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革新肿瘤治疗:CAR-T 细胞疗法的深入探索

英文原题:Revolutionizing cancer treatment: an in-depth exploration of CAR-T cell therapies.

查看英文原题

Revolutionizing cancer treatment: an in-depth exploration of CAR-T cell therapies.

PubMed 2024/10/14(内容时间) Med Oncol Q2 · IF 4.7(JCR 2025)

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中文摘要

癌症是全球主要死亡原因。由于癌细胞具有异质性,多种传统癌症治疗技术的效果受到限制。因此,研究者正积极探索免疫治疗等方法,以有效管理肿瘤。免疫治疗利用患者自身免疫系统的潜在能力,以期达到治疗目标。在免疫治疗领域,CAR-T(CAR-T)细胞是癌症治疗的一项革命性创新。CAR-T 细胞治疗包括提取患者 T 细胞,以定制受体对其进行改造,使其能够特异性识别并清除肿瘤细胞,再将改造后的细胞回输患者体内。尽管 CAR-T 细胞治疗在某些 B 细胞白血病和淋巴瘤病例中取得了显著进展,但严重毒性、肿瘤浸润受限、细胞因子释放综合征和抗原逃逸等挑战限制了其治疗血液系统恶性肿瘤和实体瘤的效果。克服这些障碍需要创新性地设计更有效的 CAR-T 细胞,并由具备多元专业能力的团队开发和实施。本综述全面讨论多项治疗相关问题并提供策略性解决思路,同时深入介绍 CAR-T 细胞的结构复杂性和生产流程。

此外,本文还探讨 CAR-T 细胞治疗在临床场景中的实际应用。

展开英文摘要原文

Cancer is a leading cause of fatality worldwide. Due to the heterogeneity of cancer cells the effectiveness of various conventional cancer treatment techniques is constrained.

Thus, researchers are diligently investigating therapeutic approaches like immunotherapy for effective tumor managements. Immunotherapy harnesses the inherent potential of patient's immune system to achieve desired outcomes. Within the realm of immunotherapy, CAR-T (Chimeric Antigen Receptor T) cells, emerges as a revolutionary innovation for cancer therapy. The process of CAR-T cell therapy entails extracting the patient's T cells, altering them with customized receptors designed to specifically recognize and eradicate the tumor cells, and then reinfusing the altered cells into the patient's body.

Although there has been significant progress with CAR-T cell therapy in certain cases of specific B-cell leukemia and lymphoma, its effectiveness is hindered in hematological and solid tumors due to the challenges such as severe toxicities, restricted tumor infiltration, cytokine release syndrome and antigen escape.

Overcoming these obstacles requires innovative approaches to design more effective CAR-T cells, which require a competent and diverse team to develop and implement. This comprehensive review addresses numerous therapeutic issues and provides a strategic solution while providing a deep understanding of the structural intricacies and production processes of CAR-T cells.

In addition, this review explores the practical aspects of CAR-T cell therapy in clinical settings.

论文信息

作者
Kandav G、Chandel A
单位
Chandigarh College of Pharmacy, Chandigarh Group of Colleges, Landran, Sahibzada Ajit Singh Nagar, Punjab, 140307, India. gurpreetk11.1990@gmail.com.India
文献类型
综述
期刊
Medical oncology (Northwood, London, England)2024 Oct 14
原文标识
PubMed 39400611 · DOI 10.1007/s12032-024-02491-6