决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:The future of cellular therapy for the treatment of renal cell carcinoma.
迄今为止,过继性细胞治疗取得较大治疗成功的领域包括 CIK 细胞的辅助给药以及抗 CD70 CAR-T 细胞在转移性肾细胞癌患者中的输注。
引言:近年来,肾细胞癌(RCC)的全身治疗选择显著增加,酪氨酸激酶抑制剂和免疫检查点抑制剂,无论单独使用还是联合使用,均已进入临床应用。过继细胞免疫疗法近期改变了癌症治疗格局,并有望进一步推动RCC治疗发展。 综述范围:本文总结过继细胞免疫疗法治疗RCC领域最新的临床前和临床进展,重点介绍淋巴因子活化杀伤(LAK)细胞、细胞因子诱导的杀伤(CIK)细胞、肿瘤浸润T细胞(TIL)、TCR工程化T细胞、嵌合抗原受体(CAR)T细胞,以及树突状细胞疫苗策略。综述还涉及新兴细胞产品,包括CAR-NK细胞、CAR-巨噬细胞及T细胞。 专家观点:迄今,过继细胞疗法取得较大治疗成功的领域包括辅助性输注CIK细胞,以及向转移性RCC患者输注抗CD70 CAR T细胞。要克服过继细胞疗法在RCC治疗中的现有限制,仍需开展从实验室到临床再回到实验室的转化研究,主要目标是提高免疫细胞产品的安全性、优化其抗肿瘤活性,并开发可供临床使用的现货型产品。
INTRODUCTION: Systemic treatment options for renal cell carcinoma (RCC) have expanded considerably in recent years, and both tyrosine kinase inhibitors and immune checkpoint inhibitors, alone or in combination, have entered the clinical arena. Adoptive cell immunotherapies have recently revolutionized the treatment of cancer and hold the promise to further advance the treatment of RCC. AREAS COVERED: In this review, we summarize the latest preclinical and clinical development in the field of adoptive cell immunotherapy for the treatment of RCC, focusing on lymphokine-activated killer (LAK) cells, cytokine-induced killer (CIK) cells, tumor-infiltrating T cells (TILs), TCR-engineered T cells, chimeric antigen receptor (CAR) T cells, and dendritic cell vaccination strategies. Perspectives on emerging cellular products including CAR NK cells, CAR macrophages, as well as T cells are also included. EXPERT OPINION: So far, areas of greater therapeutic success of adoptive cell therapies include the adjuvant administration of CIK cells and the transfer of anti-CD70 CAR T cells in patients with metastatic RCC. Bench to bedside and back research will be needed to overcome current limitations of adoptive cell therapies in RCC, primarily aiming at improving the safety of immune cell products, optimizing their antitumor activity and generating off-the-shelf products ready for clinical use.
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