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:New approaches of chimeric antigen receptor (CAR)-immune cell-based therapy in gastric cancer; highlight CAR-T and CAR-NK.
本研究介绍了这一前沿技术的当前研究进展,包括 CAR-NK 和 CAR-T 细胞在胃癌(GC)中的组成与作用方式。
胃癌(GC)与其他癌症的一个区别,是免疫系统反应复杂,尤其与持续性炎症相关。因此,免疫功能对这种恶性肿瘤的生长至关重要。肿瘤免疫治疗已取得一些令人鼓舞的结果,但仍有不同患者对治疗无应答,更多患者会产生耐药。此外,活化 CAR-T 细胞会表达多种免疫检查点因子,包括 PD-1、CTLA-4 和 LAG3,这些因子会抵消 CAR-T 细胞的抗肿瘤作用。细胞因子释放综合征也是 CAR-T 细胞治疗可能出现的不良反应。因此,制备具有强效抗肿瘤活性的通用异基因 T 淋巴细胞至关重要。本文介绍这一前沿技术的当前研究,包括 CAR-NK 和 CAR-T 细胞的组成及其在胃癌中的作用机制,并考察靶向 CAR-T 和 CAR-NK 细胞的多种胃癌特异性生物标志物的近期研究。
One characteristic that makes gastric cancer (GC) against other cancers is the intricate immune system's reaction, particularly to tenacious inflammation. Consequently, the immunological function is essential to the growth of this malignancy. Tumor immunotherapy has yielded several encouraging outcomes, but despite this, different patients continue to not respond to treatment, and a far larger number become resistant to it. Also, activated CAR-T cells express a majority of immunological checkpoint factors, containing PD1, CTLA4, and LAG3, which counteracts the anti-tumor actions of CAR-T cells. Moreover, cytokine release syndrome is one of the possible adverse responses of CAR-T cell therapy. Therefore, producing universal allogeneic T lymphocytes with potent anti-tumor activity is essential. This study demonstrates current research on this cutting-edge technology, including the composition and mode of action of CAR-NK and CAR-T cells in GC. Also, in this study, we examined recent studies about various specific GC biomarkers that target CAR-T cells and CAR-NK cells.
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