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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Unlocking the full potential of memory T cells in adoptive T cell therapy for hematologic malignancies.
Unlocking the full potential of memory T cells in adoptive T cell therapy for hematologic malignancies.
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近年来,免疫细胞治疗,尤其是过继性细胞治疗(ACT),在血液系统恶性肿瘤中显示出优越的疗效。然而,如何确保基因工程改造的特异性T细胞在宿主体内维持持久的抗肿瘤效应,仍是一项挑战。ACT治疗的持久成功取决于记忆T(TM)细胞的持久性,TM细胞是一个多样化的细胞亚群,对肿瘤免疫应答和免疫记忆维持至关重要。
值得注意的是,处于不同分化阶段的TM细胞亚群表现出不同的生物学特征和抗肿瘤能力。低分化的TM细胞对于ACT获得良好临床结局具有关键作用。TM细胞的分化受多种因素影响,包括代谢和细胞因子。
因此,当前研究聚焦于探究TM细胞的分化规律,并在体外增强具有强效抗肿瘤作用的低分化TM细胞的产生,这是全球关注的重要领域。本综述深入探讨TM细胞的分化特征,概述其在患者中的分布及其对ACT治疗的影响。文章全面探讨了通过诱导TM细胞分化来提高ACT疗效的前沿策略,旨在充分释放TM细胞治疗血液系统恶性肿瘤的潜力,并为肿瘤免疫细胞治疗提供新的思路。
In recent years, immune cell therapy, particularly adoptive cell therapy (ACT), has shown superior therapeutic effects on hematologic malignancies.
However, a challenge lies in ensuring that genetically engineered specific T cells maintain lasting anti-tumor effects within the host. The enduring success of ACT therapy hinges on the persistence of memory T (T M ) cells, a diverse cell subset crucial for tumor immune response and immune memory upkeep.
Notably, T M cell subsets at varying differentiation stages exhibit distinct biological traits and anti-tumor capabilities. Poorly differentiated T M cells are pivotal for favorable clinical outcomes in ACT. The differentiation of T M cells is influenced by multiple factors, including metabolism and cytokines. Consequently, current research focuses on investigating the differentiation patterns of T M cells and enhancing the production of poorly differentiated T M cells with potent anti-tumor properties in vitro, which is a prominent area of interest globally.
This review delves into the differentiation features of T M cells, outlining their distribution in patients and their impact on ACT treatment. It comprehensively explores cutting-edge strategies to boost ACT efficacy through T M cell differentiation induction, aiming to unlock the full potential of T M cells in treating hematologic malignancies and offering novel insights for tumor immune cell therapy.
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