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TIL(肿瘤浸润淋巴细胞)治疗格局:前景与挑战

英文原题:Tumour-infiltrating lymphocyte therapy landscape: prospects and challenges.

查看英文原题

Tumour-infiltrating lymphocyte therapy landscape: prospects and challenges.

PubMed 2025/08/04(内容时间) BMJ Oncol

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中文摘要

TIL(肿瘤浸润淋巴细胞)疗法已成为实体瘤过继性细胞转移策略中一种有前景的治疗方法。美国食品药品监督管理局近期加速批准lifileucel,标志着TIL疗法临床应用的一个重要里程碑。本综述全面审视了TIL疗法的历史发展、生物学、临床疗效、安全性和局限性。我们探讨了TIL生产方面的进展,包括新型培养技术、基因修饰和自动化,以提高可扩展性和有效性。尽管结果令人鼓舞,TIL疗法仍面临挑战,如高剂量白细胞介素-2毒性、复杂的生产工艺和免疫逃逸机制。新兴策略,包括检查点抑制剂联合治疗、工程化TIL构建体和代谢重编程,旨在提高TIL的治疗疗效。本综述提供了对TIL疗法不断演变格局及其增强当前癌症免疫治疗潜力的见解。

展开英文摘要原文

Tumour-infiltrating lymphocyte (TIL) therapy has emerged as a promising adoptive cell transfer strategy for solid tumours. The recent accelerated approval of lifileucel by the Food and Drug Administration marks a significant milestone in the clinical application of TIL therapy. This review comprehensively examines the historical development, biology, clinical efficacy, safety and limitations of TIL therapy.

We explore advancements in TIL manufacturing, including novel culture techniques, genetic modifications and automation, to enhance scalability and effectiveness. Despite promising results, TIL therapy faces challenges such as high-dose interleukin-2 toxicity, complex manufacturing processes and immune evasion mechanisms.

Emerging strategies, including checkpoint inhibitor combinations, engineered TIL constructs and metabolic reprogramming, aim to improve TIL therapeutic efficacy. This review provides insights into the evolving landscape of TIL therapy and its potential to enhance current cancer immunotherapy.

论文信息

作者
Chen R、Johnson J、Rezazadeh A、Dudek AZ
第一作者单位
Department of Medicine, Mayo Clinic, Jacksonville, Florida, USA.United States
通讯作者单位
Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA.United States
文献类型
综述
期刊
BMJ oncology2025
原文标识
PubMed 40765841 · DOI 10.1136/bmjonc-2024-000566