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:Next-Generation Cancer Treatment: Photoimmunotherapy's Promise for Unresectable Head and Neck Cancers.
Next-Generation Cancer Treatment: Photoimmunotherapy's Promise for Unresectable Head and Neck Cancers.
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传统肿瘤治疗为减轻全球癌症负担做出了贡献;然而,它们并未实现完全根除,也未能有效防止复发、最大限度降低毒性或保留免疫功能。近期进展,特别是免疫检查点抑制剂(ICIs)和CAR-T 细胞疗法的引入,已显著改善某些癌症亚型的临床结局和总生存期。
然而,缓解率仍不理想,免疫相关不良事件频繁发生。本综述首先重点介绍当前用于癌症免疫治疗的FDA批准的ICIs,着重强调近年来已证明具有临床疗效的药物。
我们分析的真正重点在于近红外光免疫疗法(NIR-PIT)的最新临床应用。这一新兴模式在头颈癌(HNC)患者中进行了评估,特别是在不可切除、局部晚期或复发病例中。
最后,本综述探讨了NIR-PIT的当前格局与前景,考虑其提高治疗疗效和延长无复发生存期的潜力。光免疫疗法对于预后有限的患者是一种有前景的分子靶向选择,在传统治疗失败之处提供了新的希望。通过综合近期临床试验数据,本工作强调了NIR-PIT如何能够弥合临床前研究与临床实践之间的转化鸿沟。先进技术的整合以及研究人员、临床医生和技术人员之间的跨学科合作,对于优化NIR-PIT、提高其准确性、疗效和安全性,并最终推进癌症治疗标准和患者生存,将至关重要。
Traditional oncological therapies have contributed to reducing the global cancer burden; however, they have not achieved complete eradication, nor have they effectively prevented relapses, minimized toxicity, or preserved immune function. Recent advances, particularly the introduction of immune checkpoint inhibitors (ICIs) and CAR-T cell therapies, have markedly improved clinical outcomes and overall survival in certain cancer subtypes. Nevertheless, response rates remain suboptimal, and adverse immunological events are frequent.
This review starts by highlighting the FDA-approved ICIs currently utilized in cancer immunotherapy, emphasizing those that have demonstrated clinical efficacy in recent years. The true focus of our analysis is on the latest clinical applications of near-infrared photoimmunotherapy (NIR-PIT). This emerging modality is evaluated in patients with head and neck cancers (HNC), particularly in cases that are unresectable, locally advanced, or recurrent.
Finally, the review explores the current landscape and prospects of NIR-PIT, considering its potential to enhance therapeutic efficacy and extend relapse-free survival. Photoimmunotherapy is a promising, molecularly targeted option for patients with limited prognosis, offering new hope where conventional therapies fail.
By synthesizing recent clinical trial data, this work highlights how NIR-PIT could bridge the translational gap between preclinical research and clinical practice. The integration of advanced technologies and interdisciplinary collaboration among researchers, clinicians, and technologists will be critical in optimizing NIR-PIT, improving its accuracy, efficacy, and safety, and ultimately advancing standards of cancer care and patient survival.
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