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 complex role of immune cells in antigen presentation and regulation of T-cell responses in hepatocellular carcinoma: progress, challenges, and future directions.
我们总结了研究的最新进展,提出了未来的探索方向,并强调了创新技术和个体化治疗策略的重要性。
肝细胞癌(HCC)是常见的肝癌,具有较高的发病率和死亡率,带来重大挑战。在HCC中,免疫细胞发挥重要作用,尤其参与抗原呈递。本综述探讨HCC中免疫细胞之间复杂的相互作用,重点关注其在抗原呈递和调节T细胞应答中的功能。我们首先概述HCC逃避免疫识别的策略,强调免疫监视与免疫逃逸之间微妙的平衡。随后,考察树突状细胞、自然杀伤(NK)细胞和CD8+ T细胞等不同免疫细胞在抗原呈递过程中的具体功能。我们还分析细胞毒性T淋巴细胞相关蛋白4(CTLA-4)以及程序性细胞死亡蛋白1(PD-1)和程序性死亡配体1(PD-L1)通路等免疫检查点对抗原呈递的影响,并探讨检查点抑制剂的临床意义。综述进一步强调免疫治疗(包括癌症疫苗和CAR-T细胞疗法)对改善抗原呈递的重要性。最后,我们总结研究最新进展,提出未来探索方向,并强调创新技术和个体化治疗策略的重要性。通过全面分析HCC抗原呈递过程中免疫细胞的相互作用,本综述提供了该领域的最新认识,为新的治疗策略奠定基础。
Hepatocellular carcinoma (HCC) is a prevalent form of liver cancer that poses significant challenges regarding morbidity and mortality rates. In the context of HCC, immune cells play a vital role, especially concerning the presentation of antigens. This review explores the intricate interactions among immune cells within HCC, focusing on their functions in antigen presentation and the modulation of T-cell responses. We begin by summarizing the strategies that HCC uses to escape immune recognition, emphasizing the delicate equilibrium between immune surveillance and evasion. Next, we investigate the specific functions of various types of immune cells, including dendritic cells, natural killer (NK) cells, and CD8+ T cells, in the process of antigen presentation. We also examine the impact of immune checkpoints, such as cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) and the pathways involving programmed cell death protein 1 (PD-1) and programmed death ligand 1 (PD-L1), on antigen presentation, while taking into account the clinical significance of checkpoint inhibitors. The review further emphasizes the importance of immune-based therapies, including cancer vaccines and CAR-T cell therapy, in improving antigen presentation. In conclusion, we encapsulate the latest advancements in research, propose future avenues for exploration, and stress the importance of innovative technologies and customized treatment strategies. By thoroughly analyzing the interactions of immune cells throughout the antigen presentation process in HCC, this review provides an up-to-date perspective on the field, setting the stage for new therapeutic approaches.
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