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CAR-T 治疗的困境与下一代创新设计策略

英文原题:CAR-T therapy dilemma and innovative design strategies for next generation.

PubMed 2025/03/27(内容时间) Cell Death Dis Q1 · IF 12.2(JCR 2025)

研究概要

嵌合抗原受体(CAR)T 细胞疗法对血液肿瘤显示出显著疗效,推动了 CAR-T 相关研究的指数级增长。

中文摘要

嵌合抗原受体(CAR)T 细胞疗法对血液系统肿瘤显示出显著治愈作用,推动 CAR-T 相关研究呈指数级增长。尽管靶向 CD19 的 CAR-T 疗法在临床试验中显示巨大希望,仍不断出现障碍,限制其在肿瘤免疫治疗中的疗效。CAR-T 肿瘤治疗面临的“困境”包括致死性细胞毒性、迁移受限、肿瘤浸润不足、免疫抑制微环境、免疫耐药和效力有限。解决 CAR-T 疗法困境需要跨学科策略,包括基于合成生物学的开关系统、生物指令性支架、纳米材料、溶瘤病毒、CRISPR 筛选、肠道微生物群及其代谢物。本综述介绍并总结这些跨学科创新技术,用于设计和递送下一代 CAR-T 细胞,以克服当前 CAR-T 的关键障碍。

展开英文摘要原文

Chimeric antigen receptor (CAR)-T-cell therapy has shown remarkable curative effects on hematological tumors, driving the exponential growth in CAR-T-related research. Although CD19-targeting CAR-T-cell therapy has displayed remarkable promise in clinical trials, many obstacles are arising that limit its therapeutic efficacy in tumor immunotherapy. The "dilemma" of CAR-T cell-based tumor therapy includes lethal cytotoxicity, restricted trafficking, limited tumor infiltration, an immunosuppressive microenvironment, immune resistance and limited potency. The solution to CAR-T-cell therapy's dilemma requires interdisciplinary strategies, including synthetic biology-based ON/OFF switch, bioinstructive scaffolds, nanomaterials, oncolytic viruses, CRISPR screening, intestinal microbiota and its metabolites. In this review, we will introduce and summarize these interdisciplinary-based innovative technologies for the next generation CAR-T-cell design and delivery to overcome the key barriers of current CAR-T cells.

论文信息

作者
Wang Z、Li P、Zeng X、Guo J、Zhang C、Fan Z、Wang Z、Zhu P
第一作者单位
The First Affiliated Hospital of Henan University, 475004, Kaifeng, China.China
通讯作者单位
School of Life Sciences, Zhengzhou University, 100 Kexue Road, Zhengzhou, 450001, China. chenzz2015@zzu.edu.cn.China
文献类型
综述
期刊
Cell death & disease2025 Mar 27
原文标识
PubMed 40148310 · DOI 10.1038/s41419-025-07454-x