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:Revolutionizing Cancer Immunotherapy: Emerging Nanotechnology-Driven Drug Delivery Systems for Enhanced Therapeutic Efficacy.
癌症免疫治疗是一种通过刺激个体细胞来克服癌症的创新治疗方法。
癌症免疫治疗是一种通过刺激个体细胞来克服癌症的创新治疗方法。为探索免疫治疗癌症疗法,已开展了广泛的生物医学研究,本综述重点介绍其发展的一些机制,即免疫检查点抑制剂(如 PD-1/PD-L1、CTLA-4)、过继细胞疗法(如 CAR T 细胞疗法)和癌症疫苗。尽管它已在多种癌症类型中显示出临床获益,包括黑色素瘤和非小细胞肺癌,但若干挑战削弱了人们对这一方法的热情,从患者反应率差异到毒性反应。纳米技术在药物递送系统中的作用必须有助于克服这些问题。纳米技术能够提高特异性和实现药物控释,改善溶解度和生物利用度,可特异性治疗肿瘤,并且在疾病部位局部递送药物可降低全身毒性。本综述还介绍了基于脂质、聚合物和无机纳米颗粒构建方面的进展,这些进展提高了药物稳定性,并允许递送协同治疗药物。基于纳米技术的递送系统可单独使用或与免疫治疗联合使用,以帮助改善免疫反应、进入肿瘤微环境并克服生物屏障。因此,纳米 DDS 在临床前研究中既安全又有效,正在进行的临床试验表明,它们能够提高抗癌药物的治疗指数。最后,本综述还讨论了推进这些技术当前面临的挑战和监管问题,并强调了进一步研究的重要性,以制定适当的方法,实现纳米技术在癌症治疗中高效功能化,服务于个体化癌症解决方案。
Cancer immunotherapy is an innovative way of treating cancer by stimulating individual cells to overcome cancer. Widespread biomedical studies were carried out with the aim of exploring immunotherapy cancer therapeutics, and this review spotlights some mechanisms in which it was developed, namely immune checkpoint inhibitors (E.G PD-1/PD-L1, CTLA-4), adoptive cell therapy (e.g., CAR T-cell therapy), and cancer vaccines. Although it has shown clinical benefit in a number of cancer types, including melanoma and non-small-cell lung cancer, several challenges have dampened enthusiasm for this approach, from the differing patient response rates to toxicities. Nanotechnology in drug delivery systems must play a role in overcoming the same. Nanotechnology enables increased specificity and controlled drug release, improved solubility and bioavailability, can treat the tumor specifically, and localized drug delivery at the disease site decreases systemic toxicity. The review also features advances in the construction of lipid-based, polymeric, and inorganic nanoparticles that improve drug stability and allow the delivery of cotherapeutic agents. Nanotechnology-based delivery systems can be used alone or in combination with immunotherapy to assist in improving the immune response, gaining access to the tumor microenvironment, and overcoming biological barriers. Thus, the nano-DDS were both safe and effective in preclinical studies, and ongoing clinical trials have shown that they are capable of increasing the therapeutic index of anticancer drugs. Lastly, the review also discusses current challenges and regulatory issues in advancing these technologies and highlights the importance of further research to devise appropriate methodology for efficient functionalization of nanotechnology for individualized cancer solutions in cancer treatment.
MEMBER ACCOUNT
登录成功会直接打开下一页。