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工程化改造用于作战的活体药物:CAR-T 细胞疗法综合综述

英文原题:Living Medicines Engineered to Fight: A Comprehensive Review on CAR T-Cell Therapy.

查看英文原题

Living Medicines Engineered to Fight: A Comprehensive Review on CAR T-Cell Therapy.

PubMed 2025/04/01(内容时间) Int J Hematol Oncol Stem Cell Res

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中文摘要

癌症治疗的诸多进展推动了独特分子特征鉴定和个体化疗法设计,使治疗可根据患者需求量身定制,利用靶向癌细胞特定标志物的药物,甚至重新训练机体免疫系统。CAR-T 是一种此类方法,通过调节患者细胞使其杀伤癌细胞。传统癌症治疗存在特异性低、复发概率增加,或化疗中的放射毒性和耐受性问题。目前 CAR-T 正处于临床研究阶段,不同国家仍在制定其实际应用指南。本综述介绍 CAR-T 疗法及其类型、组成、不良反应、不同国家的现行授权状态和所用技术,并简要介绍欧洲和美国近期发布的法规或指南,这两个地区已积极启动 CAR-T 研究。本综述旨在帮助读者了解这种靶向疗法,其有望推动癌症研究并帮助研究者开发更多患者特异性治疗,从而改善癌症临床结局。

展开英文摘要原文

The plethora of advancements in cancer treatment has resulted in designing unique signatures and personalized therapies, tailored to patient-specific needs, using medications that target specific markers on cancer cells or even retrain the body's immune system. Chimeric Antigen Receptor T-cell, also called as CAR T-cell, is one such approach wherein a patient's cells are modulated to kill the cancer cells.

Conventional cancer treatments invite issues like low specificity, increased chances of relapse, or issues with radiotoxicity and tolerance in the case of chemotherapy. Currently, CAR T-cell therapy is under clinical investigation, and different countries are still coming up with their guidelines for the pragmatic application of CAR T. In this review, we present all one needs to know about CAR T-cell therapy, its types, components, side effects, current authorization status in different countries, along with the technology being used in the therapy.

We also briefly upon the recent regulations or guidelines released by Europe and the USA, the countries that have actively initiated the CAR T idea. This review aims to provide insight into this targeted therapy, which has the potential to boost cancer research and to help researchers develop more such patient-specific treatments to improve clinical outcomes in cancer.

论文信息

作者
Vinoo S、Jaiswal D、Mehta P、Battu A、Majumdar A
单位
Department of Pharmacology, Bombay College of Pharmacy, Kalina, Santa Cruz (E), Mumbai, 400098, India.India
文献类型
综述
期刊
International journal of hematology-oncology and stem cell research2025 Apr 1
原文标识
PubMed 40852701 · DOI 10.18502/ijhoscr.v19i2.18555