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串联 CAR-T 细胞疗法:近期进展与当前挑战

英文原题:Tandem CAR-T cell therapy: recent advances and current challenges.

查看英文原题

Tandem CAR-T cell therapy: recent advances and current challenges.

PubMed 2025/02/28(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

CAR-T 细胞疗法彻底改变了癌症治疗。然而,尽管取得了这些成就,临床上仍有若干挑战需要解决,例如抗原丢失以及如何设计最优 CAR 结构。多靶点 CAR-T 疗法(包括串联 CAR-T 细胞)已成为克服部分局限并改善结局的一种策略。目前,串联 CAR-T 细胞正在血液系统恶性肿瘤和实体瘤的临床前及临床研究中接受评估,并显示出令人鼓舞的结果。这些研究显示,此类 CAR 具有疗效和安全性,复发率也相对较低。研究提示,串联 CAR-T(TanCAR-T)可能改善 CAR-T 细胞疗法的结局并带来获益。不过,如何确定理想的 CAR 构建体、选择合适靶点以及提高转导效率等问题仍未解决,需要进一步研究以克服这些限制。本综述概述串联 CAR-T 细胞作为癌症治疗手段的潜力,总结这种创新疗法的临床前和临床研究,并强调持续研究对于克服其局限、提高疗效的重要性。

展开英文摘要原文

CAR-T cell therapy has revolutionized cancer treatment. However, despite the achievements of this approach, there are still clinical challenges to address, such as antigen loss and the design of an optimal CAR structure. Multi-targeted CAR-T therapies, including tandem CAR-T cells, have emerged as a strategy to overcome some of these limitations and improve outcomes.

Tandem CAR-T cells are currently being evaluated in preclinical and clinical studies for the treatment of hematological malignancies and solid tumors, showing promising results. These CARs have demonstrated efficacy, safety, and a relatively low relapse rate in these studies. Research suggests that TanCAR-T cells can enhance the outcomes and benefits of CAR-T cell therapy.

However, challenges such as identifying the ideal CAR construct, selecting appropriate targets, and improving transduction efficiency remain unresolved, and further research is essential to address these limitations. This review highlights the potential of tandem CAR-T cells as a cancer treatment, summarizing preclinical and clinical studies with this innovative therapy and emphasizing the importance of continued research to overcome its limitations and improve its effectiveness.

论文信息

作者
Gómez-Melero S、Hassouneh F、Vallejo-Bermúdez IM、Agüera-Morales E、Solana R、Caballero-Villarraso J
单位
Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain.Spain
文献类型
综述
期刊
Frontiers in immunology2025
原文标识
PubMed 40092990 · DOI 10.3389/fimmu.2025.1546172