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嵌合抗原受体(CAR)免疫细胞治疗胃癌的新方法:聚焦 CAR-T 与 CAR-NK

英文原题:New approaches of chimeric antigen receptor (CAR)-immune cell-based therapy in gastric cancer; highlight CAR-T and CAR-NK.

PubMed 2025/03/25(内容时间) Funct Integr Genomics Q2 · IF 4(JCR 2025)

研究概要

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。

中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Jasim SA、Pallathadka H、Sivaprasad GV、Kumar A、Mustafa YF、Mohammed JS、Eldesoqui M、Pramanik A
第一作者单位
Medical Laboratory Techniques Department, College of Health and Medical Technology, University of Al-maarif, Anbar, Iraq. saade.a.j@uoa.edu.iq.
通讯作者单位
Department of Basic Medical Sciences, College of Medicine, Almaarefa University, 13713, DiriyahRiyadh, Saudi Arabia. mamrah@um.edu.sa.Saudi Arabia
文献类型
综述
期刊
Functional & integrative genomics2025 Mar 25
原文标识
PubMed 40133688 · DOI 10.1007/s10142-025-01584-3