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纳米颗粒增强的 CAR-T 与 NK 细胞治疗在肿瘤学中的临床试验:克服转化与临床挑战——一篇简要综述

英文原题:Clinical trials of nanoparticle-enhanced CAR-T and NK cell therapies in oncology: overcoming translational and clinical challenges - a mini review.

查看英文原题

Clinical trials of nanoparticle-enhanced CAR-T and NK cell therapies in oncology: overcoming translational and clinical challenges - a mini review.

PubMed 2025/08/06(内容时间) Front Med (Lausanne) Q1 · IF 3.6(JCR 2025)

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中文摘要

嵌合抗原受体(CAR)T细胞和自然杀伤(NK)细胞治疗策略显著重塑了血液系统恶性肿瘤的免疫肿瘤学领域。这些疗法在治疗抵抗性疾病患者中取得持久治疗效果,显示出强大疗效。然而,免疫细胞迁移能力差、肿瘤诱导的免疫抑制以及复杂的体外修饰过程限制了其在实体瘤中的临床应用。纳米技术的应用改变了克服这些限制的研究方式,可促进体内CAR表达、实现肿瘤选择性免疫调节,并支持局部动态调节细胞因子。本简要综述评析当前临床试验,重点关注监管挑战、设计依据和转化进展。本文介绍先进免疫治疗策略临床转化面临的持续挑战、近期进展及未来方向。

展开英文摘要原文

Chimeric antigen receptor (CAR) T-cell and natural killer (NK) cell therapeutic approaches have significantly reshaped the immuno-oncology domain for hematological malignancies. These approaches have sustained therapeutic results in patients with treatment-resistant disease and exhibited robust therapeutic efficacy.

However, poor immune cell trafficking, tumor-induced immune suppression, and complex ex vivo modification limit their clinical application in solid tumors. The application of nanotechnology has transformed efforts to overcome these limitations by promoting in vivo expression of CARs, enabling tumor-selective immunomodulation, and allowing site-specific dynamic cytokine modulation.

This mini review provides critical valuations of the current clinical trials, focusing on the regulatory challenges, design rationale, and translational advances. This article highlights ongoing challenges, recent developments, and future directions for the clinical translation of advanced immunotherapeutic strategies.

论文信息

作者
Zhao X、Xiong J、Li D、Zhang Y
单位
Operating room, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, China.China
文献类型
综述
期刊
Frontiers in medicine2025
原文标识
PubMed 40904365 · DOI 10.3389/fmed.2025.1655693