CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Cancer-Related Immune Therapies: Bidirectional Implications From Cardiotoxicity to Emerging Cardiovascular Therapeutics: JACC CardioOncology State-of-the-Art Review.
Cancer-Related Immune Therapies: Bidirectional Implications From Cardiotoxicity to Emerging Cardiovascular Therapeutics: JACC CardioOncology State-of-the-Art Review.
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基于免疫的治疗——包括免疫检查点抑制剂、双特异性T细胞衔接器、CAR-T 细胞和TIL(肿瘤浸润淋巴细胞)——不仅改变了癌症治疗,也引入了显著的心血管并发症,为心脏肿瘤学带来了新的挑战。对心血管免疫相关不良事件的认识不断加深,推动了免疫-心血管界面研究,尤其是信号失调、T细胞过度活化和细胞因子释放。本综述综合了关于免疫检查点在心血管疾病中作用、免疫检查点抑制剂和T细胞诱导心脏毒性的机制,以及免疫检查点调节和CAR-T 细胞疗法在心血管应用中的治疗潜力的最新见解。
Immune-based therapies-including immune checkpoint inhibitors, bispecific T cell engagers, chimeric antigen receptor T cells, and tumor-infiltrating lymphocytes- not only have transformed cancer treatment, but also have introduced significant cardiovascular complications, posing new challenges for cardio-oncology. Growing recognition of cardiovascular immune-related adverse events has spurred research into the immune-cardiovascular interface, particularly dysregulated signaling, T cell overactivation, and cytokine release.
This review synthesizes recent insights into the role of immune checkpoints in cardiovascular disease, the mechanisms of immune checkpoint inhibitor- and T cell-induced cardiotoxicity, and the therapeutic potential of immune checkpoint modulation and chimeric antigen receptor T cell therapy in cardiovascular applications.
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