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:CAR-T therapy in solid tumors.
CAR-T therapy in solid tumors.
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嵌合抗原受体(CAR)T细胞疗法在血液系统恶性肿瘤中取得巨大成功,但其在实体瘤中的疗效受多种因素限制,包括抗原异质性和肿瘤微环境(TME)的免疫抑制性。本综述讨论CAR-T 治疗实体瘤的临床研究进展及所面临的挑战。为提高CAR-T 细胞在实体瘤中的疗效,文中探讨增强T细胞持续存在和细胞毒作用、靶向多种抗原,以及创新异体CAR-T 细胞制备等策略。此外,还强调CAR-T 与免疫检查点抑制剂及其他治疗方式联合以克服TME限制的潜在获益。我们对CAR-T 治疗实体瘤的未来持乐观态度,同时强调仍需持续研究以优化治疗策略并满足癌症患者的临床需求。
While chimeric antigen receptor (CAR) T cell therapy has shown great success in hematologic malignancies, the effectiveness in solid tumors has been limited by several factors, including antigenic heterogeneity and the immunosuppressive nature of the tumor microenvironment (TME).
In this review, we discuss the advancements made in clinical studies and challenges faced by CAR-T therapy for solid tumors. To enhance CAR-T cell efficacy in solid tumors, we explore strategies such as enhancing T cell persistence and cytotoxicity, targeting multiple antigens, and utilizing innovative allogeneic CAR-T cell manufacturing.
Additionally, we highlight the potential benefits of combining CAR-T therapies with immune checkpoint inhibitors and other treatment modalities to overcome TME limitations.
We remain optimistic about the future of CAR-T cell therapy in solid tumors, emphasizing the need for continued research to refine therapeutic approaches and address the clinical needs of patients with cancer.
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