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TCR-T 细胞治疗肿瘤的临床进展与挑战

英文原题:Clinical advances and challenges associated with TCR-T cell therapy for cancer treatment.

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Clinical advances and challenges associated with TCR-T cell therapy for cancer treatment.

PubMed 2024/10/08(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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研究概要

TCR-T 细胞疗法在癌症治疗中具有巨大前景。

中文摘要

T 细胞受体(TCR)T 细胞治疗是一种创新癌症免疫疗法,通过基因改造患者 T 细胞使其靶向并破坏癌细胞。然而,目前 TCR-T 治疗癌症的临床试验状况尚不清楚。本研究旨在全面分析 TCR-T 癌症治疗的注册临床试验。

全面检索 Trialtrove 数据库中截至 2024 年 8 月 1 日注册的所有 TCR-T 临床试验。纳入标准为肿瘤领域 TCR-T 治疗试验,排除观察性研究和数据不完整的研究。统计分析主要试验特征,组间比较采用卡方检验或 Fisher 精确检验。

对 174 项符合条件的临床试验进行分析后发现,TCR-T 在多种肿瘤类型中显示显著疗效,尤其是难治性血液系统恶性肿瘤和部分实体瘤。此外,TCR-T 联合其他免疫疗法可增强抗肿瘤作用。

TCR-T 细胞治疗在癌症治疗中前景广阔。未来研究应聚焦优化治疗方案、提高疗效并降低成本,以充分发挥该疗法潜力。

展开英文摘要原文

T cell receptor (TCR)-T cell therapy is an innovative form of cancer immunotherapy that genetically modifies patients' T cells to target and destroy cancer cells. However, the current status of clinical trials of TCR-T cell therapy for the treatment of cancer remains unclear. This study aimed to comprehensively analyze the registration trials related to TCR-T cell therapy for the treatment of cancer.

A comprehensive search was conducted in the Trialtrove database for all clinical trials related to TCR-T cell therapy registered by August 1, 2024. Inclusion criteria focused on trials targeting TCR-T cell therapy for oncology, and excluded observational studies and incomplete data. Statistical analysis was performed on key trial characteristics, with between-group comparisons utilizing chi-square or Fisher's exact tests.

Analysis of 174 eligible clinical trials revealed that TCR-T cell therapy exhibits significant efficacy across various tumor types, particularly in refractory hematologic malignancies and certain solid tumors. Additionally, combining TCR-T cell therapy with other immunotherapies enhanced these anti-tumor effects.

TCR-T cell therapy holds substantial promise for cancer treatment. Future research should focus on optimizing treatment protocols, enhancing efficacy, and minimizing prices to fully realize the potential of this therapy.

论文信息

作者
Li J、Zhang Y、Fu T、Xing G、Cai H、Li K、Xu Y、Tong Y
第一作者单位
Heilongjiang University of Chinese Medicine, Harbin, China.China
通讯作者单位
First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Harbin, China.China
文献类型
综述
期刊
Frontiers in immunology2024
原文标识
PubMed 39439803 · DOI 10.3389/fimmu.2024.1487782