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:Nanotechnology-Assisted CAR-T-Cell Therapy for Tumor Treatment.
Nanotechnology-Assisted CAR-T-Cell Therapy for Tumor Treatment.
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由嵌合抗原受体(CAR)重定向的 T 细胞过继转移,在治疗血液系统恶性肿瘤方面取得重大突破。然而,CAR-T 细胞治疗实体瘤的获益有限,原因包括肿瘤浸润和扩增不足、过继转移后功能迅速衰减,以及严重且危及生命的毒性。为应对这些挑战,纳米技术进展带来了创新方法,可制备效力更强、毒性更低、抗肿瘤活性更高的 CAR-T 细胞。为 CAR-T 细胞装载多功能纳米颗粒,可消除肿瘤局部免疫抑制信号、增强 CAR-T 细胞功能,并减轻其对正常组织的毒性。此外,纳米颗粒介导的 CAR-T 细胞编程可能优化制造流程并降低成本,从而促进 CAR-T 细胞治疗更广泛实施。本综述介绍 CAR-T 细胞治疗需要克服的障碍,强调旨在拓展 CAR-T 细胞治疗应用的纳米技术策略,并展望纳米颗粒辅助 CAR-T 细胞治疗的前景。
The adoptive transfer of T cells redirected by chimeric antigen receptors (CARs) has made a dramatic breakthrough in defeating hematological malignancies.
However, in solid tumor treatment, CAR-T-cell therapy has attained limited therapeutic benefits due to insufficient infiltration and expansion, rapidly diminishing function following adoptive transfer, and severe life-threatening toxicities.
To address these challenges, advancements in nanotechnology have utilized innovative approaches to devise stronger CAR-T cells with reduced toxicity and enhanced anti-tumor activity. Equipping CAR-T cells with multifunctional nanoparticles can abrogate immunosuppressive signaling in the tumor area, augment the functions of CAR-T cells, and mitigate their toxicity against normal tissues.
Additionally, nanoparticle-mediated CAR-T-cell programming has the potential to optimize manufacturing and lower the cost for the broader implementation of CAR-T-cell therapy. In this review, we introduce the obstacles to be surmounted in CAR-T-cell therapy, highlight the nanotechnology-based strategies that aim to enrich the therapeutic applications of CAR-T-cell therapy, and envision the prospect of nanoparticle-assisted CAR-T-cell therapy.
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