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实体瘤的精准狙击手:CAR-NK 细胞疗法

英文原题:Precision sniper for solid tumors: CAR-NK cell therapy.

查看英文原题

Precision sniper for solid tumors: CAR-NK cell therapy.

PubMed 2025/07/24(内容时间) Cancer Immunol Immunother Q1 · IF 5.8(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)代表一种新型靶向治疗,利用基因工程改造效应细胞,以实现对肿瘤细胞的精准靶向。以T细胞作为效应细胞的CAR-T(CAR-T)细胞免疫治疗,已在治疗血液系统恶性肿瘤方面显示出显著疗效。然而,其针对实体瘤的疗效仍不理想,并伴有毒性副作用,包括细胞因子释放综合征、神经毒性以及on-target/off-tumor效应。与T细胞相比,自然杀伤(NK)细胞具有更广泛的来源范围,并且能够非特异性裂解肿瘤细胞。此外,它还可以在一定程度上降低毒性和副作用。本文综述全面探讨了CAR-NK疗法治疗实体瘤的最新研究进展,涵盖体内和体外研究,重点聚焦于CAR-NK细胞的设计和生产方法。基于实验室和临床证据,本文综述总结了当前CAR-NK技术相关的挑战和副作用。

展开英文摘要原文

Chimeric antigen receptor (CAR) represents a novel targeted therapy that uses genetic engineering to modify effector cells for precise tumor cell targeting. Chimeric antigen receptor-T (CAR-T) cell immunotherapy, which employs T cells as effectors, has demonstrated significant efficacy in treating hematologic malignancies.

However, its efficacy against solid tumors remains inadequate and is accompanied by toxic side effects, including cytokine release syndrome, neurotoxicity and on-target/off-tumor effects. In contrast to T cells, natural killer (NK) cells exhibit a broader source range and can non-specifically lyse tumor cells.

Moreover, it can also reduce toxicity and side effects to some extent. This review comprehensively examines recent research progress on CAR-NK therapy for solid tumors, encompassing both in vivo and in vitro studies, with a focus on CAR-NK cell design and production methods. Drawing upon laboratory and clinical evidence, this review summarizes the current challenges and side effects associated with CAR-NK technology.

论文信息

作者
Li S、Jing J、Chen Y、Chi E、Wang B、Xie Z、Yang W、Shen H
第一作者单位
Department of Clinical Medicine, Hangzhou City University School of Medicine, 51 Huzhou Street, Hangzhou, 310015, People's Republic of China.China
通讯作者单位
Department of Clinical Medicine, Hangzhou City University School of Medicine, 51 Huzhou Street, Hangzhou, 310015, People's Republic of China. jppan@hzcu.edu.cn.China
文献类型
综述
期刊
Cancer immunology, immunotherapy : CII2025 Jul 24
原文标识
PubMed 40705122 · DOI 10.1007/s00262-025-04106-z