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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Emerging frontiers in adoptive cell therapies: innovations, challenges, and future perspectives.
Emerging frontiers in adoptive cell therapies: innovations, challenges, and future perspectives.
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过继性细胞疗法(ACT)是癌症治疗领域的一项突破性进展,利用经过改造的免疫细胞精准靶向并清除肿瘤。ACT 是一种免疫疗法,通过基因操作 T 细胞以产生嵌合抗原受体(CAR)T 细胞、TIL(肿瘤浸润淋巴细胞)和 T 细胞受体。CAR-T 细胞疗法以其良好的疗效改变了 ACT 领域,尤其是在血液系统恶性肿瘤方面。ACT 并非理想疗法,它可能引起显著的副作用,限制了其在临床试验中的应用。减少副作用最有前景的方法之一是赋予过继性 T 细胞靶向新抗原的能力,新抗原是肿瘤细胞所特有的。在本综述中,我们聚焦于 ACT 的原理、优势、挑战以及临床前、转化和临床研究,还有安全性问题如细胞因子释放综合征和神经毒性。我们还讨论了联合方案、个性化方案以及用于最大化 ACT 疗效的新兴技术。
Adoptive cell therapy (ACT) is a ground-breaking development in cancer treatment that uses modified immune cells to target and eradicate tumors precisely. ACT is a type of immunotherapy in which T cells are genetically manipulated to produce chimeric antigen receptor (CAR) T cells, tumor-infiltrating lymphocytes (TILs), and T cell receptors. CAR-T cell therapy, with its promising effects, has transformed the area of ACTs, notably for hematologic malignancies.
ACT is not ideal, and it can cause significant side effects, limiting its use in clinical trials. One of the most promising approaches to reducing side effects is to give adoptive T cells the ability to target neoantigens, which are unique to tumor cells. In this review, we focused on the principles, benefits, challenges, and pre-clinical, translational, and clinical research on ACT, as well as safety concerns such as cytokine release syndrome and neurotoxicity.
We also discussed combination approaches, personalized approaches, and emerging technologies involved in maximizing ACT efficacy.
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