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卵巢癌治疗的新方法:CAR-T 细胞疗法的应用

英文原题:A new approach to the treatment of ovarian cancer: The application of CAR-T cell therapy.

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A new approach to the treatment of ovarian cancer: The application of CAR-T cell therapy.

PubMed 2025/05/29(内容时间) Crit Rev Oncol Hematol Q1 · IF 6.2(JCR 2025)

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中文摘要

卵巢癌严重威胁女性健康,现有治疗的局限性要求进一步探索新的治疗方案。嵌合抗原受体(CAR)T细胞疗法是一种新型免疫疗法,在血液系统恶性肿瘤治疗中已显示显著疗效,也有望用于卵巢癌。本文全面综述CAR-T 细胞疗法在卵巢癌中的应用,详细讨论间皮素、MUC16和FOLR1等治疗靶点及相关临床试验。目前,CAR-T 细胞治疗卵巢癌仍面临多重挑战,包括肿瘤微环境(TME)中的免疫抑制、肿瘤异质性、靶点相关问题、毒性反应及细胞效能受限。为应对这些挑战,本文提出调节免疫抑制细胞、采用双靶点策略、优化靶点选择和CAR结构、增强细胞功能及联合治疗等策略。未来研究可能聚焦于拓展联合疗法、应用纳米技术、推进个体化医疗以及探索免疫细胞多样化。尽管CAR-T 细胞疗法用于卵巢癌仍处于起步阶段,持续的研究和技术进步有望带来重大突破,为卵巢癌患者提供更有效的治疗选择。

展开英文摘要原文

Ovarian cancer poses a significant threat to women's health, and the limitations of current treatments demand the exploration of new therapeutic solutions. Chimeric antigen receptor (CAR) T cell therapy, a novel form of immunotherapy, has demonstrated substantial efficacy in the treatment of hematological malignancies and holds considerable promise for ovarian cancer treatment. This paper provides a comprehensive review of the application of CAR-T cell therapy in ovarian cancer, with a detailed discussion of therapeutic targets such as mesothelin, MUC16, and FOLR1, along with associated clinical trials. Presently, the application of CAR-T cell therapy in ovarian cancer is confronted with challenges including immunosuppression within the tumor microenvironment (TME), tumor heterogeneity, target-related issues, toxic reactions, and limitations in cell efficacy.

To address these challenges, strategies such as modulating immunosuppressive cells, employing dual-target strategies, optimizing target selection and CAR structure, enhancing cell performance, and utilizing combination therapies are proposed. Future research directions are likely to focus on the expansion of combination therapies, the application of nanotechnology, the advanced development of personalized medicine, and the exploration of immune cell diversification.

Although CAR-T cell therapy remains in its nascent stages for the treatment of ovarian cancer, ongoing research and technological advancements are anticipated to yield significant breakthroughs, potentially offering more effective treatment options for patients with ovarian cancer.

论文信息

作者
Yang Y、Zhang N、Wang D、Zhang Y、Li X
第一作者单位
Department of Pathology, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shanxi Province 710054, China. Electronic address: yangying13595@163.com.China
通讯作者单位
Department of Pathology, Honghui Hospital, Xi'an Jiaotong University, Xi'an, Shanxi Province 710054, China. Electronic address: 583332645@qq.com.China
文献类型
综述
期刊
Critical reviews in oncology/hematology2025 Sep
原文标识
PubMed 40449673 · DOI 10.1016/j.critrevonc.2025.104785