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:Advances in Gene Therapy with Oncolytic Viruses and CAR-T Cells and Therapy-Related Groups.
癌症基因治疗作为一种攻克难治性癌症的新治疗方法,正吸引着相当多的关注。
癌症基因治疗作为一种克服难治性癌症的新治疗方法正受到广泛关注。CAR-T细胞疗法尤其已在血液肿瘤中取得了显著成果。由于CAR-T细胞可以在体内增殖,它们具有只需单次给药的优势。此外,针对CD19抗原的CAR-T细胞疗法已确立用于CD19阳性急性B细胞白血病(B-急性淋巴细胞白血病,B-ALL)和弥漫性大B细胞淋巴瘤(DLBCL)年轻患者的复发或难治性疾病。除CAR-T细胞疗法外,溶瘤病毒代表了一种有前景的癌症治疗方法,其中一些已进入临床使用,另一些正在研究其潜在益处。这些病毒感染并杀死癌细胞,触发免疫反应,帮助机体识别并对抗癌症。溶瘤病毒疗法是一种免疫治疗形式,利用经过改造的病毒靶向并摧毁肿瘤细胞,同时可能刺激抗肿瘤免疫反应。这些病毒在临床试验中已显示出有前景的活性,其中一些已获批用于特定癌症,如黑色素瘤。目前正在进行研究以提高其疗效、将其应用扩展至其他癌症类型,并克服与其递送相关的后勤挑战。基因治疗有可能治疗由隐性基因疾病引起的疾病,如囊性纤维化、血友病、肌营养不良症和镰状细胞贫血,以及获得性遗传疾病,如癌症和病毒感染,如获得性免疫缺陷综合征(AIDS)。
Cancer gene therapy is attracting considerable attention as a new treatment method for overcoming intractable cancers. CAR-T cell therapy has already achieved remarkable results, particularly for hematological tumors. Because CAR-T cells can increase within the body, they have the advantage of requiring only a single administration. In addition, CAR-T cell therapy targeting the CD19 antigen has been established for relapsed or refractory disease in young people with CD19-positive acute B-cell leukemia (B-acute lymphoblastic leukemia, B-ALL) and diffuse large B-cell lymphoma (DLBCL). In addition to CAR-T cell therapy, oncolytic viruses represent a promising approach for cancer treatment, with some already in clinical use and others being researched for their potential benefits. These viruses infect and kill cancer cells, triggering an immune response that helps the body recognize and fight cancer. Oncolytic virus therapy is a form of immunotherapy that uses modified viruses to target and destroy tumor cells while potentially stimulating antitumor immune responses. These viruses have shown promising activity in clinical trials, with some approved for specific cancers like melanoma. Research is ongoing to improve their efficacy, expand their use to other cancer types, and overcome the logistical challenges associated with their delivery. Gene therapy can potentially treat diseases caused by recessive gene disorders like cystic fibrosis, hemophilia, muscular dystrophy, and sickle cell anemia, as well as acquired genetic diseases, such as cancer and viral infections like acquired immunodeficiency syndrome (AIDS).
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