研究概要
CAR-T 细胞疗法是一种过继性免疫疗法,依赖于细胞毒性 T 细胞的特异性靶向来清除体内功能异常的细胞。
中文摘要
CAR-T 细胞疗法是一种过继性免疫疗法,依赖于细胞毒性T细胞的特异性靶向来清除体内功能异常的细胞。基因工程使得几乎无限种类的嵌合抗原受体(CAR)得以生成,以确保对靶细胞表面抗原的特异性。因此,CAR-T 似乎是一种强大且多功能的疗法,可用于治疗包括癌症在内的多种疾病。近年来,CAR-T 已成为血液肿瘤治疗领域的重大进展,尤其是B细胞恶性肿瘤,这主要归因于CD19和BCMA等特异性抗原的存在。因此,CAR-T 疗法市场正在经历显著增长。然而,复发问题仍然存在,需要寻找新的治疗策略,包括CAR-T 技术。在这种情况下,主要挑战之一是寻找和评估CAR-T 的新靶点及其成功可能性。在此,我们提出一套既定标准,用于评估CAR-T 细胞疗法治疗血液恶性肿瘤的潜在靶点。这些标准包括从生物学特征方面评估靶点,如表达水平、细胞定位、组织特异性,以及临床方面,包括未满足的临床需求和临床试验的成功情况。利用这些标准,我们验证了对即将出现的下一批CAR-T 细胞疗法靶点的预测。
展开英文摘要原文
CAR-T cell therapy is a type of adoptive immune therapy that relies on the specific targeting of cytotoxic T-cells to eliminate the malfunctioning cells in the body. Genetic engineering allows the generation of an almost infinite variety of chimeric antigen receptors (CAR) to ensure specificity for antigens on the surface of target cells. Therefore, CAR-T appears to be a powerful and versatile therapy for the treatment of various diseases, including cancer. Recently, CAR-T has emerged as a significant advancement in the management of hematological tumors, particularly B-cell malignancies, mainly due to the presence of specific antigens such as CD19 and BCMA. As a result, the market for CAR-T therapy is experiencing significant growth. However, the problem of relapses remains and warrants the search for new therapeutic approaches, including CAR-T technology. In this case, one of the major challenges is finding and evaluating new targets for CAR-T in terms of their likelihood of success. Here we propose a set of established criteria for the evaluation of potential targets for CAR-T cell therapy to treat hematological malignancies. These criteria include assessing the target in terms of its biological characteristics, such as expression level, cellular localization, tissue specificity, and clinical aspects, including unmet clinical needs and the success of clinical trials. Using these criteria, we validate our prediction of the next CAR-T cell therapy targets that will likely emerge soon.
论文信息
- 作者
- Ershova A、Goldaeva A、Staliarova A、Bulatov E、Petukhov A、Barlev N
- 单位
- Laboratory of Molecular Oncology, National Laboratory Astana, Astana, Kazakhstan.
- 文献类型
- 综述
- 期刊
- Frontiers in immunology2025