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:A comprehensive review on targeting diverse immune cells for anticancer therapy: Beyond immune checkpoint inhibitors.
A comprehensive review on targeting diverse immune cells for anticancer therapy: Beyond immune checkpoint inhibitors.
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免疫检查点抑制剂(ICI)虽已改变癌症治疗,但原发性耐药和获得性耐药仍限制许多患者的疗效。为克服耐药并增强肿瘤免疫微环境(TIME)中的抗肿瘤作用,出现了许多靶向先天性和适应性免疫细胞的治疗策略。这些策略包括 ICI 联合治疗、CAR-T 细胞、嵌合抗原受体巨噬细胞(CAR-M)或嵌合抗原受体 NK 细胞(CAR-NK)疗法、集落刺激因子 1 受体(CSF1R)抑制剂、树突状细胞(DC)疫苗、Toll 样受体(TLR)激动剂、细胞因子疗法以及趋化因子抑制。这些方法凸显 TIME 在癌症治疗中的重要潜力。本文全面且最新地综述 TIME 中不同先天性和适应性免疫细胞的作用机制,以及靶向各类免疫细胞的治疗策略,旨在加深对其治疗潜力的理解。
Although immune checkpoint inhibitors (ICIs) have revolutionized cancer treatment, primary resistance and acquired resistance continue to limit their efficacy for many patients. To address resistance and enhance the anti-tumor activity within the tumor immune microenvironment (TIME), numerous therapeutic strategies targeting both innate and adaptive immune cells have emerged.
These include combination therapies with ICIs, chimeric antigen receptor T-cell (CAR-T), chimeric antigen receptor macrophages (CAR-Ms) or chimeric antigen receptor natural killer cell (CAR-NK) therapy, colony stimulating factor 1 receptor (CSF1R) inhibitors, dendritic cell (DC) vaccines, toll-like receptor (TLR) agonists, cytokine therapies, and chemokine inhibition.
These approaches underscore the significant potential of the TIME in cancer treatment. This article provides a comprehensive and up-to-date review of the mechanisms of action of various innate and adaptive immune cells within the TIME, as well as the therapeutic strategies targeting each immune cell type, aiming to deepen the understanding of their therapeutic potential.
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