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