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CAR-T 疗法在实体瘤中的应用

英文原题:CAR-T therapy in solid tumors.

查看英文原题

CAR-T therapy in solid tumors.

PubMed 2025/04/14(内容时间) Cancer Cell Q1 · IF 56.1(JCR 2025)

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中文摘要

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。

展开英文摘要原文

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.

论文信息

作者
Du B、Qin J、Lin B、Zhang J、Li D、Liu M
第一作者单位
Shanghai Frontiers Science Center of Genome Editing and Cell Therapy, Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai 200241, China. Electronic address: bdu@bio.ecnu.edu.cn.China
通讯作者单位
Shanghai Frontiers Science Center of Genome Editing and Cell Therapy, Shanghai Key Laboratory of Regulatory Biology, Institute of Biomedical Sciences and School of Life Sciences, East China Normal University, Shanghai 200241, China. Electronic address: myliu@bio.ecnu.edu.cn.China
文献类型
综述
期刊
Cancer cell2025 Apr 14
原文标识
PubMed 40233718 · DOI 10.1016/j.ccell.2025.03.019