决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Breaking barriers: CAR-NK cell therapy breakthroughs in female-related cancers.
癌症是全球范围内的主要死亡原因。
癌症是全球主要死亡原因之一。女性常见恶性肿瘤包括乳腺癌(每年新增病例约230万)和卵巢癌(全球每年新增病例约30万)。手术、化疗和放疗等现有治疗可能难以维持长期抗肿瘤应答。细胞免疫疗法又称过继细胞治疗,通过基因工程改造免疫细胞,主要在T细胞和自然杀伤(NK)细胞上构建嵌合抗原受体(CAR),以抗击癌症,近年来取得令人鼓舞的进展。NK细胞疗法研究包括未改造NK细胞和CAR-NK细胞疗法,旨在靶向癌细胞并尽量减少对正常细胞的破坏。CAR-NK细胞代表新一代治疗性免疫细胞,可通过CAR依赖和非依赖机制清除恶性肿瘤。由于其可不依赖主要组织相容性复合体识别癌细胞、同种异体反应风险较低,且严重毒性少于CAR-T细胞,也可能适用于“现货型”疗法。目前尚无全面综述专门评估CAR-NK细胞疗法对乳腺癌和卵巢癌等女性相关恶性肿瘤的治疗潜力。本综述全面探讨CAR-NK细胞疗法在这些癌症中的应用及治疗应答。
Cancer stands as a leading cause of mortality globally. The main female-related malignancies are breast cancer, with 2.3 million new cases annually, and ovarian cancer, with 300,000 new cases per year worldwide. The current treatments like surgery, chemotherapy, and radiation therapy have presumably had deficiencies in sustaining long-term anti-tumor responses. Cellular immunotherapy, also referred to as adoptive cell therapy, has shown encouraging advances by employing genetically modified immune cells in fighting cancer by engineering chimeric antigen receptors (CARs) mainly on T cells and natural killer (NK) cells. Studies in NK cell therapies involve unmodified NK cells and CAR-NK cell therapies, targeting cancer cells while limiting the destruction of normal cells. CAR-NK cells represent the next generation of therapeutic immune cells that have been shown to eliminate malignancies through CAR-dependent and CAR-independent mechanisms. They also represent possible candidates for "off-the-shelf" therapies due to their advantages, including the ability to target cancer cells independently of the major histocompatibility complex, reduced risk of alloreactivity, and fewer severe toxicities compared to CAR-T cells. To date, there have been no comprehensive review studies examining the therapeutic potential of CAR-NK cell therapy specifically for female-related malignancies, such as breast and ovarian cancers. This review offers a thorough exploration of CAR-NK cell therapy in relation to these cancers and their responses to treatment.
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