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纳米技术辅助的 CAR-T 细胞治疗用于肿瘤治疗

英文原题:Nanotechnology-Assisted CAR-T-Cell Therapy for Tumor Treatment.

查看英文原题

Nanotechnology-Assisted CAR-T-Cell Therapy for Tumor Treatment.

PubMed 2024/09/01(内容时间) Wiley Interdiscip Rev Nanomed Nanobiotechnol Q1 · IF 8.6(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Wang Y、Barrett A、Hu Q
单位
Pharmaceutical Sciences Division, School of Pharmacy, University of Wisconsin-Madison, Madison, Wisconsin, USA.United States
文献类型
综述 · 非美国政府资助研究
期刊
Wiley interdisciplinary reviews. Nanomedicine and nanobiotechnology2024 Sep-Oct
原文标识
PubMed 39425546 · DOI 10.1002/wnan.2005