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:Chimeric antigen receptor therapies: Development, design, and implementation.
Chimeric antigen receptor therapies: Development, design, and implementation.
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嵌合抗原受体(CAR)T细胞和自然杀伤(NK)细胞疗法是治疗癌症及其他慢性疾病的有前景策略。工程化CAR可赋予免疫细胞高特异性靶向所需抗原的能力,从而定向应答表达相应抗原的细胞。CAR-T 和CAR-NK细胞治疗血液系统恶性肿瘤已取得显著成功,但仍有大量患者对CAR疗法无应答,其在实体瘤中的疗效也有限。本综述概述CAR疗法从实验室研究到临床应用的发展、设计和实施。文中讨论CAR构建体的组成模块及其优化CAR功能的方式,回顾CAR疗法中T细胞和NK细胞的潜在来源,并分析CAR-T 和CAR-NK细胞的局限。最后总结CAR领域近期突破,并探讨这些进展对未来CAR疗法成功应用的潜在影响。
Chimeric antigen receptor (CAR) T and natural killer (NK) cell therapies represent a promising strategy for the treatment of cancers and other chronic diseases. Engineered CAR constructs endow immune cells with the ability to target desired antigens with high specificity, allowing for directed responses to antigen-expressing cells.
CAR T and NK cells have shown marked success in the treatment of hematologic malignancies, although there remains a large population of patients with disease that fails to respond to CAR therapies, and their efficacy in solid tumors is still limited. In this review, we provide a broad overview of the development, design, and implementation of CAR therapies from bench to bedside.
We discuss the building blocks of CAR constructs and how these can be manipulated to optimize CAR functionality, review the possible sources of T and NK cells for CAR therapies, and examine the limitations of both CAR T and CAR NK cells.
Finally, we discuss recent breakthroughs in the CAR field and consider how these advances may affect the success of CAR therapies in the years to come.
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