决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Recent advances and challenges of cellular immunotherapies in lung cancer treatment.
本文总结并强调了细胞免疫疗法用于治疗肺癌的最新进展和挑战,这可能为细胞免疫疗法的进一步发展激发新思路。
肺癌是一种高发病率和高致死率的恶性肿瘤。多年来,肺癌的传统治疗方法难以取得良好的前景和预后。识别和创新新的临床治疗策略和技术以阻止肿瘤进展并延长肺癌患者的生存时间至关重要。细胞免疫疗法已经彻底改变了恶性肿瘤的治疗,并逐渐应用于临床实践。CAR-T疗法是最著名的细胞疗法,在血液系统恶性肿瘤患者中取得了显著的临床疗效,但其对肺癌和其他实体瘤患者的效果并不令人满意,部分原因是肺癌的异质性和复杂性以及无菌性TME。为了进一步提高临床效果,已采用多种方法和策略,包括发现新的肿瘤抗原靶点、提高安全性、增强细胞毒性和增加持久性。此外,其他基于细胞的免疫疗法也显示出治疗肺癌的巨大潜力,包括TCR-T细胞、TIL、CIK细胞、NK细胞、巨噬细胞和树突状细胞,丰富了肺癌患者的治疗选择。总之,本文总结并强调了细胞免疫疗法用于治疗肺癌的最新进展和挑战,这可能为进一步开发细胞免疫疗法激发新的思路。
Lung cancer is a major malignant tumor with high morbidity and fatality rates. For many years, traditional treatments for lung cancer have struggled to achieve a favorable outlook and prognosis. It is crucial to identify and innovate novel clinical therapeutic strategies and techniques to prevent tumor progression and prolong the survival time of patients with lung cancer. Cellular immunotherapies have revolutionized the treatment of malignant tumors and have been gradually applied in clinical practice. CAR-T therapy is the best-known cellular therapy and has achieved remarkable clinical outcomes in patients with hematological malignancies, but its effect on patients with lung cancer and other solid tumors is not satisfactory, partly because of the heterogeneity and complexity of lung cancers and the sterile TMEs. To further improve the clinical effect, multiple approaches and strategies have been adopted, including discovering new tumor antigen targets, improving safety, enhancing cytotoxicity, and increasing durability. Moreover, other cell-based immunotherapies have also showed great potential for the treatment of lung cancer, including TCR-T cells, TILs, CIK cells, NK cells, macrophages, and dendritic cells, which enriched the number of treatment choices for patients with lung cancer. In summary, the present article summarizes and highlights recent advances and challenges in the use of cellular immunotherapies for the treatment of lung cancer, which might stimulate new ideas for the further development of cellular immunotherapies.
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