位
Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.
文献类型
综述
期刊
Annals of medicine and surgery (2012)2024 Oct
原文标识
PubMed 39359850 · DOI 10.1097/MS9.0000000000002491