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数字孪生技术用于推进 CAR-T 细胞治疗的潜在应用

英文原题:The Potential Use of Digital Twin Technology for Advancing CAR-T Cell Therapy.

查看英文原题

The Potential Use of Digital Twin Technology for Advancing CAR-T Cell Therapy.

PubMed 2025/04/30(内容时间) Curr Issues Mol Biol Q2 · IF 4.1(JCR 2025)

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中文摘要

CAR-T 细胞疗法是一种个性化免疫疗法,在治疗血液系统恶性肿瘤方面已显示出良好前景。然而,其在实体瘤中的治疗效果往往受到肿瘤逃逸机制、耐药通路以及免疫抑制性肿瘤微环境的限制。这些挑战凸显了需要先进的预测模型,以更好地捕捉CAR-T 细胞与肿瘤之间复杂的相互作用,从而增强其潜力。数字孪生代表了一种变革性方法,通过利用高维患者数据提供疗法-肿瘤轨迹的虚拟表征,从而优化CAR-T 细胞疗法。在本综述中,我们首先定义数字孪生并概述其开发的基本步骤。随后,我们探讨设计CAR-T 特异性数字孪生所需的关键参数。我们审视已发表的案例研究,展示数字孪生在应对CAR-T 细胞疗法关键挑战中的若干应用,包括其对临床试验和生产过程的影响。最后,我们讨论将数字孪生整合到CAR-T 疗法中的局限性。随着数字孪生技术的不断发展,通过精准建模和实时适应来增强CAR-T 疗法的潜力可能会重新定义个性化癌症治疗的格局。

展开英文摘要原文

CAR-T cell therapy is a personalized immunotherapy that has shown promising results in treating hematologic cancers.

However, its therapeutic efficacy in solid cancers is often limited by tumor evasion mechanisms, resistance pathways, and an immunosuppressive tumor microenvironment. These challenges highlight the need for advanced predictive models to better capture the intricate interactions between CAR-T cells and tumors to enhance their potential.

Digital Twins represent a transformative approach for optimizing CAR-T cell therapy by providing a virtual representation of the therapy-tumor trajectory using high-dimensional patient data. In this review, we first define Digital Twins and outline the fundamental steps in their development.

We then explore the critical parameters required for designing CAR-T-specific Digital Twins.

We examine published case studies demonstrating a few applications of Digital Twins in addressing key challenges in CAR-T cell therapy, including their impact on clinical trials and manufacturing processes.

Finally, we discuss the limitations associated with integrating Digital Twins into CAR-T therapy. As Digital Twin technology continues to evolve, the potential to enhance CAR-T therapy through precision modeling and real-time adaptation could redefine the landscape of personalized cancer treatment.

论文信息

作者
Aghamiri SS、Amin R
第一作者单位
Center for Brain, Biology and Behavior, University of Nebraska, Lincoln, NE 68503, USA.United States
通讯作者单位
Department of Biochemistry, University of Nebraska, Lincoln, NE 68503, USA.United States
文献类型
综述
期刊
Current issues in molecular biology2025 Apr 30
原文标识
PubMed 40699720 · DOI 10.3390/cimb47050321