← 返回前沿论文

CRISPR/Cas9 技术用于修饰 CAR-T 细胞治疗血液系统恶性肿瘤中的免疫检查点

英文原题:CRISPR/Cas9 Technology for Modifying Immune Checkpoint in CAR-T Cell Therapy for Hematopoietic Malignancies.

查看英文原题

CRISPR/Cas9 Technology for Modifying Immune Checkpoint in CAR-T Cell Therapy for Hematopoietic Malignancies.

PubMed 2026/01/01(内容时间) Curr Gene Ther Q2 · IF 4.1(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

血液系统恶性肿瘤源于造血调控失常,是一组起源于分化成熟能力下降细胞的癌症;未成熟细胞在淋巴结和骨髓等造血组织中积聚。免疫靶向疗法,如免疫检查点阻断(ICB)、CAR-T(CAR-T)细胞疗法,以及精准、常用且用途广泛的基因组工程工具CRISPR系统,为恶性肿瘤治疗开辟了新途径。靶向免疫检查点已推动细胞毒性T淋巴细胞相关蛋白4(CTLA-4)、PD-1(程序性死亡蛋白1)及PD-L1等靶点疗法获美国食品药品监督管理局批准。根据ICB及CAR技术原理,高效CAR-T 细胞的制备依赖成功改造T细胞,使其较不易受到癌细胞免疫逃逸和抑制,从而减少脱靶毒性。因此,CRISPR/Cas9推动了基于免疫检查点的血液系统恶性肿瘤CAR-T 治疗发展。持续的研究和临床试验将进一步推动该领域进步,最终惠及患者并改善结局。

展开英文摘要原文

Hematologic malignancies, which arise from dysregulation of hematopoiesis, are a group of cancers originating in cells with diminished capacity to differentiate into mature progeny and accumulating immature cells in blood-forming tissues such as lymph nodes and bone marrow. Immune- targeted therapies, such as Immune Checkpoint Blockade (ICB), chimeric antigen receptor T (CAR-T) cell therapy, and the Clustered Regularly Interspaced Short Palindromic Repeats (CRISPR) system, a precise, popular, and versatile genome engineering tool, has opened new avenues for the treatment of malignancies.

Targeting immune checkpoints has revolutionized FDA approval in cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), PD-1 (programmed death-1), and PDL1. According to the ICB and CAR techniques, the production of efficient CAR-T cells depends on the successful genetic modification of T cells, making them less susceptible to immune escape and suppression by cancer cells, which results in reduced off-target toxicity.

Therefore, CRISPR/Cas9 has revolutionized the immune checkpoint-based approach for CAR-T cell therapy of hematologic malignancy. Continued research and clinical trials will undoubtedly pave the way for further advances in this field, ultimately benefiting patients and improving outcomes.

论文信息

作者
Shams F、Sharif E、Abbasi-Kenarsari H、Hashemi N、Hosseini MS、Heidari N、Noori E、Amini AH
第一作者单位
Department of Medical Biotechnology, School of Advanced Technologies in Medicine, Shahid Beheshti University of Medical Sciences, 1968917313, Tehran, Iran.Iran
通讯作者单位
Department of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA 30322, USA.United States
文献类型
综述
期刊
Current gene therapy2026
原文标识
PubMed 40231503 · DOI 10.2174/0115665232357078250331180413