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:Chimeric antigen receptor-macrophages: Emerging next-generation cell therapy for brain cancer.
Chimeric antigen receptor-macrophages: Emerging next-generation cell therapy for brain cancer.
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采用嵌合抗原受体(CAR)T细胞技术的过继细胞疗法在神经肿瘤学领域具有前景。CAR-T 细胞疗法在提高疗效和安全性方面取得显著进展。然而,肿瘤微环境带来的多重免疫抑制影响,以及CAR-T 细胞浸润脑肿瘤部位不足等挑战仍是主要障碍。新兴CAR巨噬细胞(CAR-MAC)疗法用于脑肿瘤免疫治疗已显示强效结果。CAR-MAC更容易定位于肿瘤部位,可增加免疫细胞浸润,并通过吞噬或胞葬等机制有效清除肿瘤细胞,表现出较强抗肿瘤效力。本综述讨论CAR-MAC细胞疗法治疗脑癌的当前进展,并概述为临床应用生产CAR-MAC的相关研究。我们还重点介绍CAR-MAC未来用于脑肿瘤联合治疗的潜在应用。
Adoptive cell-based therapy utilizing chimeric antigen receptor (CAR)-T technology holds promise in the field of neuro-oncology. Significant progress has been made in enhancing both the efficacy and safety of CAR-T-cell therapies.
However, challenges such as the multifaceted immunosuppressive impact of the tumor microenvironment and insufficient CAR-T-cell infiltration into brain tumor sites remain a major hurdles. Emerging novel approaches utilizing CAR-macrophages (CAR-MACs) show potent results for brain tumor immunotherapy.
CAR-MACs localize to tumor sites more readily, increase immune cell infiltrates, and demonstrate high antitumor efficacy by effectively eliminating tumor cells through mechanisms such as phagocytosis or efferocytosis. This review discusses the current advancements in CAR-MAC cell therapies for brain cancer, followed by an overview of research on manufacturing CAR-MACs for clinical application.
We further highlight the potential future applications of CAR-MACs in combinatory therapies in the treatment of brain tumors.
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