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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Navigating the therapeutic landscape for breast cancer: targeting breast cancer stem cells.
Navigating the therapeutic landscape for breast cancer: targeting breast cancer stem cells.
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乳腺癌是一种常见且致命的恶性肿瘤,影响全球女性;乳腺癌干细胞(BCSC)在肿瘤发生、进展、转移和复发中发挥重要作用。传统治疗往往无法清除 BCSC,导致治疗耐药和复发。本综述探讨靶向 BCSC 的治疗策略,包括抑制关键信号通路和靶向受体,也介绍化疗、植物药和纳米技术等靶向方法。纳米技术能够更精准递送治疗药物并减少副作用,因此在癌症治疗中日益重要。通过纳米载体可高效递送多种化疗药物、siRNA 或基因编辑工具,靶向与 BCSC 相关的通路、受体和蛋白。近年来,刺激响应型和受体靶向纳米载体已被探索以改善治疗效果。近期还在探索嵌合抗原受体(CAR)T 细胞治疗、消融治疗和无细胞疗法等靶向干细胞策略。本综述总结靶向 BCSC 的近期发展,从传统化疗药物到聚合物、脂质和金属纳米颗粒等纳米技术平台,以及 CAR-T 细胞治疗等先进技术。
Breast cancer is a common and deadly malignancy that affects women globally, and breast cancer stem cells (BCSCs) play an important role in tumorigenesis, development, metastasis, and recurrence. Traditional therapies often fail to eliminate BCSCs, leading to treatment resistance and relapse. This review explores the therapeutic strategies which are designed to target BCSCs, including inhibition of key signaling pathway and targeting receptor. This paper also explores the approaches to targeting BCSCs including chemotherapy, phytomedicines, and nanotechnology. Nanotechnology has gained a lot of importance in cancer therapy because of its ability to deliver therapeutic agents with more precision and minimal side effects.
Various chemotherapeutic drugs, siRNAs, or gene editing tools are delivered efficiently with the use of nanocarriers which target pathways, receptors, and proteins associated with BCSCs. Over the past few years, stimuli-responsive and receptor-targeted nanocarriers have been explored for better therapeutic effects.
In recent times, strategies such as chimeric antigen receptor (CAR) T-cell therapy, ablation therapy, and cell-free therapies are explored for targeting these stem cells. This review provides a recent developmental overview of strategies to attack BCSCs from conventional chemotherapeutic agents to nanotechnological platforms such as polymeric, lipidic, and metal-based nanoparticles and advanced technologies like CAR T cell therapies.
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