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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Exploring miRNA therapies and gut microbiome-enhanced CAR-T cells: advancing frontiers in glioblastoma stem cell targeting.
Exploring miRNA therapies and gut microbiome-enhanced CAR-T cells: advancing frontiers in glioblastoma stem cell targeting.
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多形性胶质母细胞瘤(GBM)侵袭性强且对传统治疗耐药,是肿瘤学领域的重大挑战。近期提出一种新型治疗策略,结合 microRNA 治疗、CAR-T(CAR-T)细胞和肠道微生物组调节,靶向 GBM 干细胞并革新癌症治疗。MicroRNA 治疗有望调节参与 GBM 进展的关键信号通路,并可能阻断 GBM 干细胞自我更新。CAR-T 细胞治疗最初在血液系统肿瘤中取得成功,目前正通过基因工程改造 T 细胞,使其识别并清除 GBM 干细胞特异性抗原,从而拓展至 GBM。尽管早期研究取得成功,免疫抑制性肿瘤微环境等挑战仍然存在。
此外,近期研究发现肠道微生物组与 GBM 之间存在联系,提示肠道菌群失调可能影响全身炎症和免疫应答。调节肠道微生物组的新策略正在出现,可增强 microRNA 疗法和 CAR-T 细胞治疗的疗效。这种综合策略凸显了创新疗法联合治疗 GBM 的协同潜力,旨在清除原发肿瘤并预防复发,从而改善患者预后和生活质量。要充分发挥这一有前景的 GBM 治疗方向,仍需持续开展研究和临床试验,为面临这一致命疾病的患者带来希望。
Glioblastoma multiforme (GBM) presents a formidable challenge in oncology due to its aggressive nature and resistance to conventional treatments. Recent advancements propose a novel therapeutic strategy combining microRNA-based therapies, chimeric antigen receptor-T (CAR-T) cells, and gut microbiome modulation to target GBM stem cells and transform cancer treatment.
MicroRNA therapies show promise in regulating key signalling pathways implicated in GBM progression, offering the potential to disrupt GBM stem cell renewal. CAR-T cell therapy, initially successful in blood cancers, is being adapted to target GBM by genetically engineering T cells to recognise and eliminate GBM stem cell-specific antigens. Despite early successes, challenges like the immunosuppressive tumour microenvironment persist.
Additionally, recent research has uncovered a link between the gut microbiome and GBM, suggesting that gut dysbiosis can influence systemic inflammation and immune responses. Novel strategies to modulate the gut microbiome are emerging, enhancing the efficacy of microRNA therapies and CAR-T cell treatments.
This combined approach highlights the synergistic potential of these innovative therapies in GBM treatment, aiming to eradicate primary tumours and prevent recurrence, thereby improving patient prognosis and quality of life. Ongoing research and clinical trials are crucial to fully exploit this promising frontier in GBM therapy, offering hope to patients grappling with this devastating disease.
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