通过靶向肿瘤相关巨噬细胞的嵌合受体工程化溶瘤病毒重振内源性抗肿瘤免疫
Rejuvenating endogenous antitumor immunity via a chimeric receptor-engineered oncolytic virus targeting tumor-associated macrophages.
我们的研究结果定义了一个精准溶瘤平台,该平台能够解除TAM介导的免疫抑制,同时增强适应性免疫,为癌症免疫治疗提供了一条有前景的转化途径。
英文原题:Advances and challenges in cancer immunotherapy: Strategies for personalized treatment.
癌症免疫疗法通过利用免疫系统特异性靶向癌细胞,彻底改变了肿瘤学领域,与传统疗法相比,其全身毒性更低。
癌症免疫疗法通过利用免疫系统特异性靶向癌细胞,彻底改变了肿瘤学领域,与传统疗法相比,其全身毒性更低。本综述重点介绍了关键策略,包括过继细胞转移(ACT)、免疫检查点抑制剂、溶瘤病毒(OV)疗法、单克隆抗体(mAbs)和基于mRNA的疫苗。ACT通过回输增强的免疫细胞(如TIL(肿瘤浸润淋巴细胞)(TILs))来对抗难治性癌症,而检查点抑制剂(如PD-1和CTLA-4阻断剂)则恢复T细胞活性。OV疗法利用工程化病毒(如T-VEC)选择性裂解癌细胞,先进的mAbs提高了靶向精度。mRNA疫苗引入肿瘤特异性抗原来触发强效免疫应答。尽管取得了显著进展,但免疫相关副作用、高成本和免疫抑制性肿瘤微环境等挑战依然存在。本综述强调了需要联合策略和精准医学来克服这些障碍,并最大化免疫疗法在个性化癌症治疗中的潜力。
Cancer immunotherapy has transformed oncology by harnessing the immune system to specifically target cancer cells, offering reduced systemic toxicity compared to traditional therapies. This review highlights key strategies, including adoptive cell transfer (ACT), immune checkpoint inhibitors, oncolytic viral (OV) therapy, monoclonal antibodies (mAbs), and mRNA-based vaccines. ACT reinfuses enhanced immune cells like tumor-infiltrating lymphocytes (TILs) to combat refractory cancers, while checkpoint inhibitors (eg, PD-1 and CTLA-4 blockers) restore T-cell activity. OV therapy uses engineered viruses (eg, T-VEC) to selectively lyse cancer cells, and advanced mAbs improve targeting precision. mRNA vaccines introduce tumor-specific antigens to trigger robust immune responses. Despite significant progress, challenges like immune-related side effects, high costs, and immunosuppressive tumor microenvironments persist. This review underscores the need for combination strategies and precision medicine to overcome these barriers and maximize the potential of immunotherapy in personalized cancer treatment.
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