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:Advancing biliary tract malignancy treatment: emerging frontiers in cell-based therapies.
Advancing biliary tract malignancy treatment: emerging frontiers in cell-based therapies.
胆道恶性肿瘤,包括肝内胆管癌、肝外胆管癌和胆囊癌,是一组侵袭性强的癌症,由于诊断时多为晚期、治疗选择有限以及对化疗和放疗等传统疗法耐药,预后较差。
胆道恶性肿瘤,包括肝内胆管癌、肝外胆管癌和胆囊癌,是一组侵袭性强的癌症,因诊断时多为晚期、治疗选择有限以及对化疗和放疗等传统疗法耐药,预后较差。这些挑战凸显了创新治疗方法的迫切需求。近年来,细胞疗法作为一种有前景的途径崭露头角,通过免疫调节、基因工程和针对肿瘤微环境的靶向干预提供潜在解决方案。本小型综述概述了胆道恶性肿瘤细胞疗法的最新进展,涵盖基于免疫细胞的策略,如CAR-T细胞、NK细胞、树突状细胞疫苗和TIL(肿瘤浸润淋巴细胞)。我们还探讨了克服免疫抑制性肿瘤微环境的策略,并讨论了将细胞疗法整合到多模式治疗方案中。通过综合临床前和临床研究结果,本综述强调了关键见解和未来方向,旨在帮助研究者和临床医生将这些方法转化为有效治疗。本文讨论的细胞疗法的变革潜力,使其成为推进胆道恶性肿瘤研究和临床应用的重要资源。
Biliary tract malignancies, including intrahepatic cholangiocarcinoma, extrahepatic cholangiocarcinoma, and gallbladder cancer, represent a group of aggressive cancers with poor prognosis due to late-stage diagnosis, limited treatment options, and resistance to conventional therapies like chemotherapy and radiotherapy. These challenges emphasize the urgent need for innovative therapeutic approaches. In recent years, cell-based therapies have emerged as a promising avenue, offering potential solutions through immune modulation, genetic engineering, and targeted intervention in the tumor microenvironment. This Mini-review provides an overview of current advancements in cell-based therapies for biliary malignancies, encompassing immune cell-based strategies such as CAR-T cells, NK cells, dendritic cell vaccines, and tumor-infiltrating lymphocytes. We also examine strategies to overcome the immunosuppressive tumor microenvironment and discuss the integration of cell therapies into multimodal treatment regimens. By synthesizing preclinical and clinical findings, this review highlights key insights and future directions, aiming to assist researchers and clinicians in translating these approaches into effective treatments. The transformative potential of cell-based therapies discussed here makes this review a valuable resource for advancing biliary malignancy research and clinical applications.
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