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:Cytokine-Induced Killer Cells: A Unique Platform for Adoptive Cell Immunotherapy after Allogeneic Hematopoietic Stem Cell Transplantation.
Cytokine-Induced Killer Cells: A Unique Platform for Adoptive Cell Immunotherapy after Allogeneic Hematopoietic Stem Cell Transplantation.
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因此,CIK 细胞疗法代表了一种独特的过继性细胞免疫治疗平台,为尚未满足医疗需求的癌症患者从临床前研究到未来临床试验指引了创新性治疗方向。在此背景下,异基因 HSCT 环境为针对多种癌症的安全有效的过继性异基因 CIK 细胞策略提供了替代来源。
免疫治疗,尤其是细胞免疫治疗,正日益融入当前的个性化癌症治疗中,尽管在同种异体造血干细胞移植(HSCT)环境下仍面临一些障碍。概述:分离免疫效应细胞、扩增其数量、通过修饰增强其抗癌能力而不增加其同种异体反应潜能,这一概念是同种异体HSCT后过继性细胞免疫治疗的基石。在此背景下,细胞因子诱导的杀伤(CIK)细胞——一种由常规T细胞、自然杀伤(NK)细胞和T-NK细胞组成的多功能异质性群体,能够利用T细胞和NK细胞样细胞毒性机制对抗多种癌症——在因血液系统恶性肿瘤接受同种异体移植的儿童和成人患者中显示出极低的同种异体反应性。此外,CIK细胞已显示出与化疗、不同种类的免疫检查点抑制剂、表观遗传药物、抗体靶向治疗以及近期与嵌合抗原受体工程技术的兼容性。
BACKGROUND: Immunotherapies in general, and cellular immunotherapies, in particular are becoming increasingly integrated into current personalized cancer treatment, though still facing some obstacles in the allogeneic hematopoietic stem cell transplantation (HSCT) setting. SUMMARY: The concept of isolating immune effector cells, expanding their numbers, enhancing their anticancer capabilities by modifying them without increasing their alloreactive potential is the mainstay of adoptive cellular immunotherapy after allogeneic HSCT. In this context, cytokine-induced killer (CIK) cells, a polyfunctional heterogenous population of conventional T cells, natural killer (NK) cells, and T-NK cells capable of using T cell and NK cell-like cytotoxicity mechanisms against a various cancers, showed minimal alloreactivity in pediatric and adult patients allografted for hematological malignancies. Furthermore, CIK cells have already shown compatibility with chemotherapy, different kinds of immune checkpoint inhibitors, epigenetic drugs, antibody-targeted therapies, and recently with chimeric antigen receptor-engineering techniques. KEY MESSAGES: Hence, CIK cell therapy represents a unique platform for adoptive cell immunotherapies, guiding innovative treatment approaches from preclinical research to future clinical trials for cancer patients with yet unmet medical needs. In this context, the allogeneic HSCT setting provides an alternative source for safe and efficient adoptive allogeneic CIK cell strategies against a variety of cancers.
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