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:Vaccinia virus-mediated oncolytic immunotherapy: Emerging strategies for gastrointestinal cancer treatment at dawn.
Vaccinia virus-mediated oncolytic immunotherapy: Emerging strategies for gastrointestinal cancer treatment at dawn.
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基于溶瘤痘苗病毒(VV)的免疫疗法是胃肠道(GI)癌症中快速发展的治疗方式。化疗、放疗和手术等传统疗法对早期GI癌症效果较好,但对晚期疾病疗效有限。由于肿瘤异质性和复杂的免疫抑制机制,免疫疗法治疗GI癌症的效果也有限。溶瘤VV免疫疗法是一种新型治疗方法,在临床前和临床试验中显示出良好前景。溶瘤VV在细胞质内复制和组装,具有多种成熟形态及多样化用法,使其具备较高安全性和较强的药物递送适用性。与单药治疗相比,溶瘤VV联合传统疗法及免疫疗法(如免疫检查点抑制剂、CAR-T)可增强肿瘤消退并延长生存期。研究者正在建立应答方案和改进策略,推动VV肿瘤溶瘤免疫疗法快速发展。本文聚焦溶瘤痘苗病毒在胃肠道癌症治疗中的研发与前景,介绍其与其他药物联合以改善临床生存的优势,并探讨患者安全性及降低风险的作用。
Oncolytic vaccinia virus (VVs) based immunotherapy is a rapidly developing treatment for gastrointestinal (GI) cancers. Conventional treatments, such as chemotherapy, radiotherapy and surgery achieve good effects in early-stage GI cancers, but effects are limited in advanced disease. Immunotherapy has limited efficacy in GI cancers due to tumor heterogeneity and complex immunosuppressive mechanisms. Oncolytic VV immunotherapy is a novel treatment approach showing promising results in preclinical and clinical trials.
Oncolytic VV's intracytoplasmic replication and assembly mechanism, diverse mature forms, and use methods make it extremely safe and versatile for drug delivery. Combining oncolytic VV with conventional therapies and immunotherapy (e. g. , ICIs, CAR-T) enhances tumor regression and survival compared to monotherapies.
Researchers are establishing response protocols and improvement strategies, rapidly developing VV tumor oncolytic immunotherapy. This article focuses on oncolytic vaccinia development and outlook in gastrointestinal cancer therapy, advantages when combined with other drugs to improve clinical survival, safety, and risk reduction for patients.
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