免疫检查点阻断通过扩增效应 CD8⁺ T 细胞克隆增强淋巴细胞清除性化疗诱导的抗肿瘤免疫
Immune Checkpoint Blockade Augments Lymphodepleting Chemotherapy-Induced Antitumor Immunity by Expanding Effector CD8+ T-cell Clones.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Tumor infiltration therapy: from FDA approval to next-generation approaches.
Tumor infiltration therapy: from FDA approval to next-generation approaches.
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TIL(肿瘤浸润淋巴细胞)治疗是癌症免疫治疗领域中一种新兴且有前景的方法,利用人体自身的免疫细胞来靶向和消灭癌细胞。本综述深入分析了 TIL 治疗,重点关注其机制、临床应用、挑战和未来前景。TIL,尤其是 CD8+ T 细胞,从患者的肿瘤中分离出来,在体外扩增后回输,以促进抗肿瘤免疫。TIL 治疗的成功已在多种癌症中得到证实,尤其是黑色素瘤,其可带来持久缓解,在某些病例中甚至实现完全缓解。然而,仍存在重大挑战,包括 TIL 群体的异质性、大规模扩增的困难以及免疫相关不良事件。我们还探讨了当前旨在克服这些局限性的策略,包括 TIL 的基因修饰、与检查点抑制剂的联合方法以及肿瘤浸润方案的优化。随着持续的研究和技术进步,TIL 治疗有望成为个性化癌症治疗的基石。本综述综合了 TIL 治疗的当前格局,为其临床疗效、更广泛应用的可能性以及癌症免疫治疗的未来提供了见解。
Tumor-infiltrating lymphocyte (TIL) therapy represents an emerging and promising approach in the field of cancer immunotherapy, harnessing the body's own immune cells to target and eliminate cancer cells. This review provides an in-depth analysis of TIL therapy, focusing on its mechanisms, clinical applications, challenges, and future prospects.
TILs, particularly CD8 + T cells, are isolated from a patient's tumor, expanded ex vivo, and reinfused to promote anti-tumor immunity. The success of TIL therapy has been demonstrated in various cancers, particularly melanoma, where it has led to durable responses and, in some cases, complete remission.
However, significant challenges remain, including the heterogeneity of TIL populations, difficulties in large-scale expansion, and immune-related adverse events.
We also explore current strategies aimed at overcoming these limitations, including genetic modification of TILs, combinatory approaches with checkpoint inhibitors, and optimization of tumor infiltration protocols. With ongoing research and technological advancements, TIL therapy holds substantial promise as a cornerstone of personalized cancer treatment. This review synthesizes the current landscape of TIL therapy, providing insights into its clinical efficacy, potential for broader application, and the future of cancer immunotherapy.
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