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CAR-T 治疗胶质母细胞瘤的批判性综述:当前尝试的问题出在哪里?

英文原题:A Critical Review of CAR-T Therapies for Glioblastoma: What's Wrong with the Current Attempts?

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A Critical Review of CAR-T Therapies for Glioblastoma: What's Wrong with the Current Attempts?

PubMed 2025/06/20(内容时间) Hematol Oncol Stem Cell Ther

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中文摘要

如今,CAR-T 疗法已被广泛认为是某些血液系统疾病的“金标准”治疗。研究CAR-T 治疗胶质母细胞瘤(成人中最常见且最具侵袭性的脑肿瘤)有效性的临床试验数量相对较少但正在增加。尽管研究结果令人鼓舞,但目前可获得的数据仍然不稳定。我们旨在概述近期将CAR-T 疗法作为胶质母细胞瘤治疗策略的临床尝试,并强调一些不明显的问题:研究设计缺陷及可疑的纳入标准、缺乏明确的疾病分类学聚焦、验证不足甚至无效的影像技术以及不便的疗效评估。我们还讨论了未来用于CAR-T 细胞制造的先进方法。我们相信,本综述有助于明确CAR-T 疗法在胶质母细胞瘤治疗策略中的恰当定位,并为未来成功的临床试验铺平道路。

展开英文摘要原文

Today, CAR-T therapy has been widely acknowledged as a "gold standard" treatment for certain hematologic diseases. There is a relatively small but enhancing body of clinical trials studying the effectiveness of CAR-T in treating glioblastoma, known as the most common and aggressive brain tumor in adults. Despite the promising findings, currently available data is still erratic.

We aimed to overview the recent clinical attempts to apply CAR-T therapy as the treatment strategy for glioblastoma and highlight non-obvious problems occurring: flaws in the study design with suspicious inclusion criteria, absence of narrow nosologic focus, poor validation or even nonvalid imaging technologies and inconveniencing efficacy evaluation.

We also discussed further upcoming advanced approaches for CAR-T cell manufacturing.

We are convinced that our review could help to define the right place for CAR-T therapy in glioblastoma treatment strategy and would pave the way for future successful clinical trials.

论文信息

作者
Belokon SV、Kukarskaya VA、Klabukov ID、Shestakova VA、Ivanov SA、Shegay PV、Kaprin AD、Baranovskii DS
单位
National Medical Research Radiological Center of the Ministry of Health of the Russian Federation, Koroleva St. 4, 249036 Obninsk, Russia.Russia
文献类型
综述
期刊
Hematology/oncology and stem cell therapy2025 Apr-Jun 01
原文标识
PubMed 40539476 · DOI 10.4103/hemoncstem.HEMONCSTEM-D-24-00040