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细胞治疗进展:血液系统肿瘤与实体瘤中的进展与挑战

英文原题:Advances in cell therapy: progress and challenges in hematological and solid tumors.

查看英文原题

Advances in cell therapy: progress and challenges in hematological and solid tumors.

PubMed 2024/11/27(内容时间) Trends Pharmacol Sci Q1 · IF 24(JCR 2025)

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中文摘要

细胞疗法利用免疫系统自身对抗癌症的能力,在血液系统恶性肿瘤治疗中已显示良好前景。然而,若将其应用于B细胞恶性肿瘤以外的癌症,仍受到多种障碍限制,包括疾病复发和恶劣的肿瘤微环境(TME)。细胞工程和TME调节方面的近期进展可能扩大此类疗法的适用癌种,带来新的治疗选择。基因编辑技术和精密细胞工程的突破,也为长期存在的挑战提供了有前景的解决方案。本综述探讨主要细胞疗法的挑战和未来方向,包括嵌合抗原受体(CAR)T细胞、TIL(肿瘤浸润淋巴细胞)、自然杀伤(NK)细胞及新兴治疗形式。文章还全面分析进入临床试验的新兴细胞类型和联合治疗策略,并展望下一代细胞癌症疗法。

展开英文摘要原文

Cell-based therapies harness the endogenous ability of the immune system to fight cancer and have shown promising results in the treatment of hematological malignancies.

However, their clinical application beyond B cell malignancies is hampered by numerous hurdles, ranging from relapsed disease to a hostile tumor microenvironment (TME). Recent advances in cell engineering and TME modulation may expand the applicability of these therapies to a wider range of cancers, creating new treatment possibilities.

Breakthroughs in advanced gene editing and sophisticated cell engineering, have also provided promising solutions to longstanding challenges. In this review, we examine the challenges and future directions of the most prominent cell-based therapies, including chimeric antigen receptor (CAR)-T cells, tumor-infiltrating lymphocytes (TILs), and natural killer (NK) cells, and emerging modalities.

We provide a comprehensive analysis of emerging cell types and combination strategies translated into clinical trials, offering insights into the next generation of cell-based cancer treatments.

论文信息

作者
D'Avanzo C、Blaeschke F、Lysandrou M、Ingelfinger F、Zeiser R
第一作者单位
Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany.Germany
通讯作者单位
Department of Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Freiburg, Germany. Electronic address: robert.zeiser@uniklinik-freiburg.de.Germany
文献类型
综述 · 非美国政府资助研究
期刊
Trends in pharmacological sciences2024 Dec
原文标识
PubMed 39603960 · DOI 10.1016/j.tips.2024.10.016