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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:CAR-macrophage: Breaking new ground in cellular immunotherapy.
CAR-macrophage: Breaking new ground in cellular immunotherapy.
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嵌合抗原受体(CAR)技术革新了细胞免疫治疗,尤其是 CAR-T 细胞成功治疗血液系统恶性肿瘤。然而,CAR-T 细胞治疗实体瘤的疗效有限。CAR 巨噬细胞(CAR-M)结合巨噬细胞的先天特性与 CAR 技术的特异性和效力,为癌症免疫治疗提供了一种新颖且有前景的方法。临床前研究显示,CAR-M 可有效靶向并破坏肿瘤细胞,即使在不利微环境中也能发挥作用;其机制包括直接细胞毒性以及增强其他免疫细胞的募集和激活。此外,巨噬细胞良好的安全性特征及其在实体瘤中的持久存在,使 CAR-M 相较 CAR-T 可能成为更安全、持久的治疗选择。本综述探讨 CAR-M 技术的近期进展,包括提高抗肿瘤效力的工程策略及支持其应用的临床前证据,并讨论 CAR-M 治疗开发中的挑战和未来方向。通过利用巨噬细胞独特特性,CAR-M 为克服 CAR-T 细胞治疗当前局限提供了突破性途径,有望推动更有效、持久的癌症治疗。
Chimeric Antigen Receptor (CAR) technology has revolutionized cellular immunotherapy, particularly with the success of CAR-T cells in treating hematologic malignancies.
However, CAR-T cells have the limited efficacy of against solid tumors. To address these limitations, CAR-macrophages (CAR-Ms) leverage the innate properties of macrophages with the specificity and potency of CAR technology, offering a novel and promising approach to cancer immunotherapy. Preclinical studies have shown that CAR-Ms can effectively target and destroy tumor cells, even within challenging microenvironments, by exhibiting direct cytotoxicity and enhancing the recruitment and activation of other immune cells.
Additionally, the favorable safety profile of macrophages and their persistence within solid tumors position CAR-Ms as potentially safer and more durable therapeutic options compared to CAR-T cells. This review explores recent advancements in CAR-Ms technology, including engineering strategies to optimize their anti-tumor efficacy and preclinical evidence supporting their use.
We also discuss the challenges and future directions in developing CAR-Ms therapies, emphasizing their potential to revolutionize cellular immunotherapy. By harnessing the unique properties of macrophages, CAR-Ms offer a groundbreaking approach to overcoming the current limitations of CAR-T cell therapies, paving the way for more effective and sustainable cancer treatments.
在 PubMed 查看 → 出版商原文(DOI) 全文 PDF(PMC)· 可下载 治疗专题与资料阅读指南 资料来源与翻译说明 报告译文或资料问题 →
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