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新抗原免疫治疗:通过发现与创新推动肿瘤及胶质母细胞瘤治疗中的精准医学

英文原题:Neoantigen-based immunotherapy: advancing precision medicine in cancer and glioblastoma treatment through discovery and innovation.

PubMed 2025/04/27(内容时间) Explor Target Antitumor Ther

研究概要

基于新抗原的免疫治疗已成为癌症治疗中一种变革性方法,其精准医学策略靶向由癌细胞特有的基因、转录组和蛋白质组改变所产生的肿瘤特异性抗原。

中文摘要

基于新抗原的免疫疗法已成为癌症治疗的一种变革性策略,为精准医疗提供了新方法,可靶向由癌细胞特有遗传、转录组及蛋白质组改变产生的肿瘤特异性抗原。新抗原是高度特异的靶点,有望实现更有效、个体化的治疗。本文探讨新抗原疗法进展,重点介绍疫苗、TIL(肿瘤浸润淋巴细胞)疗法、T细胞受体工程化T细胞(TCR-T)及CAR-T 细胞等成功治疗方式,尤其关注胶质母细胞瘤(GBM)等癌种。下一代测序、RNA平台及CRISPR基因编辑等技术进步加速了新抗原的鉴定和验证,推动其临床应用。尽管结果令人鼓舞,肿瘤异质性、免疫逃逸和耐药机制等挑战仍然存在。整合人工智能工具和多组学数据进一步优化了新抗原发现,联合疗法也正在开发中,以应对免疫抑制和规模化等问题。此外,文章讨论靶向肿瘤突变的个体化免疫疗法进展,强调计算方法与实验研究持续协作的必要性。最终,新抗原研究与前沿技术整合有望变革癌症治疗,为开发更有效、靶向性更强的治疗带来希望。

展开英文摘要原文

Neoantigen-based immunotherapy has emerged as a transformative approach in cancer treatment, offering precision medicine strategies that target tumor-specific antigens derived from genetic, transcriptomic, and proteomic alterations unique to cancer cells. These neoantigens serve as highly specific targets for personalized therapies, promising more effective and tailored treatments. The aim of this article is to explore the advances in neoantigen-based therapies, highlighting successful treatments such as vaccines, tumor-infiltrating lymphocyte (TIL) therapy, T-cell receptor-engineered T cells therapy (TCR-T), and chimeric antigen receptor T cells therapy (CAR-T), particularly in cancer types like glioblastoma (GBM). Advances in technologies such as next-generation sequencing, RNA-based platforms, and CRISPR gene editing have accelerated the identification and validation of neoantigens, moving them closer to clinical application. Despite promising results, challenges such as tumor heterogeneity, immune evasion, and resistance mechanisms persist. The integration of AI-driven tools and multi-omic data has refined neoantigen discovery, while combination therapies are being developed to address issues like immune suppression and scalability. Additionally, the article discusses the ongoing development of personalized immunotherapies targeting tumor mutations, emphasizing the need for continued collaboration between computational and experimental approaches. Ultimately, the integration of cutting-edge technologies in neoantigen research holds the potential to revolutionize cancer care, offering hope for more effective and targeted treatments.

论文信息

作者
Naffaa MM、Al-Ewaidat OA、Gogia S、Begiashvili V
第一作者单位
Department of Psychology and Neuroscience, Duke University, Durham, NC 27708, USA.United States
通讯作者单位
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS 66103, USA.United States
文献类型
综述
期刊
Exploration of targeted anti-tumor therapy2025
原文标识
PubMed 40309350 · DOI 10.37349/etat.2025.1002313