肿瘤细胞治疗研究
英文原题:Recent developments on checkpoint inhibitors, CAR T cells, and beyond for T cell-based immunotherapeutic strategies against cancer.
Recent developments on checkpoint inhibitors, CAR T cells, and beyond for T cell-based immunotherapeutic strategies against cancer.
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癌症已成为每年造成大量死亡的最致命疾病之一,因此迫切需要综述免疫检查点抑制剂(ICI)、CAR-T 细胞和其他基于 T 细胞的癌症免疫治疗策略的最新进展。数据来源:收集多个高影响因子期刊发表的资料。数据总结:当前使用多种临床策略治疗不同类型癌症,例如放疗、化疗和免疫治疗。在新型癌症管理策略中,T 细胞癌症免疫治疗已变得十分重要。癌症免疫治疗改变了治疗方式,其基本原理是利用人体自身免疫系统治疗癌症;在这一变革中,T 细胞是免疫系统的核心组成。
本综述探讨 T 细胞抗癌治疗潜力,涵盖多种 ICI[PD-1/PD-L1、CTLA-4、TIGIT、BTLA、TIM3、LAG3]及过继细胞疗法。ICI 通过移除免疫系统抑制因素,激活机体原有的抗肿瘤 T 细胞应答;过继细胞疗法则改造患者 T 细胞,使其识别并攻击肿瘤细胞。此外,综述强调这些疗法的重要成功,尤其是 PD-1 阻断以及 CAR-T 治疗多种肿瘤。文章还探讨治疗性疫苗、双特异性抗体和细胞因子疗法增强抗肿瘤活性的潜力。治疗性疫苗使免疫系统接触多种肿瘤相关抗原,训练其识别并攻击癌细胞,在前列腺癌和黑色素瘤等不同癌症中显示良好结果。细胞因子疗法则使用 IL-2 等细胞因子刺激免疫细胞活性和增殖,从而增强整体抗肿瘤免疫应答。最后,本综述展望基于 T 细胞的免疫疗法前景,包括 CAR 设计和基因编辑技术的进步,这些技术有望在更广泛癌症中提升疗效。
ObjectiveThere was a dire need to construct a review of the recent developments on Immune checkpoint inhibitors (ICIs), CAR T Cells, and other approaches for T cell-based immunotherapeutic strategies against cancer as cancer has become one of the most fatal diseases that is responsible for causing several deaths per annum. Data sourcesMultiple published data was acquired from the high-impact factor journal articles. Data summaryMultiple clinical strategies have been in use today such as radiotherapy, chemotherapy and immunotherapy to treat cancer of different types. Among novel cancer management strategies, the role of cancer immunotherapy by T cells has become immensely important.
Cancer immunotherapy has revolutionized treatment approaches and it basically utilizes the body's immune system to treat cancer. At the forefront of this revolution, T cells are considered as the fundamental components of immune system.
ConclusionsThe current review explores the therapeutic potential of T cells in the fight against cancer by applying strategies such as various ICIs (PD-1/PD-L1, CTLA-4, TIGIT, BTLA, TIM3, LAG3) and adoptive cell therapy. ICIs stimulate the body's existing anti-tumor T-cell response by the way of removing immune system inhibitors. On the other hand, in adoptive cell therapy (ACT) patient's T cells are modified to identify and attack tumor cells.
Furthermore, this review also highlights significant successes that are observed with these therapies, notably PD-1 blockade and CAR T-cell therapy for various tumors.
Moreover, this review also explores the potential of therapeutic vaccination, bispecific antibodies and cytokine therapy to enhance the antitumor activity. Therapeutic vaccines expose immune system to various tumor-associated antigens and training it to identify and then attack cancer cells, showing promising results in different types of cancers such as prostate cancer and melanoma.
While, cytokine therapy is accompanied by the use of cytokines such as interleukin-2 (IL-2) to stimulate immune cell activity and proliferation, thereby boosting the overall anti-tumor immune response. Lastly, the current review explores the promising future of T cell-based immunotherapy, envisioning advancements in CAR design and gene editing techniques that can enhance efficacy across a broader spectrum of cancers.
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