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:New advances in the treatment of intermediate and advanced hepatocellular carcinoma.
肝细胞癌(HCC)是最常见的原发性肝癌,全球影响数百万人。
肝细胞癌(HCC)是最常见的原发性肝癌,影响全球数百万人。由于疾病复杂且多变,HCC 中期和晚期治疗面临重大挑战;尽管多种治疗方式取得进展,对有效治疗策略的认识仍存在不足。多项研究的关键发现表明,免疫治疗联合靶向治疗具有协同抗肿瘤作用,可显著提高疗效且安全性良好。此外,其他研究已发现潜在疗效生物标志物,如肿瘤蛋白 53(TP53)和 CTNNB1(编码 β-catenin),从而为中晚期 HCC 患者提供个体化治疗选择。本文旨在综述中晚期 HCC 治疗的近期进展,尤其关注靶向与免疫联合治疗、CAR-T 细胞治疗(CAR-T 细胞治疗)和基因治疗;这些治疗方向有望填补有效治疗策略方面的知识空白,并为进一步研究和临床实践提供重要见解。
Hepatocellular carcinoma (HCC) is the most common primary liver cancer, affecting millions of people worldwide. Due to the complexity and variability of the disease, there are major challenges in the treatment of HCC in its intermediate and advanced stages; despite advances in various treatment modalities, there are still gaps in our understanding of effective therapeutic strategies. Key findings from several studies have shown that the combination of immunotherapy and targeted therapy has a synergistic anti-tumor effect, which can significantly enhance efficacy with a favorable safety profile. In addition, other studies have identified potential biomarkers of therapeutic response, such as tumor protein 53 (TP53) and CTNNB1 (encoding -conjugated proteins), thus providing personalized treatment options for patients with intermediate and advanced hepatocellular carcinoma. The aim of this article is to review the recent advances in the treatment of intermediate and advanced HCC, especially targeted immune-combination therapy, chimeric antigen receptor T cell therapy (CAR-T cell therapy), and gene therapy for these therapeutic options that fill in the gaps in our knowledge of effective treatment strategies, providing important insights for further research and clinical practice.
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